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Systematic Reviews

Resources for planning and conducting a Systematic Review of the literature.

Executing the Database Search

In this example below, the individual components are searched first, utiliizing OR to combine terms 1 and 2. The finalized result set (search #15) is obtained by combining these searches with AND and applying limits. Organization of the search strategy in this manner facilitates evaluation by the systematic review team and provides the reader with a display which is easier to follow in the published article.

organization of PICO search strategy by ORing terms for each PICO component first, then ANDing

 

The following search example in PubMed utilizing P, I and O components for the research question "In patients with autism, does music therapy improve social interaction." Note that this statement does not include a comparison. Keyword truncation (*) and MeSH terms are both applied to this search. The final search #10 shows that the filters for Clinical Trial and published in the last 5 years resulted in a set of seven citations.

PubMed's Search History combining PIO, demonstrating individual PIO searches, then ANDed

Search Hedges/Filters

Consider using a preconfigured search strategy--also called a hedge or filter--to help retrieve more relevant citations. These sites include hedges for topics such as randomozied controlled trials, qualitative research, age groups, etc. Some also include information on the quality of the hedges: have they been validated? Are they current?

Evaluating & Reporting Search Strategies

Hand Searching

  • A method of searching article-by-article through targeted journals to identify relevant studies that database searching may have missed
  • Print journals: a manual page-by-page examination of the entire contents of a journal issue or conference proceedings to identify all eligible reports of trials
  • Electronic journals: can also be ‘handsearched’ in a similar manner to that advocated for journals in print form, in that each screen or ‘page’ can be checked for possibly relevant studies in the same way as handsearching a print journal
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