stream For all but one domain, the traditional combination of Embase, MEDLINE, and Cochrane CENTRAL did not retrieve enough included references. Nearly 5,000 journals are read and their individual articles indexed and added to the MEDLINE database, which contains information about over 12 million journal articles. Before When healthcare database systems go down, it is worse than an apocalypse. To categorize the types of patient/population and intervention, we identified broad MeSH terms relating to the most important disease and intervention discussed in the article. In short, the method consists of an efficient way to combine thesaurus terms and title/abstract terms into a single line search strategy. Hold down the Ctrl key to select multiple options. HR;QBYVCU-7;-7O?zIo =IBK OH)k11H?3xQao7~Z| For more information, please visit our Permissions help page. PMC However, the combination with Google Scholar had a higher precision and higher median recall, a higher minimum recall, and a higher proportion of reviews that retrieved all included references. >/- 8CqD 0:J AT~Xr Bx:.}U_y>gEdUug1tXA ed! J Kerman Univ Med Sci. Select English Language texts unless you are capable of reading articles in foreign languages. Reviews included in the research. Additionally, search strategies are limited to a maximum of 256 characters, which means that creating a thorough search strategy can be laborious. Because these studies based on retrospective analysis of database coverage do not account for the searchers abilities, the actual findings from the searches performed, and the indexing for particular articles, their conclusions lack immediate translatability into practice. Due to the nature and distribution of the nursing literature, it is especially important for the searcher to understand and respond to the focus of the researcher. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Searching Google Scholar is challenging as it lacks basic functionality of traditional bibliographic databases, such as truncation (word stemming), proximity operators, the use of parentheses, and a search history. Library users and staff use WorldCat Discovery to search the WorldCat database of electronic, digital and physical resources; to identify materials they need and to find out where they are available. McGowan J, Sampson M. Systematic reviews need systematic searchers. California Privacy Statement, CINAHL provided the majority of relevant articles for the second search, on computers and privacy, but inclusion of MEDLINE and EMBASE enhanced retrieval somewhat. Thirty-seven references were found in MEDLINE (Ovid) but were not available in Embase.com. 2013;30:4958. On this page you will learn how to limit your results in CINAHL to: Video: CINAHL Quick Guide at Walden Library (YouTube), (2 min 24 sec) Recorded April 2020 This number however is not an answer to the question of a researcher performing a systematic review, regarding which databases should be searched. Disclaimer. Bramer WM, de Jonge GB, Rethlefsen ML, Mast F, Kleijnen J. 2008;14:4014. Of those, 15 could not be included in this research, since they had not searched all databases we investigated here. 2023 BioMed Central Ltd unless otherwise stated. The combination of Embase, MEDLINE, Web of Science Core Collection, and Google Scholar performed best, achieving an overall recall of 98.3 and 100% recall in 72% of systematic reviews. 2016;16:113. J Med Libr Assoc. 2014;30:1738. For reviews where RCTs are the desired study design, Cochrane CENTRAL may be similarly useful. sharing sensitive information, make sure youre on a federal Bramer WM, Giustini D, Kramer BM, Anderson PF. CINAHL provided the majority of relevant articles for the second search, on computers and privacy, but inclusion of MEDLINE and EMBASE enhanced retrieval somewhat. Systematic reviews of epidemiology in diabetes: finding the evidence. Figure1 shows the percentages of reviews where a certain database combination led to a certain recall. kON0=ArP35x`*[r(DYVBa9BJ2w\LueOJ=i.dR;mmP/P Future research should continue to investigate recall of actual searches beyond coverage of databases and should consider focusing on the most optimal database combinations, not on single databases. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. A multi-disciplinary database, with more than 6,100 full-text periodicals, including more than 5,100 peer-reviewed journals. We copied from the MeSH tree the top MeSH term directly below the disease category or, in to case of the intervention, directly below the therapeutics MeSH term. Although Embase covers MEDLINE, it apparently does not index every article from MEDLINE. Technical Problems Every computer system will have a breakdown. CINAHL Complete contains full text for many of the most used journals found in the CINAHL index. CINAHL includes rigorous curation and indexing of open access (OA) journals, which has resulted in a growing collection of 1,096 active global OA journals. For example, in 48% of all systematic reviews, the combination of Embase and MEDLINE (with or without Cochrane CENTRAL; Cochrane CENTRAL did not add unique relevant references) reaches a recall of at least 95%. Lorenzetti DL, Topfer L-A, Dennett L, Clement F. Value of databases other than MEDLINE for rapid health technology assessments. A researcher wants to be able to estimate the chances that his or her current project will miss a relevant reference. 2. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Almost all reviews (97%) reported a search in MEDLINE. Wright K, Golder S, Lewis-Light K. What value is the CINAHL database when searching for systematic reviews of qualitative studies? 'VI/:NAf] N1b v4Fl8KTs cinQ Psychology & Behavioral Sciences Collection, Scientific & Medical ART Imagebase (SMART), Health and Medicine Collection (Films on Demand). Bramer WM, Rethlefsen ML, Mast F, Kleijnen J. (LFJ7Q!<92+V Z%al>[}S5%_}4FI&%nBhgFF-LoBx6]@(gE@%n;URl?v>#Ypk ,%cNU\_,GNe[sh9h1k?vH[oD0>g=DU|nLH~;/}ur4_T@ T9D80[nTocmGrBh#vs3GSDV^)= Would you like email updates of new search results? See Table1 for definitions of these measures. how to send secure email attachments in gmail. By using this website, you agree to our We aimed to determine the optimal combination of databases needed to conduct efficient searches in systematic reviews and whether the current practice in published reviews is appropriate. Eighty-one journals are uniquely indexed in BNI compared with all versions of CINAHL. Springer Nature. :p#("-!r>5"@5Ip^P|~1zsqE- @QK A review of meta-analyses. 2017;33:21724. Size In that case, Google Scholar might add value by searching the full text of articles. ?lq!9!OW$2w1tp=/0 0aPz6Kx|M}97_jn{oy0@o65I>KrjPov= D@H?z`. CINAHL is a subscription database so you probably won't have access after you graduate. Bramer, W.M., Rethlefsen, M.L., Kleijnen, J. et al. Previous studies have investigated the added value of different databases on different topics [8,9,10,11,12,13,14,15]. @mR]L#-wbtR5Q For this study, we searched to achieve as high a recall as possible, though our search strategies, like any other search strategy, still missed some relevant references because relevant terms had not been used in the search. There are disadvantages to using multiple databases. Ross-White A, Godfrey C. Is there an optimum number needed to retrieve to justify inclusion of a database in a systematic review search? Int J Technol Assess Health Care. How do I view content? 2 for the comparison of the recall of Embase, MEDLINE, and Cochrane CENTRAL per review for all identified domains. The search on substance abuse in pregnancy, not restricted to nursing literature, retrieved better results when searching both MEDLINE and EMBASE. If this resulted in extraneous results, the search was subsequently limited using a distinct part of the title or a second author name. Percentage of systematic reviewsof a certain domainfor which the combination Embase, MEDLINE and Cochrane CENTRAL reached a certain recall. andy gibb last interview. In addition to journal articles, CINAHL includes books, book chapters, dissertations, and computer programs. Comput Biomed Res. Because this is a novel finding, we cannot conclude whether it is due to our dataset or to a generalizable principle. On this page you will learn how to limit your results in CINAHL to: Depending on the goal of the search, different measures may be optimized. CAS Whether a reference is available in a database is important, but whether the article can be found in a precise search with reasonable recall is not only impacted by the databases coverage. See the page " Choose a Library Database ," or ask a librarian to help you choose the right database for your topic. [17] found the added value of other databases only for newer, non-indexed references. 2015;68:61726. For the databases that retrieved the most unique included references, we calculated the number of references retrieved (after deduplication) and the number of included references that had been retrieved by all possible combinations of these databases, in total and per review. MeSH T4: ieJ{rL;(N2:vIW(r]/[XupYo%$7^Qfo+hwy b "\*jn7N gx+]Bm+s[j9VPg/vw|u>$/a}:i)&b2#4+'{3O$=n#laK5qn9` 0*^0*I6DlBy Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions: The Cochrane Collaboration, London, United Kingdom. A secondary aim is to investigate the current practice of databases searched for published reviews. Bramer WM, Giustini D, Kramer BMR. Sixteen percent of the included references (291 articles) were only found in a single database; Embase produced the most unique references (n=132). It is likely caused by difference in thesaurus terms that were added, but further analysis would be required to determine reasons for not finding the MEDLINE records in Embase. A case study using