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Robin Featherstone, MLIS Liaison Librarian (Medicine) McGill University Life Sciences Library How to Conduct a Systematic Search
 
[object Object],[object Object],[object Object],Objectives
[object Object],From: Cochrane Collaboration (2012). Glossary: Systematic Review. Accessed Jan 6, 2011:  http://www.cochrane.org/glossary/5#term423 What’s a Systematic Review?
From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta- Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi:10.1371/journal.pmed1000097 Flow of Information Through the Different Phases of a Systematic Review
[object Object],From: Cochrane Handbook (2012). Section 6: Searching for Studies . Accessed Jan 9, 2011:  http://www.cochrane-handbook.org/ What’s a Systematic Search?
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How to Identify Articles
Develop a PICO or Research Question
[object Object],[object Object],Scenario
Relevancy Retrieval (# of search results) Broad Questions Narrow Questions High = lots of articles Low = very few articles High = directly relevant articles Low = mostly irrelevant articles How questions influence search results
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Possible Questions
Select Sources/Databases
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Where to Search * See CADTH checklist:  http://cadth.ca/en/resources/grey-matters
Match the Question to the Source(s) 1.  What is the optimum withdrawal time during colonoscopy to screen for adenomas and polyps? A. MEDLINE  2. What are proven methods for integrating simulators into endoscopy training?  B. PsycINFO 3.  When should patients presenting with febrile neutropenia to the Emergency Department be administered antibiotics?  C. Inspec 4. Which injection method is the most effective for administering lidocaine? D. EMBASE 5. Which factors improve quality of life for patients post mastectomy? E. SCOPUS 6.  What is the analgesic efficacy for antipsychotic agents for chronic pain? F. Cochrane Library
Develop a Search Strategy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Step-by-Step
[object Object],[object Object],Identify Concepts
What is MeSH?
[object Object],[object Object],[object Object],Subject Headings Database Subject Headings Medline/PubMed MeSH EMBASE EMTREE CINAHL CINAHL Headings Cochrane Library MeSH PsycINFO Thesaurus of Psychological Index Terms Scopus, Web of Science N/A
Which Subject Heading Explodes? A. Bird Diseases  B. Neutropenia
[object Object],[object Object],Identify Subject Headings Hydration Delirium End of Life
Concept #1 Concept #2 Concept #3 Subject Headings Text Words Blank worksheets:  http://www.slideshare.net/featherr/search-strategy-worksheet Ovid Medline Strategy AND  AND  OR exp Fluid Therapy/ Delirium/ exp Terminal Care/ OR Palliative Care/ exp Terminally Ill/ OR OR OR
[object Object],[object Object],Next: Identify Text Words Image credit:  http://cdn.zmescience.com/wp-content/uploads/2011/09/cyborg.jpg 2. Indexers are only cyborgs
Ovid Search Commands for Text Word Searching Operator Command Example * Find alternate endings hosp* [will find hospital, hospitals, hospitalist, hospice, hospices, etc.] .tw. Search for this term in the Title and Abstract fields anxiety.tw. adj Search for one term within x number of terms from another patient adj3 anxiety [will find patient within three words of anxiety] AND Find articles where both terms appear smoking AND cessation OR Find articles where either term appears smoking OR tobacco () Control order of operations – commands within brackets run first (smok* OR tobacco).tw.
