This document discusses systematic reviews and provides guidance on conducting comprehensive literature searches for systematic reviews. It notes that adherence to an explicit protocol is what makes a review systematic, while lack of protocol adherence makes a review unsystematic. The document also discusses challenges with systematic reviews, such as variation in conclusions between reviews on the same topic. It provides examples of literature search strategies and reporting from published systematic reviews. Overall, the document outlines best practices for conducting thorough literature searches and reporting search methods in systematic reviews.
For a School of Information class on medical librarianship, this presentation was created to provide a very basic introduction and overview of the concepts, expectations, and experience of the librarian portion of working in a systematic review team.
A session for the Dent 610 course at the University of Michigan, on research methods and processes. Specific focus of this session on systematic review methods and processes, especially through database searching.
A systematic review uses systematic and explicit methods to identify, select, critically appraise, and extract and analyze data from relevant research [Higgins & Green 2011].
How to conduct abstract screening for systematic review – PubricaPubrica
Abstract screening is a necessary step in conducting a thorough and efficient systematic assessment.
• Before screening begins
• During abstract screening
• After screening ends
Continue Reading: https://bit.ly/2UmT1HQ
For our services: https://pubrica.com/services/research-services/systematic-review/
Why Pubrica:
When you order our services, We promise you the following – Plagiarism free | always on Time | 24*7 customer support | Written to international Standard | Unlimited Revisions support | Medical writing Expert | Publication Support | Biostatistical experts | High-quality Subject Matter Experts.
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United Kingdom: +44-1618186353
Presentation at: Developing Search Methods for Systematic Review Workshop; September 19, 2015; Sina Trauma and Surgery Research Centre , Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Included Topics: developing search protocols for systematic reviews, search strategies, search resources, search levels, search operators, management of search results, search and information management methods.
EBSCO Publishing Citation Format APA (American Psychologica.docxtidwellveronique
EBSCO Publishing Citation Format: APA (American Psychological Assoc.):
NOTE: Review the instructions at http://support.ebsco.com.library.capella.edu/help/?int=ehost&lang=&feature_id=APA and make any
necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult your library
resources for the exact formatting and punctuation guidelines.
References
Brossart, D. F., Meythaler, J. M., Parker, R. I., McNamara, J., & Elliott, T. R. (2008). Advanced regression methods for single-
case designs: Studying propranolol in the treatment for agitation associated with traumatic brain injury. Rehabilitation
Psychology, 53(3), 357–369. https://doi-org.library.capella.edu/10.1037/a0012973
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Advanced Regression Methods for Single-Case Designs: Studying Propranolol in the Treatment for Agitation
Associated With Traumatic Brain Injury
By: Daniel F. Brossart
Department of Educational Psychology, Texas A&M University;
Jay M. Meythaler
Department of Physical Medicine and Rehabilitation, Wayne State University;
Rehabilitation Institute of Michigan, Detroit, Michigan
Richard I. Parker
Department of Educational Psychology, Texas A&M University
James McNamara
Department of Educational Psychology, Texas A&M University
Timothy R. Elliott
Department of Educational Psychology, Texas A&M University
Acknowledgement: This study was funded in part by National Institute of Disability Research and Rehabilitation
Grant H 133G000072 awarded to Jay M. Meythaler. Appreciation is expressed to Michael E. Dunn for sharing
information and opinions about the history of single-case designs in rehabilitation psychology research. Graphs of
participant data not presented in this article are available upon request from Daniel F. Brossart.
In a thoughtful commentary, Aeschleman (1991) observed a decreasing interest in single-case research (SCR)
designs in the rehabilitation psychology literature: Between 1985 and 1989, Aeschleman found only 6 out of 402
empirical papers published in Rehabilitation Psychology, Archives of Physical Medicine and Rehabilitation, and
Rehabilitation Counseling Bulletin used a single-subject design (<1.5% of the total; Aeschleman, 1991, p. 43). A brief
examination of the past 15 years of Rehabilitation Psychology reveals one article that offered an innovative way to
analyze single-case data (Callahan & Barisa, 2005) and another that was a true single-case study (Pijnenborg,
Withaar, Evans, van den Bosch, & Brouwer, 2007).
We disagree with Aeschleman's bleak conclusion that SCR designs “… have not made a methodological impact on
research in reh.
For a School of Information class on medical librarianship, this presentation was created to provide a very basic introduction and overview of the concepts, expectations, and experience of the librarian portion of working in a systematic review team.
A session for the Dent 610 course at the University of Michigan, on research methods and processes. Specific focus of this session on systematic review methods and processes, especially through database searching.
A systematic review uses systematic and explicit methods to identify, select, critically appraise, and extract and analyze data from relevant research [Higgins & Green 2011].
How to conduct abstract screening for systematic review – PubricaPubrica
Abstract screening is a necessary step in conducting a thorough and efficient systematic assessment.
• Before screening begins
• During abstract screening
• After screening ends
Continue Reading: https://bit.ly/2UmT1HQ
For our services: https://pubrica.com/services/research-services/systematic-review/
Why Pubrica:
When you order our services, We promise you the following – Plagiarism free | always on Time | 24*7 customer support | Written to international Standard | Unlimited Revisions support | Medical writing Expert | Publication Support | Biostatistical experts | High-quality Subject Matter Experts.
Contact us:
Web: https://pubrica.com/
Blog: https://pubrica.com/academy/
Email: sales@pubrica.com
WhatsApp : +91 9884350006
United Kingdom: +44-1618186353
Presentation at: Developing Search Methods for Systematic Review Workshop; September 19, 2015; Sina Trauma and Surgery Research Centre , Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Included Topics: developing search protocols for systematic reviews, search strategies, search resources, search levels, search operators, management of search results, search and information management methods.
EBSCO Publishing Citation Format APA (American Psychologica.docxtidwellveronique
EBSCO Publishing Citation Format: APA (American Psychological Assoc.):
NOTE: Review the instructions at http://support.ebsco.com.library.capella.edu/help/?int=ehost&lang=&feature_id=APA and make any
necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult your library
resources for the exact formatting and punctuation guidelines.
References
Brossart, D. F., Meythaler, J. M., Parker, R. I., McNamara, J., & Elliott, T. R. (2008). Advanced regression methods for single-
case designs: Studying propranolol in the treatment for agitation associated with traumatic brain injury. Rehabilitation
Psychology, 53(3), 357–369. https://doi-org.library.capella.edu/10.1037/a0012973
<!--Additional Information:
Persistent link to this record (Permalink): http://library.capella.edu/login?url=http://search.ebscohost.com
/login.aspx?direct=true&db=pdh&AN=2008-11210-010&site=ehost-live&scope=site
End of citation-->
Advanced Regression Methods for Single-Case Designs: Studying Propranolol in the Treatment for Agitation
Associated With Traumatic Brain Injury
By: Daniel F. Brossart
Department of Educational Psychology, Texas A&M University;
Jay M. Meythaler
Department of Physical Medicine and Rehabilitation, Wayne State University;
Rehabilitation Institute of Michigan, Detroit, Michigan
Richard I. Parker
Department of Educational Psychology, Texas A&M University
James McNamara
Department of Educational Psychology, Texas A&M University
Timothy R. Elliott
Department of Educational Psychology, Texas A&M University
Acknowledgement: This study was funