Skip to main content
Top
Published in: BMC Medical Research Methodology 1/2009

Open Access 01-12-2009 | Research article

Locating sex-specific evidence on clinical questions in MEDLINE: a search filter for use on OvidSP™

Authors: Clara J Moerman, Rikie Deurenberg, Joke A Haafkens

Published in: BMC Medical Research Methodology | Issue 1/2009

Login to get access

Abstract

Background

Many recently published clinical studies report sex-specific data. This information may help to improve clinical decision-making for both sexes, but it is not easily accessible in MEDLINE. The aim of this project was to develop and validate a search filter that would facilitate the retrieval of studies reporting high quality sex-specific data on clinical questions.

Methods

A filter was developed by screening titles, abstracts and Medical Subject Headings (MeSH) in a set of 80 high quality and relevant papers, 75 of which were identified through a review of clinical guidelines and five through other means. The filter, for use on OvidSP™, consists of nine command lines for searching free text words in the title, abstract and MeSH of a paper. It was able to identify 74/80 (92.5%) of the articles from which it was derived. The filter was evaluated in a set of 622 recently published original studies on Alzheimer's disease and on asthma. It was validated against a reference of 98 studies from this set, which provided high quality, clinically relevant, sex-specific evidence. Recall and precision were used as performance measures.

Results

The filter demonstrated 81/98 (83%) recall and 81/125 (65%) precision in retrieving relevant articles on Alzheimer's disease and on asthma. In comparison, only 30/98 (31%) recall would have been achieved if sex-specific MeSH terms only had been used.

