The PRISMA statement defines a systematic review as "a review of a clearly formulated question that uses systematic and explicit methods to identify, select, and critically appraise relevant research, and to collect and analyze data from the studies that are included in the review. Statistical methods (meta-analysis) may or may not be used to analyze and summarize the results of the included studies. Meta-analysis refers to the use of statistical techniques in a systematic review to integrate the results of included studies." 1
In the Cochrane Handbook for Systematic Reviews of Interventions, the key characteristics of a systematic review are listed as:
Register your protocol. Several options include:
An additional step to confirm the robustness of your search strategy is to have another set of eyes review it.
McGowan J, Sampson M, Salzwedel DM, Cogo E, Foerster V, Lefebvre C. PRESS Peer Review of Electronic Search Strategies: 2015 Guideline Statement. J Clin Epidemiol. 2016 Jul;75:40-6. http://dx.doi.org/10.1016/j.jclinepi.2016.01.021
Data extraction is the process by which one extracts and records study characteristics and findings from each study included in the systematic review. This information can be recorded in a spreadsheet or word processor. Or, use a software program such as Covidence, RevMan, or DistillerSR, or survey program such as Qualtrics or Google Forms.
What data, study characteristics, and information to extract from each study is unique to each review, but extracted data may include:
A requirement of every systematic review is to appraise the quality of each included study. The tool used will depend on the study methodology used. You will see the following phrases used for this phase of the systematic review: critical appraisal, quality assessment, assessment of risk of bias.
The Brown University School of Public Health Evidence Synthesis Academy has developed a series of tutorials and videos about conducting systematic reviews. Here is the introductory video:
According to the Cochrane website, "Our volunteers and contributors are researchers, health professionals, patients, carers, and people passionate about improving health outcomes for everyone, everywhere. Our global independent network gathers and summarizes the best evidence from research to help you make informed choices about treatment and we have been doing this for 25 years." This video defines a systematic review:
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