Efficiency of pragmatic search strategies to update clinical guidelines recommendations

Background: A major challenge in updating clinical guidelines is to efficiently identify new, relevant evidence. We evaluated the efficiency and feasibility of two new approaches: the development of restrictive search strategies using PubMed Clinical Queries for MEDLINE and the use of the PLUS (McMa...

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Detalles Bibliográficos
Autores: Martínez García, Laura|||0000-0003-0126-8706, Sanabria, Andrea Juliana, Araya, Ignaci, Lawson, J., Solà Arnau, Ivan|||0000-0003-0078-3706, Vernooij, Robin W. M.|||0000-0001-5734-4566, López, D., García Álvarez, Elvira, Trujillo-Martín, Mar, Etxeandia-Ikobaltzeta, Itziar|||0000-0001-6606-649X, Kotzeva, Anna, Rigau, David|||0000-0003-0828-4872, Louro González, Arturo|||0000-0002-8334-9210, Barajas Nava, Leticia Andrea|||0000-0002-3040-7560, Díaz del Campo, Petra, Estrada Sabadell, M. Dolors, Gracia, J., Salcedo-Fernandez, Flavia, Haynes, R. Brian, Alonso-Coello, Pablo|||0000-0002-8001-8504, Álvarez Ariza, M., Argente Oliver, J., Armario García, P., Arrieta Antón, Enrique, Balaguer Santamaría, Albert|||0000-0002-5222-8635, Borque Fernando, A., Buñuel Álvarez, J.C., Cervera Álvarez, A., Heras Liñero, María Elena de las, Dopico, L., Eddy Ives, L.S., Escó Barón, R., Ferreira González, I., Ferrer, F., Gil Sanz, M.J., Lago Deibe, F.I., Martí Canales, J.C., Martínez Rubio, A., Martos Moreno, G.A., Mejuto Marti, T., Morales Ortiz, Ana M.|||0000-0002-9211-2098, Rioja Sanz, L.A., Rioja Zuazu, J., Rodríguez González, A., Rodríguez-Arias Palomo, J.L., Sáenz Cusí, A.
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:299425
Acceso en línea:https://ddd.uab.cat/record/299425
https://dx.doi.org/urn:doi:10.1186/s12874-015-0058-2
Access Level:acceso abierto
Palabra clave:Clinical guidelines
Diffusion of innovation
Dissemination and implementation
Evidence-based medicine
Information storage and retrieval
Knowledge translation
Methods
Updating
Descripción
Sumario:Background: A major challenge in updating clinical guidelines is to efficiently identify new, relevant evidence. We evaluated the efficiency and feasibility of two new approaches: the development of restrictive search strategies using PubMed Clinical Queries for MEDLINE and the use of the PLUS (McMaster Premium Literature Service) database. Methods: We evaluated a random sample of recommendations from a national guideline development program and identified the references that would potentially trigger an update (key references) using an exhaustive approach. We designed restrictive search strategies using the minimum number of Medical Subject Headings (MeSH) terms and text words required from the original exhaustive search strategies and applying broad and narrow filters. We developed PLUS search strategies, matching Medical Subject Headings (MeSH) and Systematized Nomenclature of Medicine (SNOMED) terms with guideline topics. We compared the number of key references retrieved by these approaches with those retrieved by the exhaustive approach. Results: The restrictive approach retrieved 68.1 % fewer references than the exhaustive approach (12,486 versus 39,136), and identified 89.9 % (62/69) of key references and 88 % (22/25) of recommendation updates. The use of PLUS retrieved 88.5 % fewer references than the exhaustive approach (4,486 versus 39,136) and identified substantially fewer key references (18/69, 26.1 %) and fewer recommendation updates (10/25, 40 %). Conclusions: The proposed restrictive approach is a highly efficient and feasible method to identify new evidence that triggers a recommendation update. Searching only in the PLUS database proved to be a suboptimal approach and suggests the need for topic-specific tailoring.

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