2016年7月10日 星期日

共同決策評量工具之檢索策略修訂


以下記錄檢索策略修改的思考程序以及結果,並依據此結果進行實際文獻篩選與初步結果整理。

預設題目
常用於臨床試驗的共同決策評量工具及其心理計量特性回顧。

檢索策略
1.關鍵字: 共同決策
a.同義字: shared decision making, shared decision-making
b.相似詞彙: patient participation, patient involvement
c.廣義字: decision making [X] (降低精確率)
c.Mesh terms: decision making, patient participation [X] (降低精確率)

2.關鍵字:臨床試驗
  a.同義字: clinical trial, randomized controlled trial, controlled clinical trial
  b. [Publication Type]: Clinical Trial, Controlled Clinical Trial, Randomized Controlled Trial
  b. Mesh terms: Clinical Trials as Topic, controlled clinical trials as topic, randomized controlled trials as topic

3.排除:非單一試驗結果
  a. [Publication Type]: Review
  b. Mesh terms: Guidelines as Topic

相關說明與記錄
前次已完成[共同決策]的完整策略檢索,本次以[臨床試驗]進行完整策略檢索,但檢索過程中發現以Mesh terms進行檢索會找到review類文章,而此文章並非是我想要的類型,因此新增排除條件。而最終選定的檢索策略為策略5: 共同決策[Title] [Title/Abstract] AND臨床試驗[publication type] [Mesh terms] NOT排除文章類型[review/ guideline] AND 限制年代[5年內] 136

以下策略為我的思考路徑以及檢索結果紀錄。
策略1
共同決策AND臨床試驗[publication type] 263 (沒有限定年代)
(shared decision making[Title] OR patient participation[Title/Abstract] OR patient involvement[Title/Abstract]) AND (Clinical Trial[ptyp] OR Controlled Clinical Trial[ptyp] OR Randomized Controlled Trial[ptyp])
※可能會出現文章實際屬於臨床試驗,但在歸類的時候並沒有被標記相關的標籤,因此可能會影響回收率。思考如何增加回收率。
策略2
共同決策AND臨床試驗[Mesh terms] 145 (沒有限定年代)
(shared decision making[Title] OR patient participation[Title/Abstract] OR patient involvement[Title/Abstract]) AND ("Clinical Trials as Topic"[mesh:noexp] OR "controlled clinical trials as topic"[mesh:noexp] OR "randomized controlled trials as topic"[mesh:noexp])
※文章類型會出現研究指導手冊、文獻回顧或統合分析類的文獻,導致檢索精確率下降。思考如何排除回顧類文獻並思考為何以Mesh terms進行檢索,所得筆數反而下降。
※查閱策略1的結果可發現,文獻出刊類型符合clinical trial其未必會有關的Mesh terms標籤。因此繼續思考如何增加精確率與回收率。
策略3
共同決策AND臨床試驗[publication type] [Mesh terms] 403 (沒有限定年代)
(shared decision making[Title] OR patient participation[Title/Abstract] OR patient involvement[Title/Abstract]) AND (Clinical Trial[ptyp] OR Controlled Clinical Trial[ptyp] OR Randomized Controlled Trial[ptyp] OR "Clinical Trials as Topic"[mesh:noexp] OR "controlled clinical trials as topic"[mesh:noexp] OR "randomized controlled trials as topic"[mesh:noexp])
※此結果顯示出刊類型與Mesh terms都被標記為臨床試驗的重疊率不高。此結果應可代表高回收率,因此繼續思考如何增進精確率。
策略4
共同決策AND臨床試驗[publication type] [Mesh terms] NOT文章類型[review/ guideline]351 (沒有限定年代)
(shared decision making[Title] OR patient participation[Title/Abstract] OR patient involvement[Title/Abstract]) AND (Clinical Trial[ptyp] OR Controlled Clinical Trial[ptyp] OR Randomized Controlled Trial[ptyp] OR "Clinical Trials as Topic"[mesh:noexp] OR "controlled clinical trials as topic"[mesh:noexp] OR "randomized controlled trials as topic"[mesh:noexp]) NOT (Review[ptyp] OR ”Guidelines as Topic”[mesh:noexp])
※依據上述步驟與檢索條件,合理推論此結果相較於策略1-3應有較高的回收率與精確度。
策略5
共同決策AND臨床試驗[publication type] [Mesh terms] NOT文章類型[review/ guideline]136 (限定近5年內)
(shared decision making[Title] OR patient participation[Title/Abstract] OR patient involvement[Title/Abstract]) AND (Clinical Trial[ptyp] OR Controlled Clinical Trial[ptyp] OR Randomized Controlled Trial[ptyp] OR "Clinical Trials as Topic"[mesh:noexp] OR "controlled clinical trials as topic"[mesh:noexp] OR "randomized controlled trials as topic"[mesh:noexp]) NOT (Review[ptyp] OR "Guidelines as Topic"[mesh:noexp]) AND ("2011/07/10"[PDat] : "2016/07/07"[PDat])
※依據年代限縮文章篇數,並依照此結果進入文獻篩選流程。


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