Dufour J-C, Mancini J, Fieschi M
Laboratoire d'enseignement et de recherche sur le traitement de l'information médicale (Lertim), faculté de médecine de Marseille, université de la Méditerranée, 27, boulevard Jean-Moulin, 13385 Marseille cedex 5, France.
J Chir (Paris). 2009 Aug;146(4):355-67. doi: 10.1016/j.jchir.2009.08.025. Epub 2009 Sep 22.
The foundation of evidence-based medicine is critical analysis and synthesis of the best data available concerning a given health problem. These factual data are accessible because of the availability on the Internet of web tools specialized in research for scientific publications. A bibliographic database is a collection of bibliographic references describing the documents indexed. Such a reference includes at least the title, summary (or abstract), a set of keywords, and the type of publication. To conduct a strategically effective search, it is necessary to formulate the question - clinical, diagnostic, prognostic, or related to treatment or prevention - in a form understandable by the research engine. Moreover, it is necessary to choose the specific database or databases, which may have particular specificity, and to analyze the results rapidly to refine the strategy. The search for information is facilitated by the knowledge of the standardized terms commonly used to describe the desired information. These come from a specific thesaurus devoted to document indexing. The most frequently used is MeSH (Medical Subject Heading). The principal bibliographic database whose references include a set of describers from the MeSH thesaurus is Medical Literature Analysis and Retrieval System Online (Medline), which has in turn become a subpart of a still more vast bibliography called PubMed, which indexes an additional 1.4 million references. Numerous other databases are maintained by national or international entities. These include the Cochrane Library, Embase, and the PASCAL and FRANCIS databases.
循证医学的基础是对有关特定健康问题的现有最佳数据进行批判性分析和综合。由于互联网上有专门用于科学出版物研究的网络工具,这些事实数据是可获取的。书目数据库是描述已索引文档的书目参考文献的集合。这样的参考文献至少包括标题、摘要、一组关键词和出版物类型。为了进行具有战略有效性的搜索,有必要以研究引擎能够理解的形式提出问题——临床、诊断、预后或与治疗或预防相关的问题。此外,有必要选择可能具有特定特异性的一个或多个特定数据库,并迅速分析结果以完善搜索策略。对常用的标准化术语的了解有助于信息搜索。这些术语来自专门用于文档索引的特定词库。最常用的是医学主题词表(MeSH)。参考文献包含一组来自MeSH词库描述词的主要书目数据库是联机医学文献分析和检索系统(Medline),而Medline又成为一个更庞大的书目数据库PubMed的一部分,PubMed还索引了另外140万条参考文献。许多其他数据库由国家或国际实体维护。这些数据库包括考克兰图书馆、Embase以及PASCAL和FRANCIS数据库。