Background: PubMed translations of OvidSP Medline search filters offer searchers improved ease of access. They
may also facilitate access to PubMed’s unique content, including citations for the most recently published
biomedical evidence. Retrieving this content requires a search strategy comprising natural language terms
(‘textwords’), rather than Medical Subject Headings (MeSH). We describe a reproducible methodology that uses a
validated PubMed search filter translation to create a textword-only strategy to extend retrieval to PubMed’s unique
heart failure literature.
Methods: We translated an OvidSP Medline heart failure search filter for PubMed and established version
equivalence in terms of indexed literature retrieval. The PubMed version was then run within PubMed to identify
citations retrieved by the filter’s MeSH terms (Heart failure, Left ventricular dysfunction, and Cardiomyopathy). It was
then rerun with the same MeSH terms restricted to searching on title and abstract fields (i.e. as ‘textwords’).
Citations retrieved by the MeSH search but not the textword search were isolated. Frequency analysis of their titles/
abstracts identified natural language alternatives for those MeSH terms that performed less effectively as textwords.
These terms were tested in combination to determine the best performing search string for reclaiming this ‘lost
set’. This string, restricted to searching on PubMed’s unique content, was then combined with the validated
PubMed translation to extend the filter’s performance in this database.
Results: The PubMed heart failure filter retrieved 6829 citations. Of these, 834 (12%) failed to be retrieved when
MeSH terms were converted to textwords. Frequency analysis of the 834 citations identified five high frequency
natural language alternatives that could improve retrieval of this set (cardiac failure, cardiac resynchronization, left
ventricular systolic dysfunction, left ventricular diastolic dysfunction, and LV dysfunction). Together these terms
reclaimed 157/834 (18.8%) of lost citations.
Conclusions: MeSH terms facilitate precise searching in PubMed’s indexed subset. They may, however, work less
effectively as search terms prior to subject indexing. A validated PubMed search filter can be used to develop a
supplementary textword-only search strategy to extend retrieval to PubMed’s unique content. A PubMed heart
failure search filter is available on the CareSearch website (www.caresearch.com.au) providing access to both
indexed and non-indexed heart failure evidence.This study was conducted as part of the work of the CareSearch Project.
CareSearch is funded by the Australian Government Department of Health
and Ageing
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