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Systematic Review
Allison Elechko avatar
Written by Allison Elechko
Updated over a week ago

A systematic review is a way for researchers to gather and summarize all the scientific studies on a specific question in an organized and reliable way.

What is a systematic review?

Systematic reviews aim to provide a comprehensive and unbiased summary of the scientific literature on a particular topic. They follow a standardized methodology, which involves defining a research question, identifying relevant studies, critically evaluating their quality, and synthesizing the findings. This method makes sure the conclusions are based on the best and most complete evidence, which is why systematic reviews are super important in areas like medicine and public health. They help people make better decisions based on solid facts.

Advantages of systematic review

Comprehensive summary: Systematic reviews synthesize all relevant research, providing a thorough overview of a topic.

Minimized bias: They use rigorous methods to ensure reliability and reduce the risk of bias in the findings.

Limitations of systematic review

Time and resource-intensive: Conducting a systematic review requires significant time, expertise, and resources.

Dependent on available research: The quality and scope of the review are limited by the availability and reliability of existing studies.


The Hierarchy of Evidence

How does meta-analysis fit in with other types of evidence? Read more about the hierarchy of evidence here.


Key Components of Systematic Review

Comprehensive search: Systematic reviews involve a thorough search to locate all relevant published and unpublished work on a subject, minimizing bias by using predefined search strategies.

Explicit methods: They use explicit, reproducible methods to identify, critically appraise, and combine results of primary research studies, ensuring transparency and minimizing errors.

Predefined protocols: A full protocol is written to define and guide the process, including criteria such as population, intervention, comparison, and outcomes.

Bias minimization: Systematic reviews aim to reduce the effect of the reviewers' own bias by following a structured framework and using tools like the PRISMA guidelines.

Steps in Conducting a Systematic Review

  1. Define the research question: Clarify the aims and methods in a protocol, including eligibility criteria and subgroup hypotheses.

  2. Search for evidence: Conduct a comprehensive search to identify all relevant studies.

  3. Select studies: Screen and select studies based on predefined criteria.

  4. Data extraction: Extract relevant data on outcomes and quality from the selected studies.

  5. Assess study quality: Critically appraise the quality and risk of bias of the included studies.

  6. Synthesize evidence: Summarize the data for each outcome of interest, often using meta-analyses when possible.

  7. Interpret findings: Assess the certainty of the evidence and draw conclusions.

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