Optimal search strategies for retrieving systematic reviews from Medline: analytical survey.

TitleOptimal search strategies for retrieving systematic reviews from Medline: analytical survey.
Publication TypeJournal Article
Year of Publication2005
AuthorsMontori VM, Wilczynski NL, Morgan D, Haynes BR
Corporate AuthorsHedges Team
JournalBMJ (Clinical research ed.)
Date Published2005 Jan 8
KeywordsInformation Storage and Retrieval; Medical Subject Headings; MEDLINE; Review Literature as Topic; Sensitivity and Specificity

OBJECTIVE: To develop optimal search strategies in Medline for retrieving systematic reviews.

DESIGN: Analytical survey.

DATA SOURCES: 161 journals published in 2000 indexed in Medline.

MAIN OUTCOME MEASURES: The sensitivity, specificity, and precision of retrieval of systematic reviews of 4862 unique terms in 782,485 combinations of one to five terms were determined by comparison with a hand search of all articles (the criterion standard) in 161 journals published during 2000 (49,028 articles).

RESULTS: Only 753 (1.5%) of the 49,028 articles were systematic reviews. The most sensitive strategy included five terms and had a sensitivity of 99.9% (95% confidence interval 99.6% to 100%) and a specificity of 52% (51.6% to 52.5%). The strategy that best minimised the difference between sensitivity and specificity had a sensitivity of 98% (97% to 99%) and specificity of 90.8% (90.5% to 91.1%). Highest precision for multiterm strategies, 57% (54% to 60%), was achieved at a sensitivity of 71% (68% to 74%). The term "cochrane database of systematic reviews.jn." was the most precise single term search strategy (sensitivity of 56% (52% to 60%) and precision of 96% (94% to 98%)). These strategies are available through the "limit" screen of Ovid's search interface for Medline.

CONCLUSIONS: Systematic reviews can be retrieved from Medline with close to perfect sensitivity or specificity, or with high precision, by using empirical search strategies.

Alternate JournalBMJ