Abstract

Objective:The aim of this project was to validate search filters for systematic reviews, intervention studies, and observational studies translated from Ovid MEDLINE and Embase syntax and used for searches in PubMed and Embase.com during the development of evidence summaries supporting first aid guidelines. We aimed to achieve a balance among recall, specificity, precision, and number needed to read (NNR).Methods:Reference gold standards were constructed per study type derived from existing evidence summaries. Search filter performance was assessed through retrospective searches and measurement of relative recall, specificity, precision, and NNR when using the translated search filters. Where necessary, search filters were optimized. Adapted filters were validated in separate validation gold standards.Results:Search filters for systematic reviews and observational studies reached recall of ≥85% in both PubMed and Embase. Corresponding specificities for systematic review filters were ≥96% in both databases, with a precision of 9.7% (NNR 10) in PubMed and 5.4% (NNR 19) in Embase. For observational study filters, specificity, precision, and NNR were 68%, 2%, and 51 in PubMed and 47%, 0.8%, and 123 in Embase, respectively. These filters were considered sufficiently effective. Search filters for intervention studies reached a recall of 85% and 83% in PubMed and Embase, respectively. Optimization led to recall of ≥95% with specificity, precision, and NNR of 49%, 1.3%, and 79 in PubMed and 56%, 0.74%, and 136 in Embase, respectively.Conclusions:We report validated filters to search for systematic reviews, observational studies, and intervention studies in guideline projects in PubMed and Embase.com.

Highlights

  • The development of evidence-based practice guidelines is a time-consuming process [1]

  • Optimization led to recall of ≥95% with specificity, precision, and number needed to read (NNR) of 49%, 1.3%, and 79 in PubMed and 56%, 0.74%, and 136 in Embase, respectively

  • We report validated filters to search for systematic reviews, observational studies, and intervention studies in guideline projects in PubMed and Embase.com

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Summary

Introduction

The development of evidence-based practice guidelines is a time-consuming process [1]. During the 2019 development of an advanced first aid manual for Sub-Saharan Africa and the 2020 updates of the basic first aid manuals for Flanders, Belgium, and SubSaharan Africa, a total of 490 evidence summaries were developed to inform practical recommendations. In sixtyseven of these evidence summaries, methodological search filters for the identification of systematic reviews [9], intervention studies [10], and observational studies [9] in PubMed and Embase were used to decrease the number of records to screen. The search filters used were based on filters originally designed by the Scottish Intercollegiate

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