91. Capturing Adolescent Studies: Developing a Targeted Search Hedge to Enhance Systematic Reviews

to ensure accurate indexing, retrieval, and clinical applicability Division of Adolescent/Young Adult Medicine, Boston Children’s Hospital, Boston, MA; MUSC Libraries, Medical University of South Carolina Ruth Lilly Medical Library, Indiana University School of Medicine University Libraries, Creighton University University Library, Indiana University Indianapolis Center for Evidence- based Policy, Oregon Health & Science University University of California, Davis Clinical Information Professional Children’s Healthcare of Atlanta a b c d e f g h i jill.kavanaugh@childrens.harvard.edu JRK was supported in part by the MCHB, HRSA T71MC00009 LEAH training grant. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. The authors have no conflicts of interest to disclose. Why Articles Were Missed 323 adolescent-inclusive articles (n = 1000 screened) 1 8 5 R e t r i e v e d 1 3 8 M i s s e d Performance of 3 Recommended Hedges of adolescent-inclusive studies were not retrievable by metadata search Adolescent population not mentioned in title Adolescent population not mentioned in abstract Adolescent population identifiable only in full text Retrieval Outcome Gaps in Adolescent Study Discoverability From 32 Tested Variants to 3 Recommended Hedges High Sensitivity (Fewer false negatives) High Specificity (Fewer false positives) Adolescents are underrepresented and inconsistently indexed in the biomedical literature In titles or abstracts, age inclusion is often not clearly signaled, limiting discoverability Standard database filters may miss adolescent- focused studies, affecting clinical care and evidence synthesis Validated adolescent search hedges—structured strategies designed to improve retrieval of defined populations—may improve retrieval performance 43%