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Searching EMBASE

Janet West Principal Pharmacist Medicines Information Southern General Hospital NHS Greater Glasgow & Clyde

 Major biomedical & pharmaceutical database  European focus  Subject coverage focuses on human medicine – also includes related disciplines e.g health economics, hospital management

 >11 million records  1974 onwards  >5000 journals  >70 countries  ~580,000 records added annually  ~80% records have author written abstract

 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

Make your EMBASE searches effective..

Searching EMBASE

 Controlled vocabulary = EMTREE  Uses 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 possible  Acronyms & abbreviations mostly avoided

EMTREE

 Hierarchical tree consisting of:  EMTREE is divided into 15 facets (A  Q)  Largest = facet C & facet D  C = physical diseases, disorders and abnormalities  D = chemicals and drugs (21,000 terms)

Searching EMBASE

 ‘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 EMBASE

Using subheadings

 Many more subheading options for drugs compared with Medline e.g. diclofenac EMBASE

Check date term was added

 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 in e.g. grapefruit juice NB - CARE as may not be a topic of the article

Free Text

 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’

Trade name searching

 Drug / device trade names can be searched  Articles are indexed with trade names when relevant  Useful when searching for comparative info e.g. Slophyllin, Uniphyllin

CAS number searching

 No real need to do this in EMBASE  However it is still possible to do – see drop down menu  All medicines have EMTREE terms – even recently licensed ones (as far as I can tell!) e.g. duloxetine, rasagiline etc

EMBASE limits

 Limit searches in similar way to Medline  Two ways of limiting  Less publication type limit options (but see next slide), less age limit options

Publication types

 Publication types have their

own

facet / tree top of EMTREE terms that are  searchable Facet J: types of article or study  Build up your search and combine in the usual way (using BOOLEAN) with other search terms

Worked example 1

 Are there any papers about SSRIs or SNRIs being used in the treatment of Huntington disease?

Worked example 2

 Are there any articles which discuss using high dose vitamin supplementation to treat autistic disorders ?

EMBASE

Any questions?