MLA 2007MLA 2007

NLM updateNLM update

NLM Strategic PlanNLM Strategic Plan

Handed out print copies at meetingHanded out print copies at meeting

Also available online: Also available online: www.nlm.nih.gov/pubs/plan/lrpdocs.htmlwww.nlm.nih.gov/pubs/plan/lrpdocs.html

Plan covers 2006-2016Plan covers 2006-2016

4 main goals4 main goals

GOAL 1GOAL 1

Seamless, uninterrupted access to Seamless, uninterrupted access to expanding collections of biomedical data, expanding collections of biomedical data, medical knowledge, and health informationmedical knowledge, and health information

GOAL 1 RecommendationsGOAL 1 Recommendations

Evaluate interactive publications as a Evaluate interactive publications as a possible means to enhance learning, possible means to enhance learning, comprehension, and sharing of research comprehension, and sharing of research resultsresults

Establish a Disaster Information Establish a Disaster Information Management Research Center at NLM to Management Research Center at NLM to make a strong commitment to disaster make a strong commitment to disaster remediationremediation

GOAL 2GOAL 2

Trusted information services that promote Trusted information services that promote health literacy and the reduction of health health literacy and the reduction of health disparities worldwidedisparities worldwide

GOAL 2 RecommendationsGOAL 2 Recommendations

Work selectively in developing countries Work selectively in developing countries that represent special outreach that represent special outreach opportunities, such as improving access to opportunities, such as improving access to electronic information resources, electronic information resources, enhancing local journal publications of enhancing local journal publications of high quality, and developing a trained high quality, and developing a trained librarian and IT workforcelibrarian and IT workforce

GOAL 2 RecommendationsGOAL 2 Recommendations

Support research on the application of Support research on the application of cognitive and cultural models to facilitate cognitive and cultural models to facilitate information transfer and trust building and information transfer and trust building and develop new methodologies to evaluate develop new methodologies to evaluate impact on patient care and health impact on patient care and health outcomesoutcomes

GOAL 3GOAL 3

Integrated biomedical, clinical, and public Integrated biomedical, clinical, and public health information systems that promote health information systems that promote scientific discovery and speed the scientific discovery and speed the translation of research into practicetranslation of research into practice

GOAL 3 RecommendationsGOAL 3 Recommendations

Develop linked databases for discovering Develop linked databases for discovering relationships between clinical data, genetic relationships between clinical data, genetic information, and environmental factorsinformation, and environmental factors

Promote development of Next Generation Promote development of Next Generation electronic health records to facilitate electronic health records to facilitate patient-centric care, clinical research, and patient-centric care, clinical research, and public healthpublic health

GOAL 4GOAL 4

A strong and diverse workforce for A strong and diverse workforce for biomedical informatics research, systems biomedical informatics research, systems developments, and innovative service developments, and innovative service deliverydelivery

GOAL 4 RecommendationsGOAL 4 Recommendations

Develop an expanded and diverse Develop an expanded and diverse workforce through enhanced visibility of workforce through enhanced visibility of biomedical informatics and library science biomedical informatics and library science for K-12 and college studentsfor K-12 and college students

Support training programs that prepare Support training programs that prepare librarians to meet emerging needs for librarians to meet emerging needs for specialized information servicesspecialized information services

New ResourceNew Resource

New Web Resource for Accessing Information New Web Resource for Accessing Information on Genetic Diseases on Genetic Diseases

Created by NCBI and Genetic AllianceCreated by NCBI and Genetic Alliance

It is designed to serve the needs of a broad It is designed to serve the needs of a broad spectrum of users, ranging from those who are spectrum of users, ranging from those who are just beginning to learn about a disorder to those just beginning to learn about a disorder to those who understand complex scientific information, who understand complex scientific information, including those who want to track emerging including those who want to track emerging information over time information over time

New ResourceNew Resource

Site available at: www.geneticalliance.orgSite available at: www.geneticalliance.org

