Most of us, myself included search in a browser using just a few words or a phrase to find an answer to a question. And honestly, we’re really good at this. Need directions to the local hospital? Easy. Want to know the price of a specific item? Easy. Looking for where to buy the trendiest new product? Easy. Looking for reviews on something? Easy.
Browsers are great for these quick, everyday questions.
But when it comes to searching the medical literature to gather everything, when we need to write a detailed review article, it’s a different story. We aren’t just looking for one quick answer anymore. We’re looking for everything on a topic so we can read, analyze, and distill it ourselves into a clear journal article or poster.
That’s where the databases come in.
There is so much new medical literature, and data produced every single day that it’s impossible to keep up with it all on our own. This is why using effective search tools matters. We can use keywords, of course, but we also have something even more powerful: Medical Subject Headings, or MeSH.
MeSH terms act as a controlled vocabulary to help us find everything related to a topic, no matter what words the authors used in their papers. And here’s a helpful tip: you’ll find MeSH terms not only in PubMed but also listed in other databases, helping you link searches across platforms. When used in other databases, they are used as keywords.
So, let’s take a few minutes to learn more about MeSH and how this powerful tool can make your literature searching more precise and efficient.
Here is what the MeSH database looks like inside PubMed.
https://www.ncbi.nlm.nih.gov/mesh/
Medical Subject Headings (MeSH) is a controlled vocabulary thesaurus used by the National Library of Medicine (NLM) to index biomedical literature, primarily for PubMed, https://pubmed.ncbi.nlm.nih.gov/. It is used for indexing, cataloging, and searching of biomedical and health-related information. MeSH terms are assigned to articles to help users find relevant information even when different words or spellings are used to describe the same concept. Example – myocardial infarction, heart attack, myocardial infarct, and cardiovascular stroke. Or Pediatrics search will bring up articles with Paediatrics in them.
Shows how MeSH can be used - https://www.nlm.n2025ih.gov/oet/ed/pubmed/mesh/mod02/01-200.html
Short training module on MeSH -
https://www.nlm.nih.gov/oet/ed/pubmed/mesh/mod01/01-000.html
Here's why using MeSH is beneficial:
Improved search precision:
MeSH terms provide a standardized and hierarchical vocabulary, reducing the risk of retrieving irrelevant results due to variations in terminology used by authors.
Enhanced recall:
MeSH terms cover synonyms and related concepts, ensuring that articles are retrieved even if they use different words or phrases to describe the same topic.
Facilitates broader and narrower searches:
MeSH is organized in a hierarchical tree structure, allowing users to start with broad terms and narrow their search as needed or start with narrow terms and broaden their search as they go.
Increases citation discoverability:
MeSH indexing helps find relevant articles, even if they lack a detailed abstract or use less descriptive keywords.
Streamlines the search process:
MeSH terms are pre-defined with synonyms and scope notes, saving users the time and effort of manually searching for different variations of a concept.
For example, a search for "Lung Neoplasms" using the MeSH term will retrieve articles discussing lung cancer, lung tumor, lung neoplasm, and pulmonary cancer, regardless of the specific term used by the author.
This PubMed search shows lung neoplasms as a keyword search in the advanced search section of PubMed.
Search: lung neoplasms Sort by: Publication Date
"lung neoplasms"[MeSH Terms] OR ("lung"[All Fields] AND "neoplasms"[All Fields]) OR "lung neoplasms"[All Fields]
Translations
lung neoplasms: "lung neoplasms"[MeSH Terms] OR ("lung"[All Fields] AND "neoplasms"[All Fields]) OR "lung neoplasms"[All Fields]
When you look at the articles retrieved by the search above, you will see keywords such as lung cancer, lung tumor, lung neoplasm, and pulmonary cancer.
Why I use the MeSH database before I start searching:
- It defines subject terms I may not be very familiar with.
- It helps me see where a subject term fits into the tree hierarchy, which is useful if I don’t know much about the topic.
- It provides additional entry terms I can use in PubMed’s keyword box, as well as in other databases that do not recognize MeSH terms directly.
- It can help narrow down a large search quickly.
- If I’m having trouble finding articles, it can help me broaden my search terms by showing where they sit in the hierarchy.
I don’t usually use the MeSH database itself to run my searches, but I use the information I find there to guide and improve my searches.
Should you wish for me to present this topic, or any other, to your group or to you individually, please don’t hesitate to reach out. I would be glad to assist.
Happy Searching!
Dawn Field, Your UIWSOM Librarian