2026-06-04 –, Room #2 Language: English
Introduction
Anecdotes about questionable MEDLINE indexing circulate among health/medical librarians, and the National Library of Medicine works to curate them. On the basis of external librarian feedback, ‘red flags’ no longer automatically results in the MeSH ‘Emblems and Insignia’; ‘sex assigned at birth’ no longer invokes ‘Infant’.
“As of April 2022, all journals indexed for MEDLINE are done by automated indexing, with human review and curation of results as appropriate.”
We seek to illuminate the character of this curation, as details are challenging to access. A record’s indexing can change from one day to the next, with no indication of changes other than the Modification Date-[LR] field. Search retrieval may be impacted by reindexing; the status quo of obscurity leaves users in the dark.
Method
Using the NLM e-utilities API, we downloaded every record added to PubMed over five days (n = 25,439), and continue to re-download them regularly. Scripts were implemented in R to identify records that changed method-of-indexing and isolate any MeSH added or removed. We summarize and describe this data.
Findings
1194 records changed from automated to curated (1,084; with MeSH changes in 23%) or automated to human (110; with MeSH changes in 100%).
Discussion
We present the world’s first public PubMed indexing changelog. This work is fundamental to gauging the impacts of changes-to-indexing on search results; these changes constitute data points for future research. Reindexing is metadata errata; greater accessibility and transparency empower users to engage more fully with literature platforms.
Emma Garlock is a research librarian at the University of Ottawa. She supports pharmacy, anatomical sciences and the postgraduate medical education program. Emma got her MISt from McGill University in 2024 and in 2022 completed a master’s in molecular biology, focusing on bioinformatics. Emma has participated in several research projects that capitalize on her data and health librarianship expertise.
Alexandre Amar-Zifkin is the bibliothécaire disciplinaire (subject librarian) for optometry, ophthalmology, vision sciences and neurosciences at the Université de Montréal. From 2012-2022 he was a librarian at the McGill University Health Centre, primarily serving the Montreal Neurological Institute-Hospital. He has supported a number of knowledge syntheses and been involved in several research projects contemplating the integration of new technologies into health librarian practices.