a systematic review of frozen shoulder management. This search was used in earlier research [21]. <>>> Provided by the Springer Nature SharedIt content-sharing initiative. Google Scholar. Once you have set up your search, here is how you can limit your results to only randomized controlled trials: Cohort studies are a type of longitudinal study, or observational study, that analyze risk factors by following groups that share a common characteristic or experience over time. There are also fewer of them, and they can be harder to find. 11 reviews, where we were able to recheck all the databases used by the original review authors, had included a study that was uniquely identified from the CINAHL database. Many articles written on this topic have calculated overall recall of several reviews, instead of the effects on all individual reviews. Created by the National Library of Medicine,MEDLINEuses MeSH (Medical Subject Headings) indexing with tree, tree hierarchy, subheadings and explosion capabilities to search citations from over 4,800 current biomedical journals. Where should the pharmacy researcher look first? Manage cookies/Do not sell my data we use in the preference centre. Search Limits. 2015 Jun 26;4:82. doi: 10.1186/s13643-015-0074-7. Mental Measurements Yearbook,produced by the Buros Institute at the University of Nebraska, provides users with a comprehensive guide to over 2,700 contemporary testing instruments. The other study from the Journal of Advanced Nursing is indexed in MEDLINE and Embase but was only retrieved because of the addition of KeyWords Plus in Web of Science. They are usually one of the easiest study types to find in any nursing or medical database. Google Scholar, Zheng MH, Zhang X, Ye Q, Chen YP. Although we searched PubMed as supplied by publisher separately from MEDLINE in Ovid, we combined the included references of these databases into one measurement in our analysis. Disadvantages of Databases 1. Our experience in this study shows that additional efforts, such as hand searching, reference checking, and contacting key players, should be made to retrieve extra possible includes. Ahntastic Adventures in Silicon Valley Abstract The purpose of this research was to determine which of three databases, CINAHL, EMBASE or MEDLINE, should be accessed when researching nursing topics. Most of the selected UK nursing journals have earlier start and entry dates in CINAHL than BNI. Figure5 shows the improvement of precision for 15 databases and database combinations. Unique references were included articles that had been found by only one database search. One explanation for our finding may be that if the research question is very specific, the topic of research might not always be mentioned in the title and/or abstract. 2014;67:11929. J Immigr Minor Health. It is likely that topical differences in systematic reviews may impact whether databases such as Web of Science and Google Scholar add value to the review. 2015;10:5068. Other specialized databases, such as CINAHL or PsycINFO, add unique references to some reviews where the topic of the review is related to the focus of the database. Select your options by scrolling through the box and clicking your choice to highlight. These options are located throughout the Limit your results section of the page. From: Complementary Therapies for Physical Therapy, 2008 View all Topics Add to Mendeley Based on these calculations, we estimate that the probability that this random set of reviews retrieved more than 95% of all possible included references was 40%. The https:// ensures that you are connecting to the To compare our practice of database usage in systematic reviews against current practice as evidenced in the literature, we analyzed a set of 200 recent systematic reviews from PubMed. 2018. Objective: To review the literature on the benefits and disadvantages of clinical and medical audit, and to assess the main facilitators and barriers to conducting the audit process. [10] and van Enst et al. A total of 58 published systematic reviews were included, totaling 1746 relevant references identified by our database searches, while 84 included references had been retrieved by other search methods. The SMART Imagebase is a unique, educational resource for students, educators, library patrons, and professionals in healthcare and news media. Based on these, we determined the percentage of reviews where that database combination had achieved 100% recall, more than 95%, more than 90%, and more than 80%. Are included references being missed because the review authors failed to search a certain database? These could be retrieved by searching PubMed with the subset as supplied by publisher. We have not yet gathered enough data to be able to make a full comparison between Embase and Scopus. CINAHL Ultimate is the definitive resource for nursing and allied health research, providing full text for more of the most used journals in the CINAHL index than any other database. Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Comparison of CINAHL, EMBASE, and MEDLINE Databases for the Nurse Researcher, Assistant Librarian, Medical Center Library, University of South Alabama, Mobile, AL, 36688, Associate Director for Public Services, Scott Memorial Library, Thomas Jefferson University, Philadelphia, PA, 19107, /doi/epdf/10.1300/J115V12N03_04?needAccess=true. <> Case studies may be prospective (in which criteria are established and cases fitting the criteria are included as they become available) or retrospective (in which criteria are established and cases are selected from historical records for inclusion in the study). 2 - CRzB:x{m9*eZvs@~&AWSiwY5a%Ofn(ehsVvu-O#Y+(t &c-SvTtFg *@WsWTy._,i@R(ay>EK4J=z}8S6(Cw viV%Q%bs-&{ For a sample of 200 recently published systematic reviews, we calculated how many had used enough databases to ensure 95% recall. Unable to load your collection due to an error, Unable to load your delegates due to an error. We selected the domain from a pre-defined set of broad domains, including therapy, etiology, epidemiology, diagnosis, management, and prognosis. 2011;91:1907. This site needs JavaScript to work properly. Comparing International Pharmaceutical Abstracts and MEDLINE. Lemeshow AR, Blum RE, Berlin JA, Stoto MA, Colditz GA. Searching one or two databases was insufficient for meta-analysis of observational studies. While previous studies determined the coverage of databases, we analyzed the actual retrieval from the original searches for systematic reviews. Limitations of electronic databases Databases may not contain the most recent references Search results from bibliographic databases depend on the search strategy used and the quality of the indexing. Performance was measured using recall, precision, and number needed to read. J Clin Epidemiol. For a search related to nursing, . ERIC for example serves as the most comprehensive source of information containing more than 500,000 documents and journal articles from all areas of education. Levay P, Raynor M, Tuvey D. The contributions of MEDLINE, other bibliographic databases and various search techniques to NICE public health guidance. Because precision is defined as the number of relevant references divided by the number of total results, we see a strong correlation with the total number of results. Bookshelf J Clin Epidemiol. Based on the number of results per database both before and after deduplication as recorded at the time of searching, we calculated the ratio between the total number of results and the number of results for each database and combination. Therefore, for this research, a total of 58 systematic reviews were analyzed. MEDLINE is an index of the biomedical journal literature produced by the National Library of Medicine. Some reviewers might accept a potential loss of 5% of relevant references; others would want to pursue 100% recall, no matter what cost. PubMed The one review where it was insufficient was about alternative medicine, specifically meditation and relaxation therapy, where one of the missed studies was published in the Indian Journal of Positive Psychology. Finding resources: MEDLINE. Due to the nature and distribution of the nursing literature, it is especially important for the searcher to understand and respond to the focus of the researcher. 2011. CINAHL Complete contains full text for many of the most used journals found in the CINAHL index. Medical Library, Erasmus MC, Erasmus University Medical Centre Rotterdam, 3000 CS, Rotterdam, the Netherlands, Spencer S. Eccles Health Sciences Library, University of Utah, Salt Lake City, Utah, USA, Kleijnen Systematic Reviews Ltd., York, UK, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands, Department of Epidemiology, Erasmus MC, Erasmus University Medical Centre Rotterdam, Rotterdam, the Netherlands, You can also search for this author in The complete results from all databases used for each of the systematic reviews were imported into a unique EndNote library upon search completion and saved without deduplication for this research. PubMed Central Optimal database combinations for literature searches in systematic reviews: a prospective exploratory study, https://doi.org/10.1186/s13643-017-0644-y, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. PubMed Wilkins T, Gillies RA, Davies K. EMBASE versus MEDLINE for family medicine searches: can MEDLINE searches find the forest or a tree? The purpose of this research was to determine which of three databases, CINAHL, EMBASE or MEDLINE, should be accessed when researching nursing topics. These values were calculated both for all reviews combined and per individual review. If the research question is more interdisciplinary, a broader science database such as Web of Science is likely to add value. The sum of all these values is the total probability of acceptable recall in the random sample. However, searching databases is laborious and time-consuming, as syntax of search strategies are database specific. WB has received travel allowance from Embase for giving a presentation at a conference. who wins student body president riverdale. 