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J Am Med Inform Assoc 12:481-485 doi:10.1197/jamia.M1752
  • Original Investigation

Optimal Search Strategies for Detecting Clinically Sound Prognostic Studies in EMBASE: An Analytic Survey

Table 2

Combination of Terms with the Best Sensitivity (Keeping Specificity ≥50%), Best Specificity (Keeping Sensitivity ≥50%), and Best Optimization of Sensitivity and Specificity (Based on abs[sensitivity – specificity] <1%) for Detecting Studies of Prognosis in EMBASE in 2000

Search Strategy Ovid Search* Sensitivity (%) (95% CI) (n = 148) Specificity (%) (95% CI) (n = 27,621) Precision (%) (95% CI)† Accuracy (%) (95% CI) (n = 27,769)
Best sensitivity
 exp disease course 98.7 (96.8–100.0) 50.6 (50.0–51.2) 1.1 (0.9–1.2) 50.9 (50.3–51.4)
 OR risk:.mp.
 OR diagnos:.mp.
 OR follow-up.mp.
 OR ep.fs.
 OR outcome.tw.
Best specificity
 prognos:.tw. 50.7 (42.6–58.7) 93.4 (93.1–93.7) 3.9 (3.1–4.8) 93.2 (92.9–93.5)
 OR survival.tw.
Small drop in specificity with a substantive gain in sensitivity
 prognos:.tw. 58.1 (50.2–66.1) 92.5 (92.2–92.8) 4.0 (3.2–4.8) 92.4 (92.0–92.7)
 OR surviv:.tw.
Best optimization of sensitivity and specificity
 follow-up.mp. 80.4 (74.0–86.8) 79.9 (79.4–80.4) 2.1 (1.7–2.5) 79.9 (79.4–80.4)
 OR prognos:.tw.
 OR ep.fs.
  • CI = confidence interval; exp = exploded subject heading; : = truncation; mp = multiple posting—term appears in title, abstract, or subject heading; ep = epidemiology; fs = floating subheading; tw = textword (word or phrase appears in title or abstract).

  • * Search strategies are reported using Ovid's search engine syntax for EMBASE.

  • Denominator varies by row.

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