searching embase janet west principal pharmacist medicines information southern general hospital nhs...
TRANSCRIPT
Searching EMBASE
Janet West
Principal Pharmacist Medicines Information
Southern General Hospital
NHS Greater Glasgow & Clyde
What is EMBASE?What is EMBASE?
Major biomedical & pharmaceutical database
European focusSubject coverage focuses on human
medicine– also includes related disciplines e.g health
economics, hospital management
What is EMBASE?
BackgroundBackground
>11 million records1974 onwards>5000 journals>70 countries~580,000 records added annually~80% records have author written
abstract
Background
EMBASE <> MedlineEMBASE <> Medline
EMBASE indexes more drug related literature EMBASE covers more European & Far
Eastern journals Medline covers more US journals EMBASE is updated faster – average = 10 -
15 working days for full article to appear c.f. 6-8 weeks for Medline (30% within 30 days , 60% within 60 days)
Overlap between Medline & Embase = ~30% therefore always search both
Medline vs EMBASE
Searching EMBASE
Controlled vocabulary = EMTREEUses natural language e.g. chronic
fatigue syndrome [EMBASE] v fatigue syndrome, chronic [Medline]
US spellings rather than British e.g. estrogen rather than oestrogen
INNs used where possibleAcronyms & abbreviations mostly avoided
Hierarchical tree consisting of:EMTREE is divided into 15 facets (A
Q)Largest = facet C & facet DC = physical diseases, disorders and
abnormalitiesD = chemicals and drugs (21,000 terms)
EMTREE
‘Explode’ and ‘major’
~20 descriptive terms applied to each record (sometimes many more)
3 – 5 are given importance (major)
Searching EMBASE
Dialog NHS interface:
– Type in words and map to thesaurus
or– Use browse function
or– Enter the term
Searching EMBASE
EMBASE
Many more subheading options for drugs compared with Medlinee.g. diclofenac
Using subheadings
EMBASE
Must check when a term was added (in scope note – yellow post-it note)
May need to search free text as well to pick up articles before the entry date of that term with these words ine.g. grapefruit juice
NB - CARE as may not be
a topic of the article
Check date term was added
Free text searches also useful when:-– there is no appropriate match in the
EMTREE thesaurus for your term,– the concept is very new to the literature, or– the concept has a very specific name, such
as ‘Waterlow Score’
Free Text
Drug / device trade names can be searched
Articles are indexed with trade names when relevant
Useful when searching for comparative infoe.g. Slophyllin, Uniphyllin
Trade name searching
No real need to do this in EMBASEHowever it is still possible to do – see
drop down menuAll medicines have EMTREE terms –
even recently licensed ones (as far as I can tell!) e.g. duloxetine, rasagiline etc
CAS number searching
Limit searches in similar way to MedlineTwo ways of limitingLess publication type limit options (but see
next slide), less age limit options
EMBASE limits
Publication types have their own facet / tree top of EMTREE terms that are searchable
Facet J: types of article or studyBuild up your search and combine
in the usual way (using BOOLEAN) with other search terms
Publication types
Are there any papers about SSRIs or SNRIs being used in the treatment of Huntington disease?
Worked example 1Worked example 1
Are there any articles which discuss using high dose vitamin supplementation to treat autistic disorders ?
Worked example 2Worked example 2
EMBASE