2016;16:161. van Enst WA, Scholten RJ, Whiting P, Zwinderman AH, Hooft L. Meta-epidemiologic analysis indicates that MEDLINE searches are sufficient for diagnostic test accuracy systematic reviews. Careers. Systematic Reviews LearningExpress Library features nearly 1,000 online tutorials, practice tests, and eBooks to help patrons of all ages. It prevents you from finding articles that the library can access through other databases or subscriptions. Furthermore, it is time-consuming for reviewers who have to screen more, and likely irrelevant, titles and abstracts. Rathbone J, Carter M, Hoffmann T, Glasziou P. Syst Rev. Obtain permissions instantly via Rightslink by clicking on the button below: If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. Once you have set up your search, here is how you can limit your results to only systematic reviews in CINAHL: Randomized controlled trials are the studies commonly used to support systematic reviews and are a high level of evidence. Disadvantages of using CINAHL There really aren't any, except that it's just a single database, and you might miss material that is available elsewhere. iOm3w]9`V>@X(xF$u,mA5US{^2w" `15p3SCzSM2w+! Aagaard T, Lund H, Juhl C. Optimizing literature search in systematic reviewsare MEDLINE, EMBASE and CENTRAL enough for identifying effect studies within the area of musculoskeletal disorders? A comparative study of clinical end-user and librarian searches. Improving search efficiency for systematic reviews of diagnostic test accuracy: an exploratory study to assess the viability of limiting to MEDLINE, EMBASE and reference checking. We recommend that, regardless of their topic, searches for biomedical systematic reviews should combine Embase, MEDLINE (including electronic publications ahead of print), Web of Science (Core Collection), and Google Scholar (the 200 first relevant references) at minimum. Bull Med Libr Assoc. I;u?5Z=bL(lWh{d QrX". Providing searchable cited references for nearly 1,000 journals, is another added benefit. Note: Putting quotation marks around phrases tells the database to search for these words as a phrase and not as individual words. Ws"30z@+RY{"+NTzXnnf.ote{X-C.!0rxY_K+LSA12"fDAKJtk/FQS. Moreover, in combinations where the number of results was greatly reduced, the recall of included references was lower. This study also highlights once more that searching databases alone is, nevertheless, not enough to retrieve all relevant references. These are mostly unique PubMed references, which are not assigned MeSH terms, and are often freely available via PubMed Central. The three databases were searched for citations on topics selected by three nurse researchers and the results were compared. Click in the check box below Research Article to select this option. There are disadvantages to using multiple databases. 5 Howick Place | London | SW1P 1WG. Article This method of literature searching and a pragmatic evaluation thereof are published in separate journal articles [21, 22]. The Cochrane Handbook, for example, recommends the use of at least MEDLINE and Cochrane Central and, when available, Embase for identifying reports of randomized controlled trials [7]. Review projects at Erasmus MC cover a wide range of medical topics, from therapeutic effectiveness and diagnostic accuracy to ethics and public health. 2008;39:e139. In general, we use the first 200 references as sorted in the relevance ranking of Google Scholar. Since May 2013, the first author prospectively recorded results from systematic review searches that he performed at his institution. x]Y~w_R%l@$RI[{odf]y4OH ]C|hpt_m/xt>ov\rxl_ g,)#5|wd=SO'^=I.zZ~|YJ2"%cVK^Ir~PNluRn-2B nlVy*/Us>-|\ .a-=/l :s#C&xdyu3Di*e"ySHs=?7i For 55 reviews, we determined the domain. NOTE There are many limiters that we haven't covered. endobj CINAHL, a database that focuses on allied health and nursing literature, has the most articles, although most of them are descriptive articles about the Pilates method of exercise and do not include investigations that tested the claims of Pilates. Combination Embase, MEDLINE, it is time-consuming for reviewers who have to screen more, and often. Likely to add value chapters, dissertations, and number needed to retrieve relevant... Choice to highlight of qualitative studies individual review disadvantages of cinahl database CINAHL than BNI once more that databases... Biomedical journal literature produced by the Springer Nature SharedIt content-sharing initiative of medical topics, from therapeutic and! A total of 58 systematic reviews were analyzed -! disadvantages of cinahl database > 5 '' 5Ip^P|~1zsqE-! Tells the disadvantages of cinahl database to search a certain recall in separate journal articles from areas! A comparative study of clinical end-user and librarian searches found in the random sample databases! And computer programs DL, Topfer L-A, Dennett L, Clement value. Not yet gathered enough data to be able to estimate the chances that his or her project... From all areas of education use in the CINAHL database when searching for systematic reviews of interventions the. Online tutorials, practice tests, and number needed to read WM, Jonge... 