Scenarios wanted! Please add your favorites! [Click on "Easy Edit", above]

Information about each scenario can include, but need not be limited to:

• the case
  
• the PICO'd question
  
• type of question/preferred study design
• suggested search strategies
• teaching tips

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Case: What is the diagnostic utility of the urine biological tumor marker nmp22 (nuclear matrix protein 22) in detecting recurrence of bladder cancer?

P nmp-22
I detection of recurrence
C
O bladder cancer
T diagnosis
T comparison to gold standard

SEARCH Strategy: bladder cancer AND (nmp-22 OR nmp22) AND (neoplasm recurrence, local OR recur*) AND sensitivity and specificity

TEACHING Tips: no mesh for nmp22 use various spellings, recurrence is too broad, type into mesh and find the narrower term. use sensitivity and specificity to find the correct studies

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Case: In patients with malignant melanoma, does ultrasonography accurately detect lymph node metastasis?

P malignant melanoma
I ultrasonography
C none
O accurate detection of lymph node metastasis
T diagnosis
T comparison to gold standard

TEACHING Tips: lymph node metastasis doesn't map correctly, go to MeSH database to find lymphatic metastasis
use sensitivity and specificity heading in search
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Case: What are the cultural issues that affect the use of breast screening opportunities in a Hispanic population?

SEARCH Strategy: neoplasm/di AND screening/ut AND hispanics AND culture

TEACHING Tips: use subheadings to get at specific aspects to help reduce number of citations (i.e. using neoplasm AND screeningAND hispanics AND culture gets you hundreds more!) , the term cancer screening may not really get at correct aspects
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Case: What are strategies that can improve access to breast cancer screening opportunities in a Hispanic population?

SEARCH Strategy: breast neoplasm/di AND screening AND hispanics AND (Delivery of Health Care OR health promotion)

TEACHING Tips: use subheadings to get at specific aspects to help reduce number of citations. use MeSH Database to find appropriate terms to describe improving access