Category Archives: Tools

Text mining with Julie Glanville

The two advanced searching workshops went brilliantly with lots of group discussions and questions from the audience. The only downside to the day was the too-cold air-conditioning. Can you concentrate with icy air being blasted on you? Luckily the day was warm  so lots (including me) went outside during breaks to warm up. Lots of ground was covered over the day and gave everyone lots to think about.

The first workshop was about using text mining tools to build search strategies. I had heard of PubReMiner – a tool that mines PubMed records clip_image002using words from your query to bring up MeSH terms, top authors and journals, word frequency and other data. I used this tool last week to get a list of words for a search about spiritual care I am working on. Another tool similar to PubReMiner is GoPubMed (you could use both to build strategies as each have different visuals). MeSH on Demand, a tool provided by the National Library of Medicine, takes a piece of text, say a systematic review protocol, and mines PubMed to bring up relevant MeSH terms and PMIDs. If you have a strategy ready, you could use this tool to find out if relevant PMIDs have been captured in your results. Both these tools identify single words and MeSH terms, but what if you want to identify phrases? There is a tool for that and it is called TerMine. The example Julie used was a full Medline record, but you can use larger pieces of text. Then there is EndNote which you can use to analyse frequency data from databases other than Medline. There is a bit of work involved to set it up to do this though. And I guess that the records that you analyse would have to be relevant ones in order to build up a list of terms. If you can do this to the full text in EndNote, that would be great! I will have to do some experimenting. The last two freely available tools demonstrated was Quertle and Knalij. Knalji is fun tool that looks like it demonstrates relationships between concepts. And Quertle, which I had forgotten about, now has relationship terms (called power terms) that you can use to connect concepts and bring up records mined from the web. And if you want to take a break from looking at heaps of text, you can take an alternate route by using a tool called VOS Viewer.

So now that you have a selection of terms, how do you combine them into a search strategy? The most popular concept model is PICO, but not all questions fit into this model. What if you have questions about public health or adverse effects? What do you do when you have questions that don’t lend themselves to A AND B AND C strategies? This is where searching for multiple combinations comes into play. I did one of these recently and one combination I used didn’t come up with a relevant article I found using a different combination and vice versa.

The last section of this 1/2 day workshop was about ensuring strategy quality. A common method is to have some gold standard articles to see if your strategy  captures those. You could also use the Related Items in PubMed to find relevant articles to test with. Other methods include testing with specialised sets eg CENTRAL or a service called Epistemonikos (Database of Best Evidence). Another way to test your strategy is to work out the ratio of relevant records to irrelevant records. And finally, there is the Capture-Recapture method. This method, which I hadn’t heard of before, is a way of estimating size by caputuring and then recapturing records.

Lunch! Then the following post will be about workshop 2.

Assessing qualitative research for systematic reviews

Do you search for studies for potential inclusion in qualitative systematic reviews? If you do, you might be interested in this quality assessment tool developed by Dr Christopher Carroll and Dr Andrew Booth.  QuaRT aims to assist reviewers with decisions about inclusion and exclusion of qualitative studies by asking questions in 4 domains:  question and study design, selection of participants, method of data collection and method of data analysis.  This is still a new tool and as it has been developed during writing of a health technology assessment, it has not gone through metholdological development, testing and evaluation. If you plan to use this tool, Drs Carroll and Booth would be interested to hear from you. http://quart.pbworks.com

Choosing wisely – is that treatment really necessary?

Hard pressed economies around the world have resulted in restrained expenditure and in some countries, austerity measures. Reduced expenditure has resulted in more focus being put on managing waste in healthcare. There is a lot of waste in healthcare. What has been done about tackling this issue? One of them is the Choosing Wisely initiative. Choosing Wisely aims to help consumers and clinicians in health decision-making by encouraging conversations around 4 basic questions: is this test and/or treatment evidence-based, really necessary, low harm and not a duplicate of a test or treatment already tried?

choosing wiselySo what sort of tests and treatments are of low or no value? If you navigate to the Lists tab, there are two sections. One is a list of professional medical and nursing associations who have provided a list of five tests or treatments that are low/no value. Click on each association to see their suggestions. The other is a list of common tests and treatments that consumers may need to make a decision about. Clicking on ‘Vitamin D tests’ you will see information about who should have these tests, if it is worth spending money on and whether the test adds any value. Consumer Reports are have teamed up with professional associations in putting together patient information, and consumers will see these when they click on a test or treatment they are interested in knowing more about.

Although this is an American website, this is still relevant because whatever type of health system you have, governments, hospitals and taxpayers are still funding healthcare one way or another.