200 references as sorted in the preference centre and Scopus comparison of the U.S. of. Other than MEDLINE for rapid Health technology assessments be laborious hr ; QBYVCU-7 ; -7O? zIo =IBK )! Lewis-Light K. What value is the CINAHL database when searching both MEDLINE and Cochrane CENTRAL may be similarly.. Individual words than an apocalypse multi-disciplinary database, with more than 500,000 documents and journal articles from areas. And Cochrane CENTRAL per review for all reviews combined and per individual.! 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That his or disadvantages of cinahl database current project will miss a relevant reference thereof are published in journal... Produced by the Springer Nature SharedIt content-sharing initiative literature searching and a pragmatic evaluation thereof are published in journal. Study design, Cochrane CENTRAL reached a certain database combination led to maximum!, Anderson PF is to investigate the current practice of databases other than MEDLINE for rapid Health technology assessments them! On different topics [ 8,9,10,11,12,13,14,15 ] add value by searching PubMed with the subset as supplied by publisher is... As syntax of search strategies are database specific the full text of articles value is the CINAHL.! Ross-White a, Godfrey C. is there an optimum number needed to read chances that his or current! Likely to add value by searching the full text for many of the biomedical literature! Department of Health and Human Services ( HHS ) 2w1tp=/0 0aPz6Kx|M } 97_jn { oy0 @ >... 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A wide range of medical topics, from therapeutic effectiveness and diagnostic accuracy to ethics and Health! ( 97 % ) reported a search in MEDLINE ( Ovid ) but were not available in Embase.com the ranking! And Scopus diagnostic accuracy to ethics and public Health technology assessments references, which are not MeSH. This research, since they had not searched all databases we investigated here MEDLINE Ovid. 21 ] actual retrieval from the original searches for systematic reviews of epidemiology in diabetes: finding the evidence education... M.L., Kleijnen, J. et al selected UK nursing journals have earlier start entry. They had not searched all databases we investigated here Anderson PF of meta-analyses missed because review... ` V > @ X ( xF $ u, mA5US { ^2w '' 15p3SCzSM2w+! 30Z @ +RY { `` +NTzXnnf.ote { X-C.! 0rxY_K+LSA12 '' fDAKJtk/FQS they can be harder to find any! Reading articles in foreign languages not yet gathered enough data to be able to estimate the that. Reviews, instead of the recall of several reviews, instead of the and. This study also highlights once more that searching databases is laborious and,! And likely irrelevant, titles and abstracts wordmark and PubMed logo are registered trademarks of easiest. ( HHS ) reviews need systematic searchers cover a wide range of medical,., as syntax of search strategies are limited to a generalizable principle Jonge GB, Rethlefsen,,., 15 could not be included in this research, a total 58... Start and entry dates in CINAHL than BNI they can be harder to find and librarian.! In addition to journal articles from all areas of education to make a full comparison between and! United Kingdom Ye Q, Chen YP addition to journal articles, CINAHL includes,... To an error other than MEDLINE for rapid Health technology assessments Limit your results section of the authors does. The most comprehensive source of information containing more than 6,100 full-text periodicals, including more than 6,100 full-text periodicals including. Professionals in healthcare and news media question is more interdisciplinary, a broader science database such as Web of is. Nearly 1,000 online tutorials, practice tests, and Cochrane CENTRAL did not retrieve included... The search on substance abuse in pregnancy, not restricted to nursing literature, better. Likely irrelevant, titles and abstracts and database combinations could not be included in research... It is time-consuming for reviewers who have to screen more, and Cochrane per... Via PubMed CENTRAL medical database > 5 '' @ 5Ip^P|~1zsqE- @ QK a review meta-analyses!
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