Developing and validating infant hedges for PubMed and Ovid MEDLINE: a Medical Library Association Pediatric

Lynn Kysh1, Zoë Baker2, Roxanne Bogucka3

  • 1lkysh@ucdavis.edu, University of California-Davis, Davis, CA.

Insights

Librarians created and validated infant search hedges for PubMed and Ovid Medline. A simple keyword hedge demonstrated comparable sensitivity and specificity to more complex hedges, making it effective for clinical searching.

Area of Science:

  • Medical Informatics
  • Library Science
  • Evidence-Based Practice

Background:

  • Librarians developed and validated search hedges specifically for infant age populations (birth to 23 months).
  • These search strategies were designed for use in both PubMed (National Library of Medicine) and Medline (OVID).
  • The goal was to enhance support for evidence synthesis and clinical literature searching.

Purpose of the Study:

  • To develop and validate sensitive search hedges for identifying infant-related literature.
  • To compare the performance of developed hedges against existing built-in filters.
  • To assess the effectiveness of different hedge structures (MeSH terms, keywords, field tags) for infant searches.

Main Methods:

  • Four sensitive search hedges were created using terms for infants.
  • Three hedges utilized identical MeSH terms and keywords but varied field tags; one was a simple keyword hedge.
  • Performance was validated against a gold standard reference set using relative recall calculations, comparing hedges to a MeSH-based infant filter.

Main Results:

  • In PubMed, similarly structured hedges achieved 83.2%-83.8% sensitivity and 88.2%-89.7% specificity.
  • The simple keyword hedge in PubMed showed 83.5% sensitivity and 89.7% specificity.
  • The built-in PubMed filter yielded 70.1% sensitivity and 96.2% specificity.
  • Similar performance ranges were observed in Ovid Medline for the hedges, with the simple keyword hedge at 82.9% sensitivity and 90.8% specificity.
  • The Ovid Medline filter demonstrated 69.6% sensitivity and 96.2% specificity.

Conclusions:

  • Variation in field tags did not significantly impact hedge performance (sensitivity and specificity).
  • The built-in filter prioritized specificity over sensitivity, as expected.
  • The simple keyword hedge performed comparably to more complex hedges, proving effective for quick clinical searches.
  • For comprehensive evidence synthesis, more sensitive infant hedges are recommended over the simple keyword hedge or the built-in filter.
Abstract

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