Search terms

Choose main concepts

Look at your research question and identify the meaning-bearing words, i.e. the subject-related words or main concepts. In particular, avoid words that have some kind of value charge or can lead your search towards bias, for example: effective or improve.

If you have used the PICO framework for your research question, it is good to know that that all parts of the PICO question are rarely used in the search itself. The focus is often on population and intervention. In the above example, P = patients with myocardial infarction and I = oxygen therapy.

This search strategy worksheet might help you document and organise your search terms:

Create search blocks

There are often several different expressions or synonyms for one and the same main concept. These need to be included in your search for the database to be able to search for them. Unlike an everyday search in a search engine, a database search can contain quite a few terms.  

A good way to get structure in the final search is to organize your keywords into so-called search blocks. Each search block corresponds to the question's respective main concepts and includes corresponding synonyms in the form of both controlled subject words and free-text words. 

Test search

A good way to research the terminology of the area and find keywords is to do several simple searches in the databases. This is called test searching.

If the purpose of your search requires search reporting, it is good to know that you do not need to report your test searches – only the final search. 

Key articles

Controlled subject words and free text words

What are controlled subject headings?

Controlled subject headings are also called subject headings, headings, thesaurus, controlled terms, or controlled vocabulary.  

The purpose of the controlled subject headings is to give the searcher in the database a tool to capture all articles that have a certain main topic, regardless of how the topic is named in the article's title and abstract. When an article is made available in the database, it is assigned its controlled subject headings, which can take a few weeks.  

The controlled subject terms are provided by the database, and are a list of fixed standard terms for different substances, patient groups or methods. The list is usually hierarchically organized, with parent - broader - terms and subordinate - narrower - terms.  

In several subject glossaries, aspect words are also used, which indicate that the article deals with a certain aspect of the topic. Examples of aspect words are diagnosis, treatment and genetics. This means that you could control your search by searching for the subject word diabetes with the aspect word diagnosis.  

The databases' respective subject glossaries often have their own names, for example MeSH (Pubmed, Cochrane Library), Cinahl Subject Headings (Cinahl), Thesaurus of Psychological Index Terms (PsycInfo) or EmTree (Embase).  

If the database does not have a subject glossary, one reason may be that the database is interdisciplinary (e.g. Web of Science), which makes it difficult to have functional standard terms that can be applied in all disciplines. 

How do I find controlled subject headings?

• Go into the database you are going to search in and find the subject glossary that applies in that particular database. A tip is to investigate both broader, narrower and related terms, to be sure to include all relevant headings in the search.  
• You can also use your key articles and examine which controlled vocabulary they have been indexed with. Be aware that the subject headings are not the same as keywords that the article authors themselves have added.
• It may be helpful to know that many databases have an automatic feature that adds subject headings that correspond to the words in your search. This is usually called mapping. In some databases, this happens automatically, and in others, you need to actively enable the mapping. 

What is free-text?

Free-text terms are the free search terms that you use in the database, which are not controlled subject headings. Free-text terms can be used in combination with controlled subject headings. In that way you give the database the opportunity to get hits on new articles that have not yet had time to be indexed, and articles that have other relevant controlled subject headings than those you have found yourself.

Some databases, such as Web of Science, do not have a subject glossary, where you can only search with free text words.  

In a free-text search, you will only find articles where the author of the article has used exactly the same terms as you use in your search. You must therefore consider synonyms, spelling, singular/plural and other word forms to give the database a wide selection of terms that can provide relevant matches.   

How do I find free-text terms?

Look at the relevant articles (key articles) that you find. As free-text terms, you should include all relevant synonyms and spelling variants that you find in the titles and abstracts of the key articles.

The databases' controlled subject glossaries can also be a good tool for finding free-text terms, as they often mention synonymous terms. In PubMed, the synonyms are called Entry terms. Subordinate controlled terms can also be included as free text.

There are quite a few medical terms in English that are spelled differently in the UK and the US. Feel free to consider whether any of your terms have a different spelling and if so, include both variants. 

Some examples of English and American spelling:

Tumour / Tumor

Gynaecology / Gynecology

Coeliac / Celiac

Ageing / Aging

Behaviour / Behavior