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July 20, 2024American Journal of Epidemiology104 citationsOpen Access

Systematic reviews of the literature: an introduction to current methods

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RBRomina Brignardello‐PetersenNSNancy SantessoGGGordon Guyatt

Key Points

  • Systematic reviews synthesize evidence using explicit eligibility criteria and reproducible methods, which minimizes biases when evaluating interventions and exposures.
  • Standard review workflows follow 5 core steps ranging from a priori subgroup hypotheses to risk of bias assessments, pooling data with meta-analyses whenever possible.
  • Methodological guidance clarifies that systematic reviews differ from narrative and scoping reviews, highlighting that specialized tools require domain and content expertise.

Abstract

Abstract Systematic reviews are a type of evidence synthesis in which authors develop explicit eligibility criteria, collect all the available studies that meet these criteria, and summarize results using reproducible methods that minimize biases and errors. Systematic reviews serve different purposes and use a different methodology than other types of evidence synthesis that include narrative reviews, scoping reviews, and overviews of reviews. Systematic reviews can address questions regarding effects of interventions or exposures, diagnostic properties of tests, and prevalence or prognosis of diseases. All rigorous systematic reviews have common processes that include: 1) determining the question and eligibility criteria, including a priori specification of subgroup hypotheses 2) searching for evidence and selecting studies, 3) abstracting data and assessing risk of bias of the included studies, 4) summarizing the data for each outcome of interest, whenever possible using meta-analyses, and 5) assessing the certainty of the evidence and drawing conclusions. There are several tools that can guide and facilitate the systematic review process, but methodological and content expertise are always necessary.

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Cite This Study

Brignardello‐Petersen et al. (2024) studied this question.

synapsesocial.com/papers/68e5fa56b6db64358758e089https://doi.org/10.1093/aje/kwae232
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Also Consider

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  5. 5QUADAS-2: A Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies2011 · 14,449 citations