Ovid Technologies Field Guide


Cochrane Central Register of Controlled Trials (CCTR)

The Evidence Based Medicine Reviews Collection

Table of Contents:
Scope | General Information | Searching the Fields | Advanced Searching | Limits
Tools | Changing to this Database from Another Database | Copyright Information | Updated


Read about the CCTR database in the 2002 CCTR Database News!

Scope

Evidence Based Medicine Reviews Collection

A patient asks a clinician, "Does vitamin C prevent the common cold? Are there effective therapies to treat a cold once you have one?" Although these questions are common, they are not always easy to answer. Medical knowledge is advancing rapidly, and the literature that reports new findings is expanding by almost half a million articles every year.

In the past, a clinician might seek answers to these questions within a textbook. But textbooks are updated infrequently, only every 3-5 years. And a new, definitive study might be published in today's medical journals, but not appear in the most recent textbooks.

The clinician might call an infectious disease specialist. But specialists are very busy, and may not have time to answer such questions.

The clinician might perform a traditional search in a medical database, such as MEDLINE. Unfortunately, a search using the MeSH term "common cold" yields over 1,400 articles written in the last 30 years. Finding a relevant article might take as long as 30 minutes or more.

But today, with Ovid's Evidence-Based Medicine Reviews (EBMR), answering clinical questions is a whole lot easier. Using Ovid's MEDLINE, a clinician can enter the term "common cold," select the EBM Reviews limit, and in seconds, a small number of high-quality articles appear that discuss prevention and treatment of the common cold.

Some of the articles retrieved have met rigorous inclusion criteria by the international Cochrane Collaboration, and then have been used as the basis for a systematic topic review. Clicking on the Topic Review link retrieves the Cochrane Review "Vitamin C for the Common Cold" which analyzes and synthesizes over 30 of the best clinical trials on the subject.

Other articles in the result set have been the subject of an evidence-based article review by the editorial staff of Best Evidence (a joint project of the American College of Physicians and BMJ Publishing Group) or by the National Health Services (NHS) Centre for Reviews and Dissemination at the University of York, England. Clicking on the Article Review link retrieves the enhanced abstract of the article together with commentary about the article's relevance to clinical practice.

So, the result from using Ovid's EBMR: the most comprehensive answer in less than a minute. EBMR helps clinicians to find the best answer to clinical questions in the least amount of time.

CCTR

CCTR (formerly Cochrane Controlled Trials Register) is a bibliographic database of definitive controlled trials. These controlled trials have been identified by the distinguished contributors to the Cochrane Collaboration. They and others, as part of an international effort to search the world's health care journals (and other sources of information) systematically, have combined results to create an unbiased source of data for systematic reviews. Because it has been shown that existing bibliographic databases are inadequate for the identification of all relevant studies, the Cochrane Collaboration embarked upon this formidable task in co-operation with the National Library of Medicine (NLM) in Washington, DC (USA) who produce MEDLINE and Reed Elsevier of Amsterdam (the Netherlands) who produce EMBASE.

CCTR contains over 300,000 bibliographic references to controlled trials in health care. Cochrane groups and other organizations contribute their specialized registers; and these registers—together with references to clinical trials identified in MEDLINE and EMBASE—form the CCTR database. Contributors to the Cochrane Collaboration follow quality control standards to ensure that only reports of definite randomized controlled trials or controlled clinical trials are included.

Although many reports of trials are included in MEDLINE, others are not easily identified as randomized controlled trials; and as such, researchers may overlook them in the search for relevant studies for systematic reviews. CCTR records are identified through a combination of handsearching and database searching that include all those indexed as controlled trials in MEDLINE. Studies have shown that a MEDLINE search alone cannot be relied upon to identify all possible reports of controlled trials and suggest that a combination of handsearching and MEDLINE searching is most effective. This dual approach is the current practice of the Cochrane Collaboration, assuring you of the definitive quality of the CCTR database.

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General Information

Producer
      The Cochrane Collaboration
Home Page: http://www.cochrane.org

Segments
  CCTR
  This database does not support Ovid's AutoAlerts. If you want to create a reusable search strategy, save the search as a Permanent Saved Search instead. See the Ovid Web Gateway User Manual for details about permanent saved searches. Saved search information also appears in the Ovid Web Gateway Help System.