Conclusion

This sex-specific search filter performs well in retrieving relevant papers, while its precision rate is good. It performs better than a search with sex-specific MeSH. The filter can be useful to anyone seeking sex-specific clinical evidence (e.g., guideline organizations, researchers, medical educators, clinicians).
Literature
1.
go back to reference Nadel MV: Problems in Implementing Policy on Women in Study Populations. 1990, Washington D.C.: National Institutes of Health Nadel MV: Problems in Implementing Policy on Women in Study Populations. 1990, Washington D.C.: National Institutes of Health
2.
go back to reference Mastroianni AC, Faden RR, Federman DD, Institute of Medicine (Committee on the Ethical and Legal Issues Relating to the Inclusion of Women in Clinical Studies): Women and health research ethical and legal issues of including women in clinical studies. 1994, Washington, D.C.: National Academy Press Mastroianni AC, Faden RR, Federman DD, Institute of Medicine (Committee on the Ethical and Legal Issues Relating to the Inclusion of Women in Clinical Studies): Women and health research ethical and legal issues of including women in clinical studies. 1994, Washington, D.C.: National Academy Press
3.
go back to reference Institute of Medicine (Committee on Understanding the Biology of Sex and Gender Differences): Exploring the biologic contributions to human health: Does sex matter?. Edited by: Wizemann TM, Pardu ML. 2001, Washington, D.C.: National Academy Press Institute of Medicine (Committee on Understanding the Biology of Sex and Gender Differences): Exploring the biologic contributions to human health: Does sex matter?. Edited by: Wizemann TM, Pardu ML. 2001, Washington, D.C.: National Academy Press
4.
go back to reference US National Institutes of Health Revitalization Act of 1993 (public law 103-43), 107, Stat 22 (Codified at 42 U.S.C. 289.a-1) June 10 at 486 (d) (4) (D). US National Institutes of Health Revitalization Act of 1993 (public law 103-43), 107, Stat 22 (Codified at 42 U.S.C. 289.a-1) June 10 at 486 (d) (4) (D).
9.
go back to reference Health Canada Therapeutic Products Programme: Inclusion of Women in Clinical Trials. 1997, Ottawa: Health Canada Health Canada Therapeutic Products Programme: Inclusion of Women in Clinical Trials. 1997, Ottawa: Health Canada
10.
go back to reference Directorate-General of Research and Technological Development Unit 5: Women and Science: Vademecum. Gender mainstreaming in the 6th framework programme. Reference guide for scientific officers/project officers. 2003, Brussels: European Commission Directorate-General of Research and Technological Development Unit 5: Women and Science: Vademecum. Gender mainstreaming in the 6th framework programme. Reference guide for scientific officers/project officers. 2003, Brussels: European Commission
12.
go back to reference Ridker PM, Cook NR, Lee IM, Gordon D, Gaziano JM, Manson JE, Hennekens CH, Buring JE: A randomized trial of low-dose aspirin in the primary prevention of cardiovascular disease in women. N Engl J Med. 2005, 352: 1293-1304. 10.1056/NEJMoa050613.CrossRefPubMed Ridker PM, Cook NR, Lee IM, Gordon D, Gaziano JM, Manson JE, Hennekens CH, Buring JE: A randomized trial of low-dose aspirin in the primary prevention of cardiovascular disease in women. N Engl J Med. 2005, 352: 1293-1304. 10.1056/NEJMoa050613.CrossRefPubMed
13.
go back to reference Crocetti E, Mangone L, Lo SG, Carli P: Prognostic variables and prognostic groups for malignant melanoma. The information from Cox and Classification And Regression Trees analysis: an Italian population-based study. Melanoma Res. 2006, 16: 429-433. 10.1097/01.cmr.0000222602.80803.e1.CrossRefPubMed Crocetti E, Mangone L, Lo SG, Carli P: Prognostic variables and prognostic groups for malignant melanoma. The information from Cox and Classification And Regression Trees analysis: an Italian population-based study. Melanoma Res. 2006, 16: 429-433. 10.1097/01.cmr.0000222602.80803.e1.CrossRefPubMed
14.
go back to reference Watson L, Vestbo J, Postma DS, Decramer M, Rennard S, Kiri VA, Vermeire PA, Soriano JB: Gender differences in the management and experience of Chronic Obstructive Pulmonary Disease. Respir Med. 2004, 98: 1207-1213. 10.1016/j.rmed.2004.05.004.CrossRefPubMed Watson L, Vestbo J, Postma DS, Decramer M, Rennard S, Kiri VA, Vermeire PA, Soriano JB: Gender differences in the management and experience of Chronic Obstructive Pulmonary Disease. Respir Med. 2004, 98: 1207-1213. 10.1016/j.rmed.2004.05.004.CrossRefPubMed
15.
