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Before being read, a paper must be found. Title and keywords are the fields search engines weigh most — and most authors define them in the last five minutes of submission. They deserve more than that.

30-second summary
  • The title is the most indexed field: put the terms readers search for in it.
  • Keywords do not repeat the title — they complement it with MeSH terms.
  • A declarative title with the main finding attracts more readers than a vague one.
1

Start from the search terms

List the 3–5 terms a reader would type to find your study (disease, intervention, outcome, design). They must appear in the title or keywords.

2

Prefer the informative title

Say what was studied and in whom. If the journal allows, include the study design — readers and reviewers trust it more.

3

Keywords complement, not repeat

Search engines already index the title. Use the 5–6 keywords for synonyms and MeSH terms that did NOT fit the title.

4

Validate in MeSH

Check each term in PubMed’s MeSH Browser: the controlled vocabulary connects your paper to the right searches.

5

Test as a reader

Search your own terms on PubMed: are the results similar to your study? If not, adjust.

✓ “Artificial intelligence-assisted colonoscopy for adenoma detection: a case-control study”
✗ “A new approach to an old problem”
Titles that are too short hide the study; too long dilute the terms. The 12–18 word range usually balances precision and readability.

Frequently asked questions

Is a question mark in the title bad?

Not necessarily — question titles attract clicks, but declarative titles with the main finding tend to be cited more.

Should I use abbreviations in the title?

Only universally known ones (e.g., DNA). Niche abbreviations reduce the chance of appearing in searches.

Does a colon subtitle help?

Yes: the 'main topic: study design' formula organizes information and lets you include more search terms.

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Written by Francisco Tustumi, digestive system surgeon (FMUSP), associate editor of ABCD.

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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD. Technical manager: Dr. Francisco Tustumi | CRM: 157311 | RQE: 77151 - Cirurgia do Aparelho Digestivo

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