Literature DB >> 7719810

Performances of 27 MEDLINE systems tested by searches with clinical questions.

R B Haynes1, C J Walker, K A McKibbon, M E Johnston, A R Willan.   

Abstract

OBJECTIVE: To compare the performances of online and compact-disc (CD-ROM) versions of the National Library of Medicine's (NLM) MEDLINE database.
DESIGN: Analytic survey. INTERVENTION: Clinical questions were drawn from 18 searches originally conducted spontaneously by clinicians from wards and clinics who had used Grateful Med Version 4.0. Clinicians' search strategies were translated to meet the specific requirements of 13 online and 14 CD-ROM MEDLINE systems. A senior librarian and vendors' representatives constructed independent searches from the clinicians' questions. The librarian and clinician searches were run through each system, in command mode for the librarian and menu mode for clinicians, when available. Vendor searches were run through the vendors' own systems only. MAIN MEASUREMENTS: Numbers of relevant and irrelevant citations retrieved, cost (for online systems only), and time.
RESULTS: Systems varied substantially for all searches, and for librarian and clinician searches separately, with respect to the numbers of relevant and irrelevant citations retrieved (p < 0.001 for both) and the cost per relevant citation (p = 0.012), but not with respect to the time per search. Based on combined rankings for the highest number of relevant and the lowest number of irrelevant citations retrieved, the SilverPlatter CD-ROM MEDLINE clinical journal subset performed best for librarian searches, while the PaperChase online system worked best for clinician searches. For cost per relevant citation retrieved, Dialog's Knowledge Index performed best for both librarian and clinician searches.
CONCLUSIONS: There were substantial differences in the performances of competing MEDLINE systems, and performance was affected by search strategy, which was conceived by a librarian or by clinicians.

Mesh:

Year:  1994        PMID: 7719810      PMCID: PMC116206          DOI: 10.1136/jamia.1994.95236159

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN: 1067-5027            Impact factor:   4.497


  9 in total

1.  GRATEFUL MED: a tool for studying searching behavior.

Authors:  M A Cahan
Journal:  Med Ref Serv Q       Date:  1989

2.  Performance appraisal of online MEDLINE access routes.

Authors:  C J Walker; K A McKibbon; R B Haynes; M E Johnston
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1992

3.  Online access to MEDLINE in clinical settings: impact of user fees.

Authors:  R B Haynes; M F Ramsden; K A McKibbon; C J Walker
Journal:  Bull Med Libr Assoc       Date:  1991-10

4.  Self-service computerized bibliographic retrieval: a comparison of Colleague and PaperChase, programs that search the MEDLINE data base.

Authors:  D Porter; R S Wigton; M A Reidelbach; H L Bleich; W V Slack
Journal:  Comput Biomed Res       Date:  1988-10

5.  Computer searching of the medical literature. An evaluation of MEDLINE searching systems.

Authors:  R B Haynes; K A McKibbon; C J Walker; J Mousseau; L M Baker; D Fitzgerald; G Guyatt; G R Norman
Journal:  Ann Intern Med       Date:  1985-11       Impact factor: 25.391

6.  Online access to MEDLINE in clinical settings. A study of use and usefulness.

Authors:  R B Haynes; K A McKibbon; C J Walker; N Ryan; D Fitzgerald; M F Ramsden
Journal:  Ann Intern Med       Date:  1990-01-01       Impact factor: 25.391

7.  Designing medical informatics research and library--resource projects to increase what is learned.

Authors:  W W Stead; R B Haynes; S Fuller; C P Friedman; L E Travis; J R Beck; C H Fenichel; B Chandrasekaran; B G Buchanan; E E Abola
Journal:  J Am Med Inform Assoc       Date:  1994 Jan-Feb       Impact factor: 4.497

8.  Assessment of methodologic search filters in MEDLINE.

Authors:  N L Wilczynski; C J Walker; K A McKibbon; R B Haynes
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1993

9.  How good are clinical MEDLINE searches? A comparative study of clinical end-user and librarian searches.

Authors:  K A McKibbon; R B Haynes; C J Dilks; M F Ramsden; N C Ryan; L Baker; T Flemming; D Fitzgerald
Journal:  Comput Biomed Res       Date:  1990-12
  9 in total
  8 in total

1.  Reference standards, judges, and comparison subjects: roles for experts in evaluating system performance.

Authors:  George Hripcsak; Adam Wilcox
Journal:  J Am Med Inform Assoc       Date:  2002 Jan-Feb       Impact factor: 4.497

2.  Librarians, clinicians, evidence-based medicine, and the division of labor.

Authors:  E A Holtum
Journal:  Bull Med Libr Assoc       Date:  1999-10

3.  The anatomy of online information for physicians.

Authors:  D N Mendelson; J Levinson; D S Gaylin
Journal:  CMAJ       Date:  1996-09-15       Impact factor: 8.262

Review 4.  The basis for using the Internet to support the information needs of primary care.

Authors:  E E Westberg; R A Miller
Journal:  J Am Med Inform Assoc       Date:  1999 Jan-Feb       Impact factor: 4.497

5.  Searching for information on the Internet using the UMLS and Medical World Search.

Authors:  H H Suarez; X Hao; I F Chang
Journal:  Proc AMIA Annu Fall Symp       Date:  1997

6.  Bridges between health care research evidence and clinical practice.

Authors:  R B Haynes; R S Hayward; J Lomas
Journal:  J Am Med Inform Assoc       Date:  1995 Nov-Dec       Impact factor: 4.497

7.  MEDLINE: the options for health professionals.

Authors:  E H Wood
Journal:  J Am Med Inform Assoc       Date:  1994 Sep-Oct       Impact factor: 4.497

Review 8.  [Evidence-based intensive care medicine. Practice, use and significance].

Authors:  J Graf; U Janssens
Journal:  Anaesthesist       Date:  2004-03       Impact factor: 1.041

  8 in total

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