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How to write a systematic review using PRISMA

The best practise is applying PRISMA as early as possible. It is critical to keep each step is clear and transparent.

Introduction

Systematic reviews serve many critical roles. They can provide syntheses of the state of knowledge in a field, from which future research priorities can be identified; they can address questions that otherwise could not be answered by individual studies; they can identify problems in primary research that should be rectified in future studies; and they can generate or evaluate theories about how or why phenomena occur. To ensure a systematic review is valuable to users, authors should prepare a transparent, complete, and accurate account of why the review was done, what they did (such as how studies were identified and selected) and what they found (such as characteristics of contributing studies and results of meta-analyses).

Up-to-date reporting guidance facilitates authors achieving this. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. The PRISMA 2020 statement replaces the 2009 statement, which consists of a 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and revised flow diagrams for original and updated reviews. The authors are encouraged to refer to PRISMA 2020 early in the writing process.

The core of PRISMA

The core of PRISMA consists of three main parts, including (1) Abstract checklist, (2) Item checklist and an expanded checklist, and (3) flow diagram of review progress.

Table 1. PRISMA 2020 for Abstracts checklist

Section and topicItem numberChecklist item
Title  
Title1Identify the report as a systematic review.
Background  
Objectives2Provide an explicit statement of the main objective(s)
or question(s) the review addresses.
Methods  
Eligibility criteria3Specify the inclusion and exclusion criteria for the
review.
Information sources4Specify the information sources (e.g. databases,
registers) used to identify studies and the date
when each was last searched.
Risk of bias5Specify the methods used to assess risk of bias in the
included studies.
Synthesis of results6Specify the methods used to present and
synthesise results.
Results  
Included studies7Give the total number of included studies and
participants and summarise relevant characteristics
of studies.
Synthesis of results8Present results for main outcomes, preferably indicating
the number of included studies and participants for
each. If meta-analysis was done, report the
summary estimate and confidence/credible
interval. If comparing groups, indicate the
direction of the effect (i.e. which group is favoured).
Discussion  
Limitations of evidence9Provide a brief summary of the limitations of the evidence
included in the review (e.g. study risk of bias,
inconsistency and imprecision).
Interpretation10Provide a general interpretation of the results and
important implications.
Other  
Funding11Specify the primary source of funding for the review.
Registration12Provide the register name and registration number.

Table 2. PRISMA 2020 item checklist

Table 2. PRISMA 2020 item checklist.

Expanded PRISMA checklist can be downloaded here.

PRISMA 2020 flow diagram template for systematic reviews.

Figure 1. PRISMA 2020 flow diagram template for systematic reviews.

More information can be found (Here), enjoy your writing!

[1] Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: 10.1136/bmj.n71

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