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VOL 5: SEPTEMBER • SEPTEMBRE 2005d Canadian Family Physician • Le Médecin de famille canadien 1191

Letters

Corresp ondance

EMBASE and MEDLINE searches

T

he recent article by Wilkins et al on EMBASE versus MEDLINE for family medicine searches1 clearly illustrates the importance of searching both databases when a comprehensive search is needed, for example, when writing grant proposals or prepar- ing systematic reviews. College of Family Physicians of Canada members who do not have access to EMBASE should be aware that they can request EMBASE searches from the College’s library ser- vice. All members are entitled to fi ve free literature searches per year—searches of MEDLINE, EMBASE, or any combination of many databases.

Wilkins et al used Ovid MEDLINE; I usu- ally use PubMed MEDLINE. It is interesting that

when the same search strategy Wilkins et al used for their sample search on urinary tract infections is run in PubMed MEDLINE, it yields 73 refer- ences, as opposed to the 30 references from the Ovid MEDLINE search. The details appear in Table 1. Seventy-three references retrieved from PubMed MEDLINE compares favourably with the 65 retrieved from EMBASE in Wilkins and col- leagues’ article.

I believe that a large part of the diff erence in num- ber of articles retrieved from the two MEDLINE databases is due to the diff erent ways the “therapy”

subheading is handled. PubMed explodes the sub- heading “therapy” as well as the MeSH heading;

Ovid MEDLINE does not seem to do this.

I have not made a detailed comparison of Ovid MEDLINE, PubMed MEDLINE, and EMBASE results, and I continue to believe that it is impor- tant to search both MEDLINE and EMBASE when doing a comprehensive literature search.

—Lynn G. Dunikowski, MLS Director of Library Services College of Family Physicians of Canada London, Ont by e-mail Reference

1. Wilkins T, Gillies RA, Davies K. EMBASE versus MEDLINE for family medicine searches.

Can MEDLINE searches fi nd the forest or a tree? Can Fam Physician 2005;51:848-9.

Available from: www.cfpc.ca/cfp/2005/Jun/vol51-jun-research-1.asp. Accesssed 2005 August 9.

FOR PRESCRIBING INFORMATION SEE PAGE 1274

Table 1. Sample search using Ovid MEDLINE and PubMed MEDLINE

SEARCH

STEP SEARCH STRATEGY

OVID MEDLINE (SEARCH REPORTED JUNE 2005)

PUBMED MEDLINE (SEARCH DONE JULY 2005)

1 exp Family practice/* 40 212 44 633

2 exp Physicians, family/ 8438 9667

3 exp Primary health care/ 34 257 40 394

4 1 or 2 or 3 77 428 88 109

5 exp Urinary tract infections/th (therapy)

924 11 951

6 exp Urinary tract infections/ 27 387 28 716

7 exp Therapeutics/ 1 488 843 1 692 795

8 6 and 7 5266 5797

9 5 or 8 5855 14 706

10 4 and 9 82 219

11 limit 10 to English 75 183

12 limit 11 to human 74 182

13 limit 12 to yr=1992-2003 30 73

14 limit to MEDLINE subset ** n/a 73

*exp—explode command is performed by default in PubMed MEDLINE, so search strategy was Family practice/, Physicians, fam- ily/, etc.

**PubMed includes references other than MEDLINE references

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