All Fields Display/Print Fields
  Abstracts (AB) Institution (IN) Study Design (SD)
  Accession Number (AN) ISSN (IS) Study Name (SN)
  Author (AU) Keywords (KW) Source (SO)
  Cochrane Group Name (GC) Local Mesages (LM) Title (TI)
  Edition (EY) MeSH Headings (SH) Update Flag (UF)
  Editor (ED) Original Title (OT)  
  External Accession Number (EN) Publication Type (PT)  

Default Fields for Display/Print Fields
  Abstracts (AB) Institution (IN) Study Design (SD)
  Accession Number (AN) ISSN (IS) Study Name (SN)
  Author (AU) Keywords (KW) Source (SO)
  Cochrane Group Name (GC) MeSH Headings (SH) Title (TI)
  Editor (ED) Original Title (OT) Update Flag (UF)
  External Accession Number (EN) Publication Type (PT)  

Elements of the Source (SO) Field
  Conference Date (CD) Issue/Part (IP) Publisher (PB)
  Conference Location (CL) Journal Name (JN) Volume (VO)
  Edition (EY) Page (PG) Year of Publication (YR)

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Searching the CCTR Fields

The following list is sorted alphabetical by field alias. Click a field name to see the description and search information.

Field Name Label   Field Name Label
Abstracts AB   MeSH Headings SH
Accession Number AN   Original Title OT
Author AU   Page PG
Cochrane Group Name GC   Place of Publication CP
Conference Date CD   Publication Type PT
Conference Location CL   Publisher PB
Edition EY   Source SO
Editor ED   Study Design SD
External Accession Number EN   Study Name SN
Floating Subject Headings FS   Subject Heading Word HW
Institution IN   Text Word TW
ISSN IS   Title TI
Issue/Part IP   Update Flag UF
Journal Name JN   Volume VO
Journal Word JW   Year of Publication YR
Keywords KW      

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The following list is sorted alphabetically by the two-letter label, and includes the relevant alias, at least one example for all searchable CCTR fields, and a description of the field.

Label Name / Example
AB Abstracts [Word Indexed]
nsaids.ab.
substance abuse.ab.

The Abstract (AB) field includes author-written abstracts when they are available. Individual words are indexed in the abstracts field. To search this field, enter a single word or phrase.

Stopwords such as "a" or "the" are not searchable in the Abstracts field.

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AN Accession Number [Phrase Indexed]
cn-00298133.an.

The Accession Number (AN) field contains an 8-digit number which uniquely identifies a record in the Cochrane Library database. All accession numbers are preceded by the letters CN, as in cn-00298133.an.

Additionally, if the record has been newly added since the last database update, the Update Flag (UF) "NEW" will display after the accession number. Search new.uf. to retrieve all of the most recently added citations.

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AU Author [Word Indexed]
raymond eg.au.
mann$.au.

The Author (AU) field contains the names of all authors and editors of an article or publication. The author field is indexed in the format of last name followed by first and middle names or initials, as they appeared in the original article. Thus, a person named James Charles Smith may appear as Smith James C, Smith J. Charles, Smith JC, or Smith J. Note that editor names will display in a separate field from the author names.

To search the index, enter the last name. If you are unsure of the spelling of the last name, enter one version. You will be able to scroll through the list of names to find other spelling variations.

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CD Conference Date [Word Indexed]
10 july 1992.cd.
1989.cd.
The Conference Date (CD) field contains the day, month, and/or year for a given conference. This field displays in the Source (SO) field.
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CL Conference Location [Word Indexed]
san diego.cl.
milan italy.cl.
The Conference Location (CL) field includes the country and/or city where a conference took place. This field displays in the Source (SO) field.
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CP Place of Publication [Word Indexed]
new orleans la usa.cp.
london uk.cp.
The Place of Publication (CP) exists for monograph records and contains the city or country of where the item was published. This field displays in the Source (SO) field.
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ED Editor [Display Only]
The Editor (ED) field exists for monograph records and contains the name of the editor of the work in the format of last name followed by first name or initials. This field is for display purposes only; but note that editor names can be searched in the Author (AU) index.
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EN External Accession Number [Phrase Indexed]
20224245.en.

The External Accession Number (EN) field may contain the PubMed unique identifier, the EMBASE accession number—or both. In cases where a record exists in both databases, the PubMed record is the one chosen for inclusion in the Cochrane Controlled Trials Register and the EMBASE accession number is provided along with the PubMed unique identifier in the EN field.

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EY Edition [Word Indexed]
1.ey.
The Edition (EY) field exists for monograph records. This field displays in the Source (SO) field.
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FS Floating Subject Headings [Phrase Indexed]
biosynthesis.fs.
cerebrospinal fluid.fs.
Subheadings are qualifiers added to MeSH subject headings to refine their meaning. Terms such as "etiology" or "therapy"—when combined with a MeSH heading—provide a very precise idea of what an article covers. The Floating Subheadings (FS) field contains the 2-letter codes, such as po for poisoning, as well as the full name of the subheading. Additionally, this field displays as part of the MeSH Heading (SH) field.
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GC Cochrane Group Name [Phrase Indexed]
cochrane heart group.gc.

