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Systematic Reviews for the Health Sciences: Search Strategies

Searching for Literature

  • Prepare to document your search (see PRISMA 2020 Flow Diagram and Shiny App, a tool to create a flow diagram)
    • Search strategies (aim for sensitivity)
      • In PubMed, use MeSH terms as well as search tags, e.g., [tw] or [tiab] (see the PubMed user guide)
    • Date of search
    • All limiters or filters
    • Databases (e.g., CINAHL Complete, PsycINFO) and platforms (e.g., Ovid, ProQuest, EBSCO) searched
    • Grey literature searched
    • Number of results from each database
    • Number of results after deduplication
  • Prepare to search
  • Search!
  • Run the search with your keywords and controlled vocabulary to see if you can capture your 3-10 gold standard articles
    • If not, revise the search
  • Follow up with handsearching (manual process to identify additional relevant sources)
    • Review key journals, conferences, etc.
    • Review reference lists of identified articles and documents

Additional Search Tools

Search Tools

Additional Resources

Common Search Strategies (Filters and Hedges)

Hedges

Benefits of using hedges:

  • Time-saving​, term harvesting, or unfamiliar syntax

  • Narrow down to specific study type​

Risks of using hedges:

  • Hedge purpose​ or methods not clearly stated​

  • Database differences​

  • Geographic hedges

  • Old terminology​ or not recently updated

Not all hedges are validated,​ but non-validated hedges can be highly effective too.

Validated Search Filters

Additional Resources

Writing a Search Strategy: Boolean Logic

Narrow the search

  • Exercise therapy AND quality of life

Broaden the search

  • Exercise therapy OR quality of life

Exclude terms

  • Exercise therapy NOT quality of life

Wildcard (*): find all forms of a term

  • therap* = therapy, therapist, therapeutic

Quotes ensure search of exact phrase

  • "exercise therapy" 

Parentheses (): ensure all terms searched as set

  • (exercise therap* OR physical therap* OR physiotherapy OR exercise intervention) AND (quality of life OR well being OR well-being OR health-related quality of life)

Balancing parentheses

Search errors or unintended search strategies:

The number of left parentheses must be equal to the number of right parentheses to avoid search errors or unintended search strategies.

(X AND Y) OR Z

X AND (Y OR Z)

Avoiding (or minimizing) the use of the NOT operator can be beneficial as well. A misplaced parenthesis can change a search. 

(X NOT Y) OR Z

X NOT (Y OR Z)

(X AND Y) NOT Z

X AND (Y NOT Z)

An example of a more complicated search:

((X OR (Y AND Z))

AND

((A AND B) OR C)

AND

(J OR (K AND L))

Could be rewritten as:

((X OR (Y AND Z)) AND ((A AND B) OR C) AND (J OR (K AND L))

Possible search results could include:

  • Y, Z, C, J
  • X, A, B, K, L
  • X, C, J
  • Y, Z, A, B, K, L

Acknowledgement of outdated or offensive terminology

As social and cultural norms change, so does the vocabulary. When searching for older items in databases, some searches require use of antiquated, non-standard, exclusionary, and potentially offensive terms.

An example might be searching "ill housed persons." In PubMed/Medline, research related to "ill housed persons" from 1966 to 1985 was cataloged using the MeSH term "transients and migrants." If historical material was being sought and if the antiquated terms were not included, the search strategy could have missed relevant material.

The University of Michigan Library has initiated a project to address these concerns and provides suggested wording to use.