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Embase® is a registered trademark of Elsevier BV. SEARCHING FOR ADVERSE EVENTS ON EMBASE Presented by Ian Crowlesmith 25 September 2013 [email protected] Your host: Ann-Marie Roche

Embase: Adverse Drug Reactions - webinar September 25 2013

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Ian Crowlesmith, our Embase expert reviewed the following in this webinar: - Drugs and adverse drug reaction in Embase vs MEDLINE - Searching for Adverse events and side effects in Embase - Using keywords when searching for adverse events - Adverse events of devices

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Page 1: Embase: Adverse Drug Reactions - webinar September 25 2013

Embase® is a registered trademark of Elsevier BV.

SEARCHING FOR ADVERSE EVENTS ON

EMBASE

Presented by Ian Crowlesmith

25 September [email protected]

Your host:Ann-Marie Roche

Page 2: Embase: Adverse Drug Reactions - webinar September 25 2013

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• Webinar control panel:

• ‘chat’ for questions or ‘ask aquestion’

• minimize option for full screen view

• Q&A halfway and last 10-15 minutes of the webinar

NEED TO KNOW

Page 3: Embase: Adverse Drug Reactions - webinar September 25 2013

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AGENDA

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

1. Embase vs MEDLINE2. Adverse reactions on

Embase3. Searching side effects4. Using keywords5. Adverse events of devices

Page 4: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON EMBASE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

1. Embase vs MEDLINE2. Adverse reactions on

Embase3. Searching side effects4. Using keywords5. Adverse events of devices

Page 5: Embase: Adverse Drug Reactions - webinar September 25 2013

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DEFINITIONS OF ADVERSE EVENTS

ON EMBASE AND MEDLINE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Embase

PubMed / MEDLINEfirst 4 of >100 terms

"chemicals and drugs category/adverse effects"[MeSH Terms] NOT ("chemicals and drugs category/toxicity"[MeSH Terms] OR "chemicals and drugs category/poisoning"[MeSH Terms])

Search using:

Search using: "chemicals and drugs”/exp/dd_ae

only in humans

Page 6: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE DRUG REACTIONS REPORTED BY FDA

US AND NON-US ORIGIN (2003-2011)

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/AdverseDrugEffects/ucm070441.htm

Page 7: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE DRUG REACTIONS: EMBASE VS MEDLINE

BASED ON SUBHEADINGS LINKED TO “CHEMICALS AND DRUGS”

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

1990 1995 2000 2005 20100

10,000

20,000

30,000

40,000

50,000

Embase

MEDLINE

Publication year

Recordsper year Embase includes all of

MEDLINE

Subheadings introduced in Embase (1988)

Search strategy for Embase: "chemicals and drugs”/exp/dd_ae

Page 8: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON EMBASE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

1. Embase vs MEDLINE2. Adverse reactions on

Embase3. Searching for side effects4. Using keywords5. Adverse events of devices

Page 9: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE REACTIONS IN EMBASE

BROWSING EMTREE TO FIND DRUG NAMES

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 10: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE REACTIONS IN EMBASE

DRUG SEARCH

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 11: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE REACTIONS IN EMBASE

FILTERED TO LIST INDEXED DRUGS

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 12: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE REACTIONS TO CISPLATIN

FILTERED TO LIST INDEXED DISEASES

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 13: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE REACTIONS TO CISPLATIN

IN-DEPTH DRUG INDEXING

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 14: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE REACTIONS TO CISPLATIN

EMBASE VS MEDLINE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Embase

Page 15: Embase: Adverse Drug Reactions - webinar September 25 2013

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OTHER ADVERSE EVENTS IN EMBASE

DRUG TOXICITY (SCOPE NOTE)

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 16: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE EVENTS IN EMBASE

DRUG TOXICITY VS ADVERSE DRUG REACTION

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 17: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE EVENTS IN EMBASE

ADDITIONAL SEARCH OPTIONS

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

This is a conference abstract

This is an In-Process record

Page 18: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON EMBASE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

1. Embase vs MEDLINE2. Adverse reactions on

Embase3. Searching for side

effects4. Using keywords5. Adverse events of devices

Page 19: Embase: Adverse Drug Reactions - webinar September 25 2013

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SIDE EFFECTS IN EMTREE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

first 12 of over 100 terms

Page 20: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING SIDE EFFECTS ON EMBASE

DISEASE SEARCH

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 21: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING SIDE EFFECTS ON EMBASE

FILTER TO LIST INDEXED DISEASES

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 22: Embase: Adverse Drug Reactions - webinar September 25 2013

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INDEXING OF SIDE EFFECTS ON EMBASE

SIDE EFFECTS OF CISPLATIN

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 23: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON EMBASE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

1. Embase vs MEDLINE2. Adverse reactions on

Embase3. Searching for side effects4. Using keywords5. Adverse events of devices

Page 24: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING ADVERSE EVENTS USING KEYWORDS

“ADVERSE” AS A KEYWORD

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 25: Embase: Adverse Drug Reactions - webinar September 25 2013

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KEYWORDS FOR SEARCHING ADVERSE EVENTS

REPRESENTATIVE KEYWORDS

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 26: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING ADVERSE EVENTS USING KEYWORDS

UNIQUE RECORDS RETRIEVED FOR CISPLATIN

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

This is an In-Process record

Outside AE definition for both Embase & MEDLINE

Page 27: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON EMBASE

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

1. Embase vs MEDLINE2. Adverse reactions on

Embase3. Searching for side effects4. Using keywords5. Adverse events of

devices

Page 28: Embase: Adverse Drug Reactions - webinar September 25 2013

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ADVERSE EVENTS FOR MEDICAL DEVICES

REPORTED BY FDA (2004-2008)

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

http://clinicaldevice.typepad.com/cdg_e_conferences/adverse-events-and-effects/

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MEDICAL DEVICES ON EMTREE

NEW TREE STRUCTURE (2013)

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 30: Embase: Adverse Drug Reactions - webinar September 25 2013

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FINDING ADVERSE EVENTS FOR MEDICAL DEVICES

DISEASE SUBHEADING “COMPLICATION”

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 31: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON DEVICES

USING DISEASE SUBHEADING “COMPLICATION”

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 32: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON DEVICES

RECORDS RETRIEVED USING KEYWORDS

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 33: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON DEVICES

TYPICAL RECORD FOUND USING KEYWORDS

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

This record is a conference abstract !

Page 34: Embase: Adverse Drug Reactions - webinar September 25 2013

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SEARCHING FOR ADVERSE EVENTS ON EMBASE

SUMMARY

Keyword searches

• Use keywords saved in ‘hedges’ (saved searches) or alerts.

• Useful for Articles-in-Press, In-Process & Conference records.

• This will increase sensitivity at the cost of precision.

Medical devices

• Search adverse effects using disease subheading CO.

• Also consider expanding search using keywords.

• Over 3000 medical devices are now available in Emtree.

Adverse drug reactions

• Use drug subheading AE where possible. Focus is on human.

• Consider expanding search using keywords.

• This will increase sensitivity at the cost of precision.

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 35: Embase: Adverse Drug Reactions - webinar September 25 2013

THANK YOU ANY

QUESTIONS?

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Ian Crowlesmith

Senior Product Manager, Content Development

[email protected]

Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

Page 36: Embase: Adverse Drug Reactions - webinar September 25 2013

36Ian Crowlesmith | 25 September 2013 | Searching for Adverse Events on Embase

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For more information and questions please use the contact details on our online page, where you may also find all training and support materials and our full webinar schedule.

Our next Embase webinar is on October 23 and this will be an introduction to Embase for new users.

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