go back to reference Lard LR, Huizinga TW, Hazes JM, Vlieland TP: Delayed referral of female patients with rheumatoid arthritis. J Rheumatol. 2001, 28: 2190-2192.PubMed Lard LR, Huizinga TW, Hazes JM, Vlieland TP: Delayed referral of female patients with rheumatoid arthritis. J Rheumatol. 2001, 28: 2190-2192.PubMed
16.
go back to reference Wright AL, Stern DA, Kauffmann F, Martinez FD: Factors influencing gender differences in the diagnosis and treatment of asthma in childhood: the Tucson Children's Respiratory Study. Pediatr Pulmonol. 2006, 41: 318-325. 10.1002/ppul.20373.CrossRefPubMed Wright AL, Stern DA, Kauffmann F, Martinez FD: Factors influencing gender differences in the diagnosis and treatment of asthma in childhood: the Tucson Children's Respiratory Study. Pediatr Pulmonol. 2006, 41: 318-325. 10.1002/ppul.20373.CrossRefPubMed
17.
go back to reference Kornstein SG, Schatzberg AF, Thase ME, Yonkers KA, McCullough JP, Keitner GI, Gelenberg AJ, Davis SM, Harrison WM, Keller MB: Gender differences in treatment response to sertraline versus imipramine in chronic depression. Am J Psychiatry. 2000, 157: 1445-1452. 10.1176/appi.ajp.157.9.1445.CrossRefPubMed Kornstein SG, Schatzberg AF, Thase ME, Yonkers KA, McCullough JP, Keitner GI, Gelenberg AJ, Davis SM, Harrison WM, Keller MB: Gender differences in treatment response to sertraline versus imipramine in chronic depression. Am J Psychiatry. 2000, 157: 1445-1452. 10.1176/appi.ajp.157.9.1445.CrossRefPubMed
18.
go back to reference Reinert DF, Allen JP: The Alcohol Use Disorders Identification Test: An Update of Research Findings. Alcohol Clin Exp Res. 2007, 31: 185-199. 10.1111/j.1530-0277.2006.00295.x.CrossRefPubMed Reinert DF, Allen JP: The Alcohol Use Disorders Identification Test: An Update of Research Findings. Alcohol Clin Exp Res. 2007, 31: 185-199. 10.1111/j.1530-0277.2006.00295.x.CrossRefPubMed
20.
go back to reference Keuken DG, Haafkens JA, Moerman CJ: Attention to sex-related factors in the development of clinical practice guidelines. J Womens Health (Larchmt). 2007, 16: 82-92.CrossRef Keuken DG, Haafkens JA, Moerman CJ: Attention to sex-related factors in the development of clinical practice guidelines. J Womens Health (Larchmt). 2007, 16: 82-92.CrossRef
21.
go back to reference Mehta KM, Yaffe K, Perez-Stable EJ, Stewart A, Barnes D, Kurland BF, et al: Race/ethnic differences in AD survival in US Alzheimer's Disease Centers. Neurology. 2008, 70: 1163-1170. 10.1212/01.wnl.0000285287.99923.3c.CrossRefPubMed Mehta KM, Yaffe K, Perez-Stable EJ, Stewart A, Barnes D, Kurland BF, et al: Race/ethnic differences in AD survival in US Alzheimer's Disease Centers. Neurology. 2008, 70: 1163-1170. 10.1212/01.wnl.0000285287.99923.3c.CrossRefPubMed
22.
go back to reference Seo EH, Lee DY, Choo IH, Youn JC, Kim KW, Jhoo JH, et al: Performance on the Benton Visual Retention Test in an educationally diverse elderly population. J Gerontol B Psychol Sci Soc Sci. 2007, 62 (3): P191-P193.CrossRefPubMed Seo EH, Lee DY, Choo IH, Youn JC, Kim KW, Jhoo JH, et al: Performance on the Benton Visual Retention Test in an educationally diverse elderly population. J Gerontol B Psychol Sci Soc Sci. 2007, 62 (3): P191-P193.CrossRefPubMed
23.
go back to reference Keuken DG, Haafkens JA, Hellema MJ, Burgers JS, Moerman CJ: Incorporating a gender perspective into the development of clinical guidelines: a training course for guideline developers. Implement Sci. 2007, 2: 35-10.1186/1748-5908-2-35.CrossRefPubMedPubMedCentral Keuken DG, Haafkens JA, Hellema MJ, Burgers JS, Moerman CJ: Incorporating a gender perspective into the development of clinical guidelines: a training course for guideline developers. Implement Sci. 2007, 2: 35-10.1186/1748-5908-2-35.CrossRefPubMedPubMedCentral
26.
go back to reference Montgomery CH, Sherif K: The information problem in women's health: a piece of the solution. J Womens Health Gend Based Med. 2000, 9: 529-536. 10.1089/15246090050073611.CrossRefPubMed Montgomery CH, Sherif K: The information problem in women's health: a piece of the solution. J Womens Health Gend Based Med. 2000, 9: 529-536. 10.1089/15246090050073611.CrossRefPubMed
27.
go back to reference Jenkins M: Evaluation of methodological search filters – a review. Health Info Libr J. 2004, 21: 148-63. 10.1111/j.1471-1842.2004.00511.x.CrossRefPubMed Jenkins M: Evaluation of methodological search filters – a review. Health Info Libr J. 2004, 21: 148-63. 10.1111/j.1471-1842.2004.00511.x.CrossRefPubMed
29.
go back to reference van Everdingen J, Burgers J, Assendelft W, Swinkels J, van Barneveld T, Klundert van de J: Evidence-based richtlijnontwikkeling; een leidraad voor de praktijk. 2004, Houten, The Netherlands: Bohn Stafleu Van Loghem van Everdingen J, Burgers J, Assendelft W, Swinkels J, van Barneveld T, Klundert van de J: Evidence-based richtlijnontwikkeling; een leidraad voor de praktijk. 2004, Houten, The Netherlands: Bohn Stafleu Van Loghem
