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Planning, performing, protocolling, analysing and reporting a systematic search is a challenging and time-consuming task, especially if it is intended to culminate in a dedicated systematic review article, which is -in full rigour- the most comprehensive, transparent and unbiased analysis, synthesis and summary of the current state of research. The whole process might need the distribution of the workload amongst several scientists. Inclusion of an information specialist should be considered.
Originating in health sciences, the guidelines "Preferred Reporting Items for Systematic Reviews and Meta-Analyses" (PRISMA) and its extensions (e.g. for ecology or evolutionary biology) are the most commonly used resources to follow on what a full systematic review should include. Some disciplines have adopted their own reporting framework such as the "RepOrting standards for Systematic Evidence Syntheses" (ROSES) in environmental science and related fields.
The individual steps can be outlined in various ways but they always follow a similar path. Often, supporting tools are available.
Steps involved
Formulating a research question for a systematic search requires precision, clarity, and a structured approach to ensure the question is specific and researchable.
Define the scope of your research
Use a question framework
Question frameworks help break down your research question into manageable parts. Many frameworks originate from evidence based research in health sciences but can readily be adapted for other disciplines. Typical frameworks include:
PICO (Population/Problem/Patient/Research Object, Intervention/Issue/Method, Comparison/Comparator/Control/Alternative Method, Outcome/Knowledge Generation)
SPICE (Setting, Population/Perspective, Intervention, Comparison, Evaluation)
SPIDER (Sample, Phenomenon of interest, Design, Evaluation, Research Type)
PEO (Population/Problem/Patient, Exposure/Issue/Intervention, Outcome)
Refine and specify your question
Be specific: Avoid overly broad or vague terms. Focus on variables: Clearly identify independent and dependent variables if applicable.
Example of Refinement:
Test the question
Example Questions
Developing a design for the systematic review helps to plan and outline the study methodology.
The design should address the following points:
Rationale/scope of the review and the research question
Inclusion and exclusion criteria
Define clear criteria to filter relevant studies, such as:
Selection of data sources
Include a mix of:
Comprehensive search strategy
Also refer Lib4RI's Info sheet Topic Search.
Screening and analysing the studies
No search strategy leads to 100% relevant hits. So, there will always be the need to first separate the irrelevant ones applying predefined selection criteria. Selection and the subsequent deeper analysis and assessment of the relevant studies is usually the most time consuming part of the review. Appropriate software tools as well as sharing the workload need to be addressed.
Perform searches according to the developed research design with special emphasis on your search strategy. Use protocols/checklists/flow diagrams as for example provided by PRISMA, ROSES or RefHunter (in German) for transparency. Most databases also allow saving of a search and its search string, so a) it can easily be repeated and b) an alert can be setup to get regularly informed about updates for your search.
Records typically include:
Albeit somewhat depending on the actual number of records received the screening process typically is a 2-step process with the aim of excluding the non-relevant studies based on titles and abstracts (1) and full texts (2).
Extracting and synthesizing data
In the data extraction process key information is systematically collected from the studies ensuring that the data is organized, relevant and comparable across studies, enabling researchers to synthesize findings effectively.
Assessing the quality of the studies
Critically evaluate the methodological rigour of the included studies. This helps assess the trustworthiness of their findings and the overall strength of the evidence. Use standard appraisal tools such as CASP, GRADE, Cochrane Risk of Bias tool, STROBE or AMSTAR.
Summarise and discuss the results according to guidelines such as PRISMA or ROSES for systematic reviews or meta-analyses. This should typically include:
A systematic review could for example be structured as follows: