Development of a subject search filter to find information relevant to palliative care in the general medical literature.

PURPOSE: The research developed and validated palliative care search filters for use in the general biomedical literature. METHODS: Four general medical journals were hand-searched to identify articles relevant to palliative care, forming a 'gold standard' reference set. Searches comprising Medical...

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Publicado en:Journal of the Medical Library Association Vol. 94; no. 4; pp. 394 - 402
Autores principales: Sladek R, Tieman J, Fazekas BS, Abernethy AP, Currow DC
Formato: tables/charts Journal Article
Publicado: University of Pittsburgh, University Library System Oct2006
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Development of a subject search filter to find information relevant to palliative care in the general medical literature.
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        au:
          Sladek R
          Tieman J
          Fazekas BS
          Abernethy AP
          Currow DC
        affil: Flinders University of South Australia, Bedford Park, South Australia, Australia. ruth.sladek@flinders.edu.au
      sug:
        subj:
          Computerized Literature Searching Methods
          Information Retrieval Methods
          Medical Literature
          Medline
          Palliative Care
          Access to Information
          Data Analysis Software
          Subject Headings
      ab: PURPOSE: The research developed and validated palliative care search filters for use in the general biomedical literature. METHODS: Four general medical journals were hand-searched to identify articles relevant to palliative care, forming a 'gold standard' reference set. Searches comprising Medical Subject Headings (MeSH) and text-words were created for use in Ovid MEDLINE, and retrieved references were compared to the gold standard. Sensitivity, specificity, accuracy, and precision rates were calculated. RESULTS: By hand-searching 20,501 articles published in the 4 journals during the 3-year study period (1999-2001), reviewers identified 773 items relevant to palliative care (3.8%). A master search combining 9 MeSH descriptors with 3 text-words achieved 45.4% sensitivity, 99.3% specificity, 73% precision, and 97.3% accuracy. Efforts to increase the sensitivity by modifying 3 relevant published but unvalidated searches did not improve the yield, except in 1 case which resulted in an improved sensitivity of 56.9% but was offset by reduced specificity (92.1%), precision (22%), and accuracy (90.8%). CONCLUSIONS: The study confirmed that literature relevant to palliative care is difficult to identify in general medical journals. While the filter developed in this research represents the best trade-off between sensitivity, specificity, accuracy, and precision, the sensitivity is unacceptably low. Further research, such as frequency analysis of text-words and MeSH terms, is required to increase the sensitivity of searching in this subset of the literature.
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    language: English
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