The Cochrane Group Name (GC) field indicates which Cochrane review group has the reference in their specialized register. The Cochrane Group is responsible for ensuring that the study is assessed for a Cochrane Review.

The Cochrane Group Name field contains the full name of the Cochrane group, as in the Cochrane Cystic Fibrosis Group.

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HW Subject Heading Word [Word Indexed]
asthma.hw.
Sometimes you may want to retrieve every MeSH subject heading that includes a particular word; this is done by searching the single word in the Subject Heading Word (HW) field. The HW index also includes words from the Keyword (KW) index and can serve as a single access point for searching MEDLINE, EMBASE, and all other CCTR records that have subject terms provided.
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IN Institution [Word Indexed]
university of lethbridge.in.
The Institution (IN) field contains the primary author's affiliation, which is usually the source for a reprint of the article. Institution can include mailing address, email address, and other contact information. This information is taken from the source document and is not standardized. To search this field effectively, enter the single most descriptive word in an institution (as in "tufts," not "university"). Consider both full spellings and abbreviations.
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IP Issue/Part [Word Indexed]
0113.ip.
The Issue/Part field (IP) contains the issue and/or part for a particular volume of a journal. This field usually displays as part of the Source (SO) field.
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IS ISSN [Phrase Indexed]
0013-9580.is.
The ISSN field (is) contains the 8-digit International Standard Serial Number for the journal in which the document was published.
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JN Journal Name [Phrase Indexed]
obstetrics & gynecology.jn.

The Journal Name (JN) field contains the full or abbreviated name of the journal in which the article was published. Because journal names are indexed as phrases, you will want to enter enough letters of the journal name to locate the name in the index, as in new engl$ for the New England Journal of Medicine.

Stopwords, such as "of" are included in the JN index; but when "the" is the first word of a journal, it has been stripped. This field displays in the Source (SO) field.

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JW Journal Word [Word Indexed]
obstetrics.jw.

The Journal Word (JW) field contains individual words from every journal name in the Cochrane Controlled Trials Register. This field is used to retrieve every occurrence of a journal which includes a particular word, such as "obstetrics".

Stopwords such as "of" and "the" are not included. The JW index is not available on the Microsoft Windows NT platform.

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KW Keywords [Word Indexed]
clinical trial.kw.

The Keywords (KW) field contains subject headings and other descriptors for non-MEDLINE records (that is, records that originate from EMBASE or other sources).

Stopwords such as "of" and "the" are not indexed. For the best subject retrieval, search the MeSH Heading (SH) field in addition to the KW field.

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OT Original Title [Word Indexed]
maculare.ot.
The Original Title (OT) field includes any non-English title in the original language. If the original title was created in a non-Roman alphabet, then the OT is transliterated.
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PB Publisher [Word Indexed]
exerpta.pb.
The Publisher (PB) field exists for monograph records and contains the name of the publisher.
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PG Page [Phrase Indexed]
133.pg.
The first page on which an article appears is indexed in the Page (PG) field. Often a journal title combined with the page number is enough to locate a citation.
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PT Publication Type [Phrase Indexed]
multicenter study.pt.

The Publication Type (PT) field indicates the form of literature indexed. To view the index, enter enough letters to distinguish a publication type (as in, jour for "journal article"); the entire index is quickly scrollable to determine all possible publication types.

Note that only MEDLINE records contain this field.

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SD Study Design [Phrase Indexed]
random control trial.sd.
clinical control trial.sd.
The Study Design (SD) field contains the type of study—either randomized control trial (rct) or clinical control trial (cct) as assigned by the Cochrane Group. Note that these phrases are sometimes found in the Publication Type field of MEDLINE records, but the National Library of Medicine and the Cochrane Collaboration do not use them in the same way; so they may differ at times.
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SH MeSH Headings [Phrase Indexed]
abdominal abscess.sh.

The MeSH Heading (SH) field exists for those records that originated from the MEDLINE database. The field contains the Medical Subject Headings used by indexers at the National Library of Medicine (NLM) to describe the content of an article. NLM's MeSH terms are organized in a hierarchy—or "tree" structure.

MeSH headings are entered into the index as phrases and should be searched as they appear in the NLM MeSH books or in our Tree display. Note that the Cochrane Controlled Trials Register database also includes a number of records that originate from EMBASE and other sources. Though many of the non-MEDLINE records have subject headings, these are not included in the MeSH Heading field and must instead be searched in the Keywords (KW) field.

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SN Study Name [Word Indexed]
cancer.sn.