It is called Disease InfoSearchIt is called Disease InfoSearch

What can one find using Disease InfoSearch?What can one find using Disease InfoSearch?Disease descriptions from NCBI's Genes & Disease online book Disease descriptions from NCBI's Genes & Disease online book Disease and genetic information from Genetics Home Reference Disease and genetic information from Genetics Home Reference NLM MedlinePlus Web pages NLM MedlinePlus Web pages A guide to genetic testing, and directories of geneticists and gene A guide to genetic testing, and directories of geneticists and gene testing laboratoriestesting laboratoriesClinical trials that may be available to those with genetic diseases Clinical trials that may be available to those with genetic diseases Medical dictionaries and encyclopedias Medical dictionaries and encyclopedias Primers and tutorials on DNA, genetics, genome mapping, and Primers and tutorials on DNA, genetics, genome mapping, and other scientific subjects other scientific subjects The latest research published in scientific journals, via PubMed The latest research published in scientific journals, via PubMed and PubMed Centraland PubMed CentralTechnical information about the genes, DNA sequences, Technical information about the genes, DNA sequences, chromosomes and protein structures associated with genetic chromosomes and protein structures associated with genetic diseases diseases

Another New ResourceAnother New Resource

Radiation Event Medical Management Radiation Event Medical Management (REMM)(REMM)

Created by NLM’s Specialized Information Created by NLM’s Specialized Information Services (SIS) with US Dept. of Health & Services (SIS) with US Dept. of Health & Human ServicesHuman Services

Topics such as nuclear reactor accidents, Topics such as nuclear reactor accidents, dirty bombs, transportation accidentsdirty bombs, transportation accidents

REMM GoalsREMM GoalsProvide guidance for health care providers, Provide guidance for health care providers, primarily primarily physiciansphysicians, about clinical diagnosis and treatment , about clinical diagnosis and treatment during mass casualty radiological/nuclear (rad/nuc) during mass casualty radiological/nuclear (rad/nuc) events events Provide just-in-time, evidence-based, usable Provide just-in-time, evidence-based, usable information with sufficient background and context to information with sufficient background and context to make complex issues understandable to those make complex issues understandable to those withoutwithout formal radiation medicine expertise formal radiation medicine expertise Provide web-based information that is also Provide web-based information that is also downloadable in advance, so that it would be downloadable in advance, so that it would be available during an event if the internet is not available during an event if the internet is not accessible accessible

New ResourceNew Resource

InfoSIDAInfoSIDAwww.aidsinfo.nih.gov/infoSIDAwww.aidsinfo.nih.gov/infoSIDAInfoInfoSIDA enables Spanish-speaking visitors SIDA enables Spanish-speaking visitors to access many of the materials provided by to access many of the materials provided by AIDSAIDSinfoinfo without having to navigate through without having to navigate through the English site. the English site. The AIDSThe AIDSinfoinfo Web site, a U.S. Department of Web site, a U.S. Department of Health and Human Services project, offers Health and Human Services project, offers the latest federally approved information on the latest federally approved information on HIV/AIDS clinical research, treatment and HIV/AIDS clinical research, treatment and prevention, and medical practice guidelines.prevention, and medical practice guidelines.

StatisticsStatistics

Six new states have Go Local proposals Six new states have Go Local proposals accepted. accepted.

29% of the country covered by Go Local29% of the country covered by Go Local

16 million PubMed hits per day 16 million PubMed hits per day

2.5 million MedlinePlus hits per day2.5 million MedlinePlus hits per day

MLA 2007MLA 2007

PosterPoster

Analysis of the Reporting of Analysis of the Reporting of Search Strategies in Search Strategies in

Cochrane Systematic ReviewsCochrane Systematic Reviews

Plaut D, McGraw K, Anderson M, Plaut D, McGraw K, Anderson M, Nguyen L, Welik K, Yoshii ANguyen L, Welik K, Yoshii A

BackgroundBackground

Cochrane systematic reviews = high Cochrane systematic reviews = high quality evidence used to guide clinical quality evidence used to guide clinical decisionsdecisions

USC has access through Ovid EBM USC has access through Ovid EBM Reviews.Reviews.

BackgroundBackground

The Cochrane Handbook provides The Cochrane Handbook provides instructions for documenting the search instructions for documenting the search strategy for a systematic review, listing the strategy for a systematic review, listing the elements of the search strategy that elements of the search strategy that should be included in the description. should be included in the description.

The purpose of detailed documentation of The purpose of detailed documentation of the search is to ensure that the process is the search is to ensure that the process is replicable.replicable.