32.
go back to reference Hou N, Chui MA, Eckert GJ, Oldridge NB, Murray MD, Bennett SJ: Relationship of age and sex to health-related quality of life in patients with heart failure. Am J Crit Care. 2004, 13: 153-161.PubMed Hou N, Chui MA, Eckert GJ, Oldridge NB, Murray MD, Bennett SJ: Relationship of age and sex to health-related quality of life in patients with heart failure. Am J Crit Care. 2004, 13: 153-161.PubMed
33.
go back to reference Natarajan S, Liao Y, Cao G, Lipsitz SR, McGee DL: Sex differences in risk for coronary heart disease mortality associated with diabetes and established coronary heart disease. Arch Intern Med. 2003, 163: 1735-1740. 10.1001/archinte.163.14.1735.CrossRefPubMed Natarajan S, Liao Y, Cao G, Lipsitz SR, McGee DL: Sex differences in risk for coronary heart disease mortality associated with diabetes and established coronary heart disease. Arch Intern Med. 2003, 163: 1735-1740. 10.1001/archinte.163.14.1735.CrossRefPubMed
34.
go back to reference Forslind K, Hafström I, Ahlmén M, Svensson B, the BARFOT Study Group: Sex a major predictor of remission in early rheumatoid arthritis?. Ann Rheum Dis. 2007, 66: 46-52. 10.1136/ard.2006.056937.CrossRefPubMedPubMedCentral Forslind K, Hafström I, Ahlmén M, Svensson B, the BARFOT Study Group: Sex a major predictor of remission in early rheumatoid arthritis?. Ann Rheum Dis. 2007, 66: 46-52. 10.1136/ard.2006.056937.CrossRefPubMedPubMedCentral
35.
go back to reference Deurenberg R, Vlayen J, Guillo S, Oliver TK, Fervers B, Burgers J, et al: Standardization of search methods for guideline development: an international survey of evidence-based guideline development groups. Health Info Libr J. 2008, 25: 23-30. 10.1111/j.1471-1842.2007.00732.x.CrossRefPubMed Deurenberg R, Vlayen J, Guillo S, Oliver TK, Fervers B, Burgers J, et al: Standardization of search methods for guideline development: an international survey of evidence-based guideline development groups. Health Info Libr J. 2008, 25: 23-30. 10.1111/j.1471-1842.2007.00732.x.CrossRefPubMed
36.
go back to reference Sampson M, Zhang L, Morrison A, Barrowman NJ, Clifford TJ, Platt RW, Klassen TP, Moher D: An alternative to the hand searching gold standard: validating methodological search filters using relative recall. BMC Med Res Methodol. 2006, 6: 33-10.1186/1471-2288-6-33.CrossRefPubMedPubMedCentral Sampson M, Zhang L, Morrison A, Barrowman NJ, Clifford TJ, Platt RW, Klassen TP, Moher D: An alternative to the hand searching gold standard: validating methodological search filters using relative recall. BMC Med Res Methodol. 2006, 6: 33-10.1186/1471-2288-6-33.CrossRefPubMedPubMedCentral
37.
go back to reference Bartlett C, Doyal L, Ebrahim S, Davey P, Backmann M, Egger M, et al: The causes and effects of socio-demographic exclusions from clinical trials. Health Technol Assess. 2005, 9 (38): Bartlett C, Doyal L, Ebrahim S, Davey P, Backmann M, Egger M, et al: The causes and effects of socio-demographic exclusions from clinical trials. Health Technol Assess. 2005, 9 (38):
38.
go back to reference Aldrich R, Kemp L, Williams JS, Harris E, Simpson S, Wilson A, et al: Using socioeconomic evidence in clinical practice guidelines. BMJ. 2003, 29: 1283-1285. 10.1136/bmj.327.7426.1283.CrossRef Aldrich R, Kemp L, Williams JS, Harris E, Simpson S, Wilson A, et al: Using socioeconomic evidence in clinical practice guidelines. BMJ. 2003, 29: 1283-1285. 10.1136/bmj.327.7426.1283.CrossRef
39.
go back to reference Azad NA, Al Bugami M, Loy-English I: Gender differences in dementia risk factors. Gend Med. 2007, 4: 120-129. 10.1016/S1550-8579(07)80026-X.CrossRefPubMed Azad NA, Al Bugami M, Loy-English I: Gender differences in dementia risk factors. Gend Med. 2007, 4: 120-129. 10.1016/S1550-8579(07)80026-X.CrossRefPubMed
40.
go back to reference Postma DS: Gender differences in asthma development and progression. Gend Med. 2007, 4 (Suppl B): S133-S146. 10.1016/S1550-8579(07)80054-4.CrossRefPubMed Postma DS: Gender differences in asthma development and progression. Gend Med. 2007, 4 (Suppl B): S133-S146. 10.1016/S1550-8579(07)80054-4.CrossRefPubMed
Metadata
Title
Locating sex-specific evidence on clinical questions in MEDLINE: a search filter for use on OvidSP™
Authors
Clara J Moerman
Rikie Deurenberg
Joke A Haafkens
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Medical Research Methodology / Issue 1/2009
Electronic ISSN: 1471-2288
DOI
https://doi.org/10.1186/1471-2288-9-25

Other articles of this Issue 1/2009

BMC Medical Research Methodology 1/2009 Go to the issue