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Systematic reviews: Systematic review

A systematic review is a structured and comprehensive analysis of existing research on a specific topic, where multiple scientific studies are collected, evaluated, and synthesized to answer a clearly defined research question.

The aim is to minimize bias and provide a more accurate and reliable conclusion than individual studies.

Step-by-step to a systematic review

"A systematic review attempts to collect relevant evidence that fits pre-specified criteria to answer a specific research question". Source: Center for Evidence Synthesis in Health: https://www.brown.edu/public-health/cesh/home

Types of review in the systematic review familty

Type  

Aim 

Search 

Quality Appraisal 

Evidence Synthesis 

Analysis 

Systematic Review 

To address specific research questions through a structured and pre-defined method. 

Exhaustive search aiming for comprehensive coverage of relevant studies. 

Rigorous and explicit criteria used to assess the quality of included studies. 

Integrates findings from multiple studies using a systematic method. 

Quantitative (meta-analysis) or qualitative synthesis. 

Meta-analysis 

To statistically combine results from multiple quantitative studies to determine overall effect size. 

Exhaustive search focusing on studies with quantitative data. 

Rigorous quality appraisal to ensure the validity and reliability of included studies. 

Combines statistical results from different studies to produce a summary effect size. 

Statistical analysis, effect size calculation. 

Comparative Effectiveness Review 

To compare the benefits and harms of different interventions to inform healthcare decisions. 

Comprehensive search of studies comparing various interventions. 

Rigorous appraisal to ensure high-quality, comparable studies are included. 

Synthesises evidence to compare the effectiveness of interventions. 

Comparative analysis, meta-analysis. 

Diagnostic Systematic Review 

To evaluate the accuracy and effectiveness of diagnostic tests. 

Extensive search for studies on diagnostic tests and their outcomes. 

Rigorous assessment of study quality, focusing on diagnostic accuracy. 

Integrates findings to determine the effectiveness and accuracy of diagnostic tests. 

Diagnostic accuracy meta-analysis. 

Network Meta-analysis 

To compare multiple interventions simultaneously by combining direct and indirect evidence. 

Comprehensive search for studies involving various interventions. 

Rigorous quality appraisal of all included studies. 

Combines data from different studies to compare multiple interventions. 

Statistical analysis, network diagrams. 

Prognostic Review 

To summarise and analyse evidence on the factors that predict outcomes of interest. 

Exhaustive search for studies on prognostic factors and outcomes. 

Rigorous appraisal to include high-quality prognostic studies. 

Synthesises findings to identify and evaluate prognostic factors. 

Meta-analysis, narrative synthesis. 

Psychometric Review 

To evaluate the measurement properties of psychometric instruments. 

Comprehensive search for studies assessing psychometric tools. 

Rigorous quality appraisal focusing on validity and reliability. 

Synthesises evidence on the measurement properties of psychometric instruments. 

Meta-analysis of psychometric properties. 

Review of Economic Evaluations 

To summarise and analyse evidence on the cost-effectiveness of interventions. 

Exhaustive search for studies on economic evaluations of interventions. 

Rigorous appraisal of study quality, focusing on economic methodologies. 

Synthesises findings on cost-effectiveness to inform economic decisions. 

Economic analysis, cost-effectiveness analysis. 

Systematic Review of Epidemiology Studies 

To synthesise evidence on the distribution and determinants of health-related states or events. 

Comprehensive search for epidemiological studies. 

Rigorous quality appraisal to ensure inclusion of high-quality studies. 

Integrates findings to understand patterns and causes of health-related states or events. 

Descriptive analysis, meta-analysis. 

Living Reviews 

To provide continuously updated summaries of evidence as new studies become available. 

Continuous search to incorporate the latest research. 

Ongoing quality appraisal to include new, high-quality studies. 

Continuously updates evidence synthesis to reflect the latest findings. 

Dynamic analysis, regular updates. 

Table inspired by: Meeting the review family: exploring review types and associated information retrieval requirements. DOI: 10.1111/hir.12276

Systematic review process

Image title: Steps in a systematic review
License: Attribution-ShareAlike 2.0 Generic (CC BY-SA 2.0)
Source: Karolinska Institutet University Library

What is a systematic review?

 

PRISMA logo

Systematic reviews aim to answer a precisely defined research question by gathering all evidence that meets specifically defined criteria. In medicine, this evidence often comes from other published randomized clinical trials.

A defining characteristic of a systematic review is that it includes a well-defined question, well-defined inclusion and exclusion criteria, a screening process conducted by at least two reviewers, a quality assessment of the evidence, and documentation of the review process in line with professional guidelines.

For example, a systematic review often follows the PRISMA Checklist, and the screening process is documented in a flowchart. Find the PRISMA checklist and flowchart here (http://www.prisma-statement.org/)

Translations and adjustments to PRISMA

Banner from Equator Network

Find the latest version of the PRISMA checklist, along with translations into other languages and adaptations for professional/methodological contexts, on the EQUATOR Network.
https://www.equator-network.org/reporting-guidelines/prisma/

How to write a Systematic Review

How to Write a Systematic Review Without Meta-analysis. | DOI: 10.4103/ijamr.ijamr_296_23 

Systematic Reviews in the Social Sciences : A Practical Guide: | ISBN : 9781405150149.

Procedures for Performing Systematic Reviews. | Technical Report

Find Murdoch University Library´s disciplinary guidance in how to conduct a systematic review here: https://libguides.murdoch.edu.au/c.php?g=917599&p=6916674