Carrying out a literature search- a brief guide
Contents
1. Clarify Your Topic

Take time to consider the exact information you are looking for. If possible try to rephrase your topic as a question. Breakdown the topic into its major concepts such as:

1.       the patient or problem being addressed

2.       the intervention or treatment being considered

3.       comparative treatments if relevant

4.       desired clinical outcomes of

eg Nut allergies in children

Patient

Exposure

Outcome

Children

Nuts

Allergy

Try to think of alternative words, spelling variations or synonyms for each concept:

Children:

child, paediatric, pediatric

Nuts:

nuts/peanuts

Allergy:

hypersensitivity/allergy/intolerance

2. Select Database(s)

The following databases are available through healthcare libraries in Salford and Trafford

Healthcare Database(s)

Medline

Largest biomedical database
U.S orientation

EMBASE

Biomedical - Europe orientation

AHMED

Allied and alternative medicine

PsycINFO

Psychology and related disciplines

HMIC

Management and community
UK orientation

BNI

Nursing - UK orientation

CINAHL

Nursing and Allied Health
US orientation

Specialist Review Sources:

(i) the Cochrane Library

A database containing systematic reviews and other information that will assist in making diagnostic treatment and other health care decisions.

(ii) Clinical Evidence.

A monthly updated directory of evidence on the effects of common clinical interventions. It summarises the best available evidence, and where there is no good evidence it says so.

 

3. Conduct The Search

There are two main methods of searching, and although different databases have different features, the principles of searching will remain the same:

(i)Subject searching

Databases such as Medline use a controlled vocabulary to index articles. Each article will have a number of subject terms (Medical Subject Heading - MeSH - in Medline) assigned to it to represent the key concepts it covers. Searching using a subject term should only retrieve material relevant to the concept.

Advantages

  • Should ensure retrieval of relevant material
  • Standardizes terminology/spelling
  • Allows a term to be searched with its more specific headings (exploding)

How do I know which subject heading to use?

  • Click on the Thesaurus button
  • Type a word in the Subject box
  • Click Go to Subject

The index will display your term or the nearest match. Select the appropriate heading(s) by clicking the box next to it.

Selecting Explode Search Subjects will search for your heading, plus any narrower (more specific headings. Click Checked Subjects.

Concept

Subject Heading

Nuts

Nuts

Allergy

Hypersensitivity

(ii)Text word Searching

If your concept does not have an appropriate subject heading, you can search for your term as a textword. The computer will search the whole record for an exact match of the term.

This method will not guarantee retrieval of relevant material e.g. "back" will not distinguish between the human back and the word "back" in any other context.

Textword searching will often retrieve irrelevant material, particularly for frequently used terms.

As a general rule, use textword searching when:

  • There is no appropriate thesaurus term (eg for an uncommon term, acronym, institution), or
  • If you wish to broaden your thesaurus search to include alternative words for more exhaustive retrieval.
(iii)Truncation and wildcard

Truncating the term can also allow for spelling variations eg Allerg$ will allow for allergy, allergic, allergen.

Remember that the method(s) you use will depend on:

  • the nature of your topic
  • how exhaustively you need to search
  • how much time you have available

 

4. Combine Search Results

Once you have searched for each term and created separate sets, the next step is to combine them using the operators AND and OR:

Hypersensitivity(MeSH) OR allerg$ (freetext)

Will search for references with either hypersensitivity as a subject heading or for references containing the stem

Diagram for boolean operator OR

"allerg-", or for references containing both:

Once sets have been created for each concept, they must then be combined using AND:

Here the set representing Nuts or its alternatives is combined with the set representing hypersensitivity or its

Diagram for boolean operator AND

alternatives, to create the intersection between the two i.e.Only references covering both concepts together.

5. Refine Search

If you have too few results you may need to broaden your search by

  • Using additional synonyms/alternatives
  • Using broader subject headings in the thesaurus and/or explode subject headings
  • Including all subheadings with thesaurus terms
  • Combining thesaurus and free text terms
6. Limit Results

Limiting functions will allow you to restrict your results by various parameters such as:

Age group - e.g. child or adult or more specific (infant or middle aged). Hence the search for nut allergies in children could be limited to all child age groups, without needing to search for the term children.

Publication type - e.g. Reviews, meta-analyses, guidelines. It is also possible to limit specifically to review types academic and tutorial, which tend to be of a higher quality. Always check the Cochrane Library for the highest quality systematic reviews, as these are more extensive than in Medline.

Language - use with caution as foreign language abstract articles may be relevant and may provide an English abstract.

7. Further Assistance

For further information and advice on searching please contact your healthcare library. Athens Passwords for access to the databases can be arranged and training sessions are also available.


Web page maintained by Andrew Norfolk- contact: andrew.norfolk@man.ac.uk
Last modified
11/07/02