Development and evaluation of a search filter to identify prognostic factor studies in Ovid MEDLINE.


Journal

BMC medical research methodology
ISSN: 1471-2288
Titre abrégé: BMC Med Res Methodol
Pays: England
ID NLM: 100968545

Informations de publication

Date de publication:
10 04 2022
Historique:
received: 13 09 2021
accepted: 30 03 2022
entrez: 11 4 2022
pubmed: 12 4 2022
medline: 13 4 2022
Statut: epublish

Résumé

Systematic reviews (SRs) are valuable resources as they address specific clinical questions by summarizing all existing relevant studies. However, finding all information to include in systematic reviews can be challenging. Methodological search filters have been developed to find articles related to specific clinical questions. To our knowledge, no filter exists for finding studies on the role of prognostic factor (PF). We aimed to develop and evaluate a search filter to identify PF studies in Ovid MEDLINE that has maximum sensitivity. We followed current recommendations for the development of a search filter by first identifying a reference set of PF studies included in relevant systematic reviews on the topic, and by selecting search terms using a word frequency analysis complemented with an expert panel discussion. We evaluated filter performance using the relative recall methodology. We constructed a reference set of 73 studies included in six systematic reviews from a larger sample. After completing a word frequency analysis using the reference set studies, we compiled a list of 80 of the frequent methodological terms. This list of terms was evaluated by the Delphi panel for inclusion in the filter, resulting in a final set of 8 appropriate terms. The consecutive connection of these terms with the Boolean operator OR produced the filter. We then evaluated the filter using the relative recall method against the reference set, comparing the references included in the SRs with our new search using the filter. The overall sensitivity of the filter was calculated to be 95%, while the overall specificity was 41%. The precision of the filter varied considerably, ranging from 0.36 to 17%. The NNR (number needed to read) value varied largely from 6 to 278. The time saved by using the filter ranged from 13-70%. We developed a search filter for OVID-Medline with acceptable performance that could be used in systematic reviews of PF studies. Using this filter could save as much as 40% of the title and abstract screening task. The specificity of the filter could be improved by defining additional terms to be included, although it is important to evaluate any modification to guarantee the filter is still highly sensitive.

Sections du résumé

BACKGROUND
Systematic reviews (SRs) are valuable resources as they address specific clinical questions by summarizing all existing relevant studies. However, finding all information to include in systematic reviews can be challenging. Methodological search filters have been developed to find articles related to specific clinical questions. To our knowledge, no filter exists for finding studies on the role of prognostic factor (PF). We aimed to develop and evaluate a search filter to identify PF studies in Ovid MEDLINE that has maximum sensitivity.
METHODS
We followed current recommendations for the development of a search filter by first identifying a reference set of PF studies included in relevant systematic reviews on the topic, and by selecting search terms using a word frequency analysis complemented with an expert panel discussion. We evaluated filter performance using the relative recall methodology.
RESULTS
We constructed a reference set of 73 studies included in six systematic reviews from a larger sample. After completing a word frequency analysis using the reference set studies, we compiled a list of 80 of the frequent methodological terms. This list of terms was evaluated by the Delphi panel for inclusion in the filter, resulting in a final set of 8 appropriate terms. The consecutive connection of these terms with the Boolean operator OR produced the filter. We then evaluated the filter using the relative recall method against the reference set, comparing the references included in the SRs with our new search using the filter. The overall sensitivity of the filter was calculated to be 95%, while the overall specificity was 41%. The precision of the filter varied considerably, ranging from 0.36 to 17%. The NNR (number needed to read) value varied largely from 6 to 278. The time saved by using the filter ranged from 13-70%.
CONCLUSIONS
We developed a search filter for OVID-Medline with acceptable performance that could be used in systematic reviews of PF studies. Using this filter could save as much as 40% of the title and abstract screening task. The specificity of the filter could be improved by defining additional terms to be included, although it is important to evaluate any modification to guarantee the filter is still highly sensitive.

Identifiants

pubmed: 35399050
doi: 10.1186/s12874-022-01595-9
pii: 10.1186/s12874-022-01595-9
pmc: PMC8996648
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

107

Informations de copyright

© 2022. The Author(s).

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Auteurs

Elena Stallings (E)

Clinical Biostatistics Unit, Instituto Ramón Y Cajal de Investigación Sanitaria, 28034, Madrid, Spain. elenastallings.pubhealth@gmail.com.
CIBER Epidemiología Y Salud Pública (CIBERESP), 28029, Madrid, Spain. elenastallings.pubhealth@gmail.com.

Andrea Gaetano-Gil (A)

Clinical Biostatistics Unit, Instituto Ramón Y Cajal de Investigación Sanitaria, 28034, Madrid, Spain.

Noelia Alvarez-Diaz (N)

Library, Hospital Universitario Ramón Y Cajal (IRYCIS), Madrid, Spain.

Ivan Solà (I)

CIBER Epidemiología Y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Sant Pau Biomedical Research Institute (IIB Sant Pau), 08041, Barcelona, Spain.

Jesús López-Alcalde (J)

Clinical Biostatistics Unit, Instituto Ramón Y Cajal de Investigación Sanitaria, 28034, Madrid, Spain.
CIBER Epidemiología Y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Faculty of Health Sciences, Universidad Francisco de Vitoria, 28223, Madrid, Spain.
Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, CH-8091, Zurich, Switzerland.

Daniel Molano (D)

Department of Critical Care, Fundacion Universitaria de Ciencias de La Salud, Hospital de San José, Carrera 19 # 8-32, 11001, Bogota, Colombia.

Javier Zamora (J)

Clinical Biostatistics Unit, Instituto Ramón Y Cajal de Investigación Sanitaria, 28034, Madrid, Spain.
CIBER Epidemiología Y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Institute of Metabolism and Systems Research, WHO Collaborating Centre for Global Women's Health, University of Birmingham, Birmingham, B15 2TT, UK.

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Classifications MeSH