ObjectiveObjective

To analyze recently published Cochrane To analyze recently published Cochrane reviews to determine whether the reviews to determine whether the guidelines for describing search strategies guidelines for describing search strategies are being followed.are being followed.

Why Search Strategy Reporting is Why Search Strategy Reporting is importantimportant

We need high quality published search We need high quality published search strategies to use as models when we strategies to use as models when we teach professionals and students how to teach professionals and students how to conduct systematic review searches.conduct systematic review searches.

MethodsMethods

7 elements required for inclusion in the search 7 elements required for inclusion in the search method description from the handbookmethod description from the handbook

Databases searchedDatabases searched

Name of hostName of host

Date search was runDate search was run

Years covered by searchYears covered by search

Complete search strategyComplete search strategy

One or two sentence summary of the search strategyOne or two sentence summary of the search strategy

Language restrictionsLanguage restrictions

MethodsMethods

Downloaded titles of new Cochrane Downloaded titles of new Cochrane reviews for 1reviews for 1stst quarter 2006 (83 reviews) quarter 2006 (83 reviews)

Randomized titles using a spreadsheet Randomized titles using a spreadsheet random number generator and divided the random number generator and divided the titles into a set for each authortitles into a set for each author

Two authors together analyzed an initial Two authors together analyzed an initial 30 reviews to establish evaluation 30 reviews to establish evaluation guidelinesguidelines

MethodsMethods

Initial analysis of 30 reviews revealed that those Initial analysis of 30 reviews revealed that those relying solely on Specialized Registers should relying solely on Specialized Registers should meet different criteria, so those 13 reviews were meet different criteria, so those 13 reviews were eliminated.eliminated.

Authors worked individually and then each sent Authors worked individually and then each sent their evaluation to one other author for review.their evaluation to one other author for review.

Questions concerning evaluating the inclusion of Questions concerning evaluating the inclusion of items in specific reviews were presented to the items in specific reviews were presented to the entire group of authors for resolution.entire group of authors for resolution.

ResultsResults

Percentage of reviews with each elementPercentage of reviews with each elementDatabase Name – 100%Database Name – 100%

Database Host – 20%Database Host – 20%

Date of Search – 13%Date of Search – 13%

Years covered – 95%Years covered – 95%

Search strategy – 91%Search strategy – 91%

Search summary – 29%Search summary – 29%

No Language restriction – 71%No Language restriction – 71%

ResultsResults

None of the Cochrane reviews analyzed None of the Cochrane reviews analyzed contained all seven search description contained all seven search description elements (n=56, one author was unable to elements (n=56, one author was unable to complete the analysis)complete the analysis)

All reviews listed the databases searched.All reviews listed the databases searched.

Most reviews included the years covered Most reviews included the years covered by searches and detailed search strategy.by searches and detailed search strategy.

ResultsResults

A substantial number of reviews failed to A substantial number of reviews failed to include a statement about language include a statement about language restriction.restriction.

The elements most frequently missing The elements most frequently missing were:were:

Database hostDatabase host

Date the search was runDate the search was run

One or two sentence summary of the searchOne or two sentence summary of the search

DiscussionDiscussion

It is clear that authors are not following It is clear that authors are not following Cochrane Handbook guidelines for Cochrane Handbook guidelines for documenting a search strategy.documenting a search strategy.

The most frequently missed element – The most frequently missed element – database host – is a crucial piece of database host – is a crucial piece of information, especially if one needs to information, especially if one needs to replicate a search.replicate a search.

DiscussionDiscussion

A text summary of the search strategy is A text summary of the search strategy is important to understanding the overall important to understanding the overall search strategy, particularly for beginning search strategy, particularly for beginning searchers.searchers.

Conclusion/RecommendationsConclusion/Recommendations

The Cochrane guidelines for reporting The Cochrane guidelines for reporting search strategies are not being search strategies are not being consistently followed.consistently followed.

The ability to replicate the searches and The ability to replicate the searches and assess the quality of searches in assess the quality of searches in Cochrane reviews is hampered by Cochrane reviews is hampered by incomplete search descriptions.incomplete search descriptions.

Conclusion/RecommendationsConclusion/Recommendations

Adding a checklist or a search strategy Adding a checklist or a search strategy description template in the Cochrane description template in the Cochrane Handbook might improve the reporting of Handbook might improve the reporting of search results.search results.