Concept #1 Concept #2 Concept #3 Subject Headings Text Words Ovid Search Strategy AND  AND  OR exp Fluid Therapy/ Delirium/ exp Terminal Care/ OR Palliative Care/ exp Terminally Ill/ OR hydrat*.tw. deliri*.tw. (terminal* adj4 patient*).tw. OR fluid*.tw.  palliative.tw. OR water.tw. end of life.tw.
[object Object],[object Object],PRISMA Checklist for Reporting Systematic Reviews From: PRISMA Statement for Reporting Systematic Reviews (2012). PRISMA Checklist. Accessed Jan 10, 2011:  http://www.prisma-statement.org/
BREAK – 10 mins
Run the search
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How to Search
How to Search Search #2 =  Search #3 =  Search #4 =  Search #5 = #1 OR #2 OR #3 OR #4 Search #1 =  Concept 1 Search #6 =  Search #7 =  Search #8 =  Search #9 =  Concept 2 Search #10 = #6 OR #7 OR #8 OR #9 Search #11 =  #5 AND #10 Results
Concept #1 Concept #2 Concept #3 Subject Headings Text Words Demo AND  AND  OR exp Fluid Therapy/ Delirium/ exp Terminal Care/ OR Palliative Care/ exp Terminally Ill/ OR hydrat*.tw. deliri*.tw. (terminal* adj4 patient*).tw. OR fluid*.tw.  palliative.tw. OR water.tw. end of life.tw.
Applying practical screening criteria
[object Object],[object Object],[object Object],Screening
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Practical Screens/Limits Examples
[object Object],[object Object],[object Object],Apply Screens/Limits
Export References to a Citation Manager Download from:  http://mcgill.e-academy.com/ Available to McGill students, faculty, staff.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Citation Managers
Next steps
[object Object],[object Object],[object Object],Moving to Another Source
[object Object],[object Object],[object Object],[object Object],[object Object],Hand Searching
From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta- Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi:10.1371/journal.pmed1000097 Next steps
[object Object],[object Object],[object Object],Recap
Where to go for Help Robin Featherstone Liaison Librarian (Medicine) Life Sciences Library,  McGill University   514-398-4475 ext. 09844# [email_address] Martin Morris Bibliothécaire Médical /  Medical Librarian Hôpital Royal Victoria Hospital   514-934-1934 ext. 35292 [email_address] Tara Landry Bibliothécaire médicale / Medical Librarian Montreal General Hospital   514-934-1934 ext. 43057 [email_address]
Resources Systematic review guidelines: Cochrane Handbook for Systematic Reviews of Interventions  http://www.cochrane-handbook.org/ PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-Analyses)  http://www.prisma-statement.org/statement.htm   Systematic Reviews: CRD’s Guidance for Undertaking Reviews in Health Care http://www.york.ac.uk/inst/crd/SysRev/!SSL!/WebHelp/SysRev3.htm   IOM (Institute of Medicine). Finding what works in health care: standards for systematic reviews http://www.iom.edu/Reports/2011/Finding-What-Works-in-Health-Care-Standards-for-Systematic-Reviews.aspx Searching for grey literature: CADTH (Canadian Agency for Drugs and Technologies in Health).  Grey Matters: a practical search tool for evidence-based medicine http://cadth.ca/resources/grey-matters Citation management: Getting help with EndNote http://www.mcgill.ca/library/library-using/endnote/help/
Robin Featherstone, MLIS Liaison Librarian (Medicine) [email_address] Questions Slides:  http://www.slideshare.net/featherr

