Search

Background: Health Technology Assessments (HTAs) are used to inform decision-making and their usefulness depends on the quality and relevance of research and specific studies for health-policy decisions. Little is known about the country of origin of studies used for HTAs. Objective: To investigate which countries have made the largest contributions to inform health policy decisions through studies included in HTAs in Germany. Methods: The country of origin was extracted from all studies included in HTAs of the German Institute for Quality and Efficiency in Health Care, (IQWiG), published from 2/2006 to 9/2010. Studies were ranked according to the total number of studies per country, adjusted for population size, gross domestic product (GDP), and total health expenditure. Results: 1087 studies were included in 54 HTA reports. Studies were assigned to 45 countries. Most of the studies (27%) originated from the United States (USA), 18% were multinational, followed by 7% from the United Kingdom (UK) and 5% from Germany. Nordic countries led the ranking when adjusting for population size/million (ranks 1-3,6,9/45 countries), GDP/billion US$ (1,2,5,9,14/45), or health expenditure/billion US$ (1,3,5,12,13/45). The relative contribution of the UK was stable in the analyses when adjusted for population size (7/45), GDP (7/45), and health expenditure (9/45), whereas the USA (13, 18, and 30/45) and Germany (17, 19, and 21/45) dropped in the ranking. Conclusions: More than half of the studies relevant for evidence-informed decision-making in Germany originated from the USA, followed by multinational research and the UK. Only 5% of the studies originated from Germany. According to our findings, there appears to be some discrepancy between the use of globally generated evidence and the contribution to the knowledge pool by individual countries. [ABSTRACT FROM AUTHOR]

Background: Over the past few years, information retrieval has become more and more professionalized, and information specialists are considered full members of a research team conducting systematic reviews. Research groups preparing systematic reviews and clinical practice guidelines have been the driving force in the development of search strategies, but open questions remain regarding the transparency of the development process and the available resources. An empirically guided approach to the development of a search strategy provides a way to increase transparency and efficiency., Methods: Our aim in this paper is to describe the empirically guided development process for search strategies as applied by the German Institute for Quality and Efficiency in Health Care (Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, or "IQWiG"). This strategy consists of the following steps: generation of a test set, as well as the development, validation and standardized documentation of the search strategy., Results: We illustrate our approach by means of an example, that is, a search for literature on brachytherapy in patients with prostate cancer. For this purpose, a test set was generated, including a total of 38 references from 3 systematic reviews. The development set for the generation of the strategy included 25 references. After application of textual analytic procedures, a strategy was developed that included all references in the development set. To test the search strategy on an independent set of references, the remaining 13 references in the test set (the validation set) were used. The validation set was also completely identified., Discussion: Our conclusion is that an objectively derived approach similar to that used in search filter development is a feasible way to develop and validate reliable search strategies. Besides creating high-quality strategies, the widespread application of this approach will result in a substantial increase in the transparency of the development process of search strategies.

Objectives: National databases may be useful sources in the production of a systematic review (SR). The aim of this study was to assess the potential benefit of a systematic search in the German database 'Current Contents Medizin' (CCMed)., Methods: The study was conducted on the basis of published SRs that included CCMed as a literature source. Eligible SRs were identified through a systematic search in medline, embase and The Cochrane Library. The websites of German Health Technology Assessment agencies were also screened. Citations of primary studies included as relevant in the SRs were extracted and then categorised., Results: The search yielded 52 eligible SRs. A total of 1505 relevant citations were extracted. Seventy-seven of these articles were published in journals indexed in CCMed. Thirty-two of the 77 citations were indexed in CCMed, but only eight of the 32 were unique. Of these eight citations, seven were not identified by a systematic search, but by handsearching. Only one unique citation, an observational study, was identified in CCMed by a systematic search., Conclusions: In the production of SRs, a systematic search in CCMed identifies relevant studies only in exceptional cases. Therefore, the routine inclusion of this database in systematic searches does not appear meaningful., (© 2010 The authors. Health Information and Libraries Journal © 2010 Health Libraries Group.)