Skip to Main Content

Public Health

When You Cannot Find Enough Evidence

REMEMBER: Not every PICO will have an article.

Therefore, you will need to think critically and decide what information is the most important to find for your question.

You have flexibility in choosing a topic for your paper

Design your PICO around the available evidence

Re-examine your search terms 

Broad your search by adding more synonyms

Consider using similar or related populations, interventions, or outcomes

Determine is the information you have could answer your question

 

How to Search

Clinical Queries

PubMed Clinical Queries quickly find evidence without performing a full literature search.

1. Access the database

2. Under “Find”, select Clinical Queries

 

3. Enter the term

4. Select one of the five categories in the Filter

  • Etiology - Search terms related to cohort studies and risk.
  • Diagnosis - Search terms related to diagnosis, specificity or sensitivity.
  • Therapy (default choice) - Search terms related to clinical trials, controlled trials, random allocation, and therapeutic use.
  • Prognosis - Search terms related to prognosis, cohort studies, follow-up studies, incidence, and prediction.
  • Clinical Prediction Guides - Uses language related to validation, observer variation, predictive value, and scoring systems.

5. Determine one of the scopes:

  • Broad - Sensitive search – includes relevant citations but probably less relevant; will retrieve more (default)
  • Narrow - Specific search – will get more precise, relevant citations but less retrieval

1. Access the database

2. Select Advanced Search

3. Check the “Evidence-Based Practice” filter (under Publication on the right) to limit the results to:

  • EBP articles, including clinical trials, meta-analyses, and systematic reviews
  • Articles from EBP journals
  • Articles about EBP

3. Make the selections for the type of study you are looking for

For:

  • Practice Guidelines
  • Meta-analyses
  • Systematic Reviews
  • Randomized Controlled Trials
  • Case Reports

Select the appropriate filter in the “Publication Type”

 

For:

  • Cohort Studies
  • Case-Control Studies
  • Cross-Sectional Studies

Use a keyword search

Add “AND” to the search with the words of the studies.

1. Access the database

2. Select Advanced Search

3. Check the “EBM Reviews” filter (under Publication on the left) to limit the results to:

  • The Cochrane Database of Systematic Reviews
  • ACP Journal Club
  • Clinical Evidence
  • Evidence-based Mental Health
  • Evidence-based Nursing
  • Evidence report/Technology assessment

4. Make the selections for the type of study you are looking for

For:

  • Practice Guidelines
  • Meta-analyses
  • Systematic Reviews
  • Randomized Controlled Trials
  • Case Reports

Select the appropriate filter in the “Publication Type”

 

For:

  • Cohort Studies
  • Case-Control Studies
  • Cross-Sectional Studies

Use a keyword search

Add “AND” to the search with the words of the studies

 

MeSH = Medical Subject Headings

  • It is a controlled organization of terms in PubMed,  MEDLINE, CINAHL, and Cochrane Databases
  • MeSH headings are assigned by librarian specialists at the National Library of Medicine
  • MeSH terms are applied after a librarian has read the article
  • The MeSH headings tell you what the article is about, saving you time
  • MeSH is updated yearly, therefore, new articles will not have yet, been assigned a MeSH. Therefore you must search with both keywords and MeSH, this search will capture all of the articles you are looking for