The Study Name (SN) field describes the name of the study.

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SO Source [Word Indexed]
new england journal of medicine.so.
italy.so.

The Source (SO) field provides a display of all the basic information needed to locate a citation, including the full Journal Name (JN), Publisher (PB), Volume (VO), Issue/Part (IP), Page (PG), Edition (EY), and Year of Publication (YR), as well as Conference Date (CD) and Conference Location (CL) (if they exist).

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TI Title [Word Indexed]
sarcoma.ti.

The Title (TI) field contains the English language version of a title. For documents that were not written in English, the original or transliterated title appears in a separate field called the Original Title (OT) field.

Stopwords, such as "of" or "the" will display in documents but do not appear in the Title index. However, the word "a"—which is a stopword in other fields—can be searched in titles.

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SN Text Word [Word Indexed]
virus.tw.

The Textword (TW) field is an alias for all of the fields in a database which contain text words and which are appropriate for a subject search.

The Textword field in CCTR includes Title (TI) and Abstract (AB).

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UF Update Flag [Phrase Indexed]
new.uf.
The Update Flag (UF) field contains the word New if the record has been newly added since the last database update. Search new.uf. to retrieve all of the most recently added citations. Note also that the Update Flag displays in the Accession Number (AN) field.
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VO Volume [Word Indexed]
5512.vo.
The Volume (VO) field consists of the volume and issue of a serial publication. This field usually displays as part of the Source (SO) field.
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YR Year of Publication [Phrase Indexed]
2001.yr.
The Year of Publication (YR) field contains the year in which an article or monograph was published. Only four-digit years appear in this index.
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Advanced Searching

You can use special words and symbols to combine search terms and refine a search. For efficient searching, use the most appropriate operator from the list below to combine search terms. For more information on these and other searching techniques, including command line syntax searching, refer to the Ovid Gateway Help.

Operator Syntax Example Results
OR OR vitamin c or ascorbic acid Retrieves records that contain either term or both terms.
AND AND vitamin c and ascorbic acid Retrieves records that contain both terms.
NOT NOT vitamin c not ascorbic acid Retrieves records that contain the first term but not the second term.
ADJ ADJ autism aspergers Retrieves records that contain both terms, in order, and adjacent in the same sentence.
  ADJn autism adj3 aspergers Retrieves records that contain both terms, in either order, with no more than n number of words between. The example will retrieve records containing the phrase, "adults with autistic and Asperger's disorders".
FREQ x.fd./FREQ=n blood.ab. /freq=5 Retrieves records that contain n occurances of the term in the specified field. The example will retrieve records containing the word "blood," at least five times in the Abstract (ab) field.
$ x$ rat$

The unlimited truncation symbol, $, retrieves records that contain the search term and all possible suffix variations of a root word. The example will retrieve records containing words such as rat, rats, rate, rationalize, ratify, etc.

  x$n dog$1 The limited truncation symbol, $n, Retrieves records that contain the search term and all possible suffix variations of a root word with the maximum number of characters that may follow the root word or phrase, specified by n. The example will retrieve records containing words such as dog and dogs, but not dogma.
 #  # wom#n The mandated wildcard symbol, #, retrieves records that contain the search term with substituted character(s) in the specified locations. The example will retrieve records containing woman and women.
?  ? colo?r The optional wildcard symbol, ?, retrieves records that contain the search term with either no characters substituted, or with substituted character(s) in the specified locations. The example will retrieve records containing color and colour.

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CCTR Limits

The following limits are available from the Limit menu on the Main Search Page.

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CCTR Tools

The following Search Tools are available for CCTR. For specific information on using these tools, refer to the Ovid Gateway Help.

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Changing to this Database from Another Database

Command Syntax: ..c/cctr
Sentence Syntax: use cctr

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CCTR Producer Copyright Information

The materials contained herein are proprietary to the publishers and/or individual copyright holders and may only be used by authorized users of the subscribing institutions for internal or personal research. Authorized users may (i) print data obtained from searches and make limited copies of such printed search results, (ii) download data obtained from searches and (iii) retransmit search results electronically or otherwise to a limited number of authorized users at the same institution. Authorized users are precluded from: (i) copying, duplication, redistribution, retransmission, publication, transfer or commercial or other exploitation of the databases or the contents thereof, except as permitted herein or pursuant to user guidelines of the individual copyright holders, (ii) preparation of derivative works or incorporation of the databases or contents thereof in any other work or system; (iii) downloading of the contents in their entirety or lengthy sequence. Authorized users are referred to the individual copyright holder and/or to the copyright holder's usage guidelines within this database for additional restrictions which may be imposed by the copyright holder.

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Field Guide Updated April 4, 2006

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