How to conduct a systematic review: A thread written with the help of ChatGPT
Conducting a Systematic Review is an important skill in biomedical research.
I am a literary scholar and don't know much about systematic reviews.
So, I read up on on it. Below is what I learned.
This thread is a summary of an article titled "Systematic Reviews and Meta-Analyses" by Lindsay S. Uman published in the Journal of Canadian Academy of Child Adolescent Psychiatry.
PMID: 21286370
Why are systematic reviews needed?
Since a lot of studies are published in health and biomedical sciences, it's difficult for researchers to keep up with recent developments.
A systematic review summarizes the outcomes of various studies conducted on a given topic.
Systematic reviews help researchers find out easily what works and what doesn't.
Systematic reviews require you to identify, appraise, and analyze all relevant studies to minimize bias.
A systematic review is different from a narrative review.
A narrative review is mainly descriptive with little analysis whereas a systematic review is meant to be analytic.
Systematic reviews also include a meta-analysis component.
This involves using statistical techniques to synthesize data from several studies into a single quantitative estimate or summary effect size.
Uman divides the process of a systematic review into 8 stages.
1. Formulate the review question
Start by defining the review question and forming hypotheses.
Use the formula: "Intervention" for "population" with "condition"
E.g. Dialectical behavior therapy for adolescent females with borderline personality disorder
2. Define inclusion and exclusion criteria
Use the Cochrane acronym PICO (population, intervention, comparison, outcomes) to decide on key components before starting the review.
3. Develop search strategy and locate studies
Work with a reference librarian to develop and run electronic searches.
Generate a comprehensive list of key terms related to each component of PICO to identify all relevant trials.
4. Select studies
Review abstracts and obtain full-text articles for studies meeting inclusion criteria.
Keep a log of all reviewed studies with reasons for inclusion or exclusion. Contact study authors if necessary for missing information.
5. Extract data
Create a data extraction form or table to organize info extracted from each reviewed study.
At least, two reviewers should extract data to ensure inter-rater reliability and to avoid data entry errors.
6. Assess study quality
Assess the quality of each randomized controlled trial (RCT) included in the review using.
7. Analyze and interpret results
You can use various statistical programs like "Review Manager" available to calculate effects sizes for meta-analyses.
Summarize your findings and provide recommendations for future research.
8. Disseminate findins
Publish your findings in simple and easy-to-read language without jargon for the benefit of patients.
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