Friday, February 24, 2017

CINAHL default search doesn't search the abstract?!?


OK, so if you're searching in CINAHL, and using a combination of Headings and keywords, the default setting to just search a keyword is "Select a field". I recall someone telling me that this was not an optimal search, but didn't realise how bad it was until today.

So, I had this:
S7     abscess*     7,986
S6     (MH "Abscess+")     5,152

Combined it with the rest of my search, got 28 results.

Then, I looked at my other search terms without the Abscess terms, which meant that there were 93 articles. However, one of those articles had the term abscess in the abstract. In fact, it appeared several times in the abstract and was obviously a significant part of the study results!

So, I searched again, and this time I received fewer results!

S10     TI abscess* OR AB abscess*     6,000

But when I combined them with my other search, there were more results, including the one which I had found.

The really weird thing is that when I tried S10 NOT S7, there were zero results! How is that possible?

Weird, weird, weird.

Tuesday, February 21, 2017

Prognosis

So, this is a tricky one. It's usually medicolegal, and usually it doesn't specify how the patient was treated, if at all.

"Prognosis"[Mesh:NoExp] OR "Disease Progression"[Mesh] OR "Return to Work"[Mesh] OR "Recovery of Function"[Mesh] OR "Convalescence"[Mesh] OR "Mortality"[Mesh] OR "Disease Free Survival"[Mesh]

There's also rehabilitation as a subheading. Probably best to tie it to the disease/disorder in question, if possible, and only free-float it if there isn't a disease in the question.

That's starting to get into the "how long will it take to get better" stuff, but here are a few more for that aspect:
"Time Factors"[Mesh] OR "Length of Stay"[Mesh]

Depending on the search, you may also wish to try:
"Treatment Outcome"[Mesh]

You can also do something straightforward, like:
prognosis[title] OR prognostic[title] OR predict*[title]
Why not?

EMBASE:

exp prognosis/ or disease course/ or exp adverse outcome/ or exp convalescence/ or exp disease clearance/ or exp disease duration/ or exp disease exacerbation/ or exp general condition deterioration/ or exp general condition improvement/ or exp illness trajectory/ or exp relapse/ or exp remission/ or exp survival/ or exp return to work/ or exp work resumption/ or exp mortality/