Background
PICO Searching
A&I databases such as Ovid MEDLINE lend themselves well to targeted searching of scientific literature. This is because they are composed of very granular units of information in the form of database FIELDS. And are usually indexed using a controlled vocabulary, also referred to as a thesaurus. Ovid MEDLINE uses the MeSH thesaurus.
Where a medical intervention is being assessed, a commonly used format for structured searching is the PICO approach. Here, P stands for population or patient group, I for intervention, C for a comparator and O for outcome or outcomes. This format has gained prominence in the assessment of the efficacy of drug-based interventions. When searching on each of these four components, i.e. Population, Intervention, Comparator and Outcomes, it is recommended practice that the searcher conducts a thesaurus search supplemented by a free term search for each one.
Populations, the first component of PICO searching, presents its own issues and challenges. Groups of people are inherently diverse. They may be differently or even contentiously labelled. This has the consequence that they may be difficult to locate and identify within the scientific literature. In some cases even to the extent of remaining ‘invisible’.
The Population ‘Elderly’
This Focused Search addresses the population considered as elderly. The Ovid search filter being made available here is based upon the ‘Aged’ filter for PubMed as developed by the Dutch Library Association. The original search filter, constructed for execution in PubMed has been validated in terms of performance. That said, its rendering for use in Ovid MEDLINE has involved numerous syntactical compromises, that we prefer to classify the Ovid MEDLINE version as a search filter rather than a validated search filter.
The Original PubMed Search
The original validated Dutch Library Association ‘Aged’ filter for PubMed is as given below.
("Aged"[Mesh] OR "Aged, 80 and over"[Mesh] OR "Frail Elderly"[Mesh] OR "Geriatrics"[Mesh] OR "Geriatric Psychiatry"[Mesh] OR "Geriatric Nursing"[Mesh] OR "Geriatric Dentistry"[Mesh] OR "Dental Care for Aged"[Mesh] OR "Health Services for the Aged"[Mesh]) OR (elder*[tw] OR eldest[tw] OR frail*[tw] OR geriatri*[tw] OR old age*[tw] OR oldest old*[tw] OR senior*[tw] OR senium[tw] OR very old*[tw] OR septuagenarian*[tw] OR octagenarian*[tw] OR octogenarian*[tw] OR nonagenarian*[tw] OR centarian*[tw] OR centenarian*[tw] OR supercentenarian*[tw] OR older people[tw] OR older subject*[tw] OR older patient*[tw] OR older age*[tw] OR older adult*[tw] OR older man[tw] OR older men[tw] OR older male*[tw] OR older woman[tw] OR older women[tw] OR older female*[tw] OR older population*[tw] OR older person*[tw])
The Search Filter Amended for Use on Ovid
The version of this filter rendered for use on Ovid is given below.
exp aged/ or exp geriatrics/ or exp geriatric psychiatry/ or exp geriatric nursing/ or exp *geriatric psychiatry/ or exp *dental care for aged/ or exp *health services for the aged/ or (elder* or eldest or frail* or geriatri* or old age* or oldest old* or senior* or senium or very old* or septuagenarian* or octagenarian* or octogenarian* or nonagenarian* or centarian* or centenarian* or supercentenarian* or older people or older subject* or older patient* or older age* or older adult* or older man or older men or older male* or older woman or older women or older female* or older population* or older person*).ti,ab,kf.
It can be run directly in Ovid by using the jumpstart link as given < here >. This version of the search filter was last reviewed on 13th February 2023 and as mentioned, draws upon – but is not an exact reproduction of - the Dutch Library Association ‘Aged’ filter for PubMed published here: https://blocks.bmi-online.nl/catalog/7 .
On Ovid we are also able to provide a focused version of the search filter which has the database narrow the search down to major terms as listed in the MeSH thesaurus. These are displayed in Ovid by an asterisk (*) preceding the MeSH term as shown in this particular version of the search below.
exp *aged/ or exp *geriatrics/ or exp *geriatric psychiatry/ or exp *geriatric nursing/ or exp *geriatric psychiatry/ or exp *dental care for aged/ or exp *health services for the aged/ or (elder* or eldest or frail* or geriatri* or old age* or oldest old* or senior* or senium or very old* or septuagenarian* or octagenarian* or octogenarian* or nonagenarian* or centarian* or centenarian* or supercentenarian* or older people or older subject* or older patient* or older age* or older adult* or older man or older men or older male* or older woman or older women or older female* or older population* or older person*).ti,kf.
This version of the search filter can be run directly in Ovid by using the jumpstart link as given < here >. Also reviewed lastly on 13th February 2023, this filter not only employs focussed, i.e.*MeSH Term, subject headings but also only uses the database fields Title (TI) and Keywords (KF) for the free-text component of the strategy.
The Search Filter on Ovid
The two ways in which these search filters can be use on Ovid are shown below.
Line #1 employs the docz.dz command which displays all the records in the database at the time the command is executed. This serves as an example search upon which the Ovid Elderly Search Filter can be applied, see line #2. The ‘limit’ version of the search does not display the terms and phrases that made up the filter. However, where the same search is run, either from this Focused Search or from its listing in the Database Field Guide, the terms and phrases are show and can be verified or altered. See line #3.
Lines #4, #5 and #6 provides the same information for the Ovid Elderly Search Filter – Focused version of the search filter.

To run the above search in Ovid MEDLINE, click < here >.
(*) Editor's Note: This is an updated, or in some cases, a completely revised version of a search filter formerly available on the Ovid Tools & Resources Portal. All such search filters are marked with the asterisk character placed at the end of the long title. If you have any questions relating to the migration of this search filter between the two portals, please contact us directly via [email protected] .
Reviewers:
Primary: Michael Fanning
Secondary: Charlotte Viken
Review Date: 2025-06-23
Expiry Date: 2026-06-23
Original search produced by:
Ovid Training Team
References:
Dutch Library Association:
https://blocks.bmi-online.nl/catalog/7
OvidGO! / Skills Videos
What are Boolean Operators?
What is an adjacency operator?
What are wildcards?
Subject heading searching
Truncation of keywords
Phrase searching on Ovid