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Conduct Systematic Search

  • 1. Robin Featherstone, MLIS Liaison Librarian (Medicine) McGill University Life Sciences Library How to Conduct a Systematic Search
  • 2.  
  • 3.
  • 4.
  • 5. From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta- Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi:10.1371/journal.pmed1000097 Flow of Information Through the Different Phases of a Systematic Review
  • 6.
  • 7.
  • 8. Develop a PICO or Research Question
  • 9.
  • 10. Relevancy Retrieval (# of search results) Broad Questions Narrow Questions High = lots of articles Low = very few articles High = directly relevant articles Low = mostly irrelevant articles How questions influence search results
  • 11.
  • 13.
  • 14. Match the Question to the Source(s) 1. What is the optimum withdrawal time during colonoscopy to screen for adenomas and polyps? A. MEDLINE 2. What are proven methods for integrating simulators into endoscopy training? B. PsycINFO 3. When should patients presenting with febrile neutropenia to the Emergency Department be administered antibiotics? C. Inspec 4. Which injection method is the most effective for administering lidocaine? D. EMBASE 5. Which factors improve quality of life for patients post mastectomy? E. SCOPUS 6. What is the analgesic efficacy for antipsychotic agents for chronic pain? F. Cochrane Library
  • 15. Develop a Search Strategy
  • 16.
  • 17.
  • 19.
  • 20. Which Subject Heading Explodes? A. Bird Diseases B. Neutropenia
  • 21.
  • 22. Concept #1 Concept #2 Concept #3 Subject Headings Text Words Blank worksheets: http://www.slideshare.net/featherr/search-strategy-worksheet Ovid Medline Strategy AND AND OR exp Fluid Therapy/ Delirium/ exp Terminal Care/ OR Palliative Care/ exp Terminally Ill/ OR OR OR
  • 23.
  • 24. Ovid Search Commands for Text Word Searching Operator Command Example * Find alternate endings hosp* [will find hospital, hospitals, hospitalist, hospice, hospices, etc.] .tw. Search for this term in the Title and Abstract fields anxiety.tw. adj Search for one term within x number of terms from another patient adj3 anxiety [will find patient within three words of anxiety] AND Find articles where both terms appear smoking AND cessation OR Find articles where either term appears smoking OR tobacco () Control order of operations – commands within brackets run first (smok* OR tobacco).tw.
  • 25. Concept #1 Concept #2 Concept #3 Subject Headings Text Words Ovid Search Strategy AND AND OR exp Fluid Therapy/ Delirium/ exp Terminal Care/ OR Palliative Care/ exp Terminally Ill/ OR hydrat*.tw. deliri*.tw. (terminal* adj4 patient*).tw. OR fluid*.tw. palliative.tw. OR water.tw. end of life.tw.
  • 26.
  • 27. BREAK – 10 mins
  • 29.
  • 30. How to Search Search #2 = Search #3 = Search #4 = Search #5 = #1 OR #2 OR #3 OR #4 Search #1 = Concept 1 Search #6 = Search #7 = Search #8 = Search #9 = Concept 2 Search #10 = #6 OR #7 OR #8 OR #9 Search #11 = #5 AND #10 Results
  • 31. Concept #1 Concept #2 Concept #3 Subject Headings Text Words Demo AND AND OR exp Fluid Therapy/ Delirium/ exp Terminal Care/ OR Palliative Care/ exp Terminally Ill/ OR hydrat*.tw. deliri*.tw. (terminal* adj4 patient*).tw. OR fluid*.tw. palliative.tw. OR water.tw. end of life.tw.
  • 33.
  • 34.
  • 35.
  • 36. Export References to a Citation Manager Download from: http://mcgill.e-academy.com/ Available to McGill students, faculty, staff.
  • 37.
  • 39.
  • 40.
  • 41. From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta- Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi:10.1371/journal.pmed1000097 Next steps
  • 42.
  • 43. Where to go for Help Robin Featherstone Liaison Librarian (Medicine) Life Sciences Library, McGill University   514-398-4475 ext. 09844# [email_address] Martin Morris Bibliothécaire Médical / Medical Librarian Hôpital Royal Victoria Hospital   514-934-1934 ext. 35292 [email_address] Tara Landry Bibliothécaire médicale / Medical Librarian Montreal General Hospital   514-934-1934 ext. 43057 [email_address]
  • 44. Resources Systematic review guidelines: Cochrane Handbook for Systematic Reviews of Interventions http://www.cochrane-handbook.org/ PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-Analyses) http://www.prisma-statement.org/statement.htm Systematic Reviews: CRD’s Guidance for Undertaking Reviews in Health Care http://www.york.ac.uk/inst/crd/SysRev/!SSL!/WebHelp/SysRev3.htm IOM (Institute of Medicine). Finding what works in health care: standards for systematic reviews http://www.iom.edu/Reports/2011/Finding-What-Works-in-Health-Care-Standards-for-Systematic-Reviews.aspx Searching for grey literature: CADTH (Canadian Agency for Drugs and Technologies in Health). Grey Matters: a practical search tool for evidence-based medicine http://cadth.ca/resources/grey-matters Citation management: Getting help with EndNote http://www.mcgill.ca/library/library-using/endnote/help/
  • 45. Robin Featherstone, MLIS Liaison Librarian (Medicine) [email_address] Questions Slides: http://www.slideshare.net/featherr

Editor's Notes

  1. What is MeSH?
  2. If time is available, search references in Scopus for: 1: Stiefel F. Delirium and dehydration: inevitable companions of terminal disease? Support Care Cancer. 2002 Sep;10(6):443-4. PubMed PMID: 12362918.
  3. Flow of information through the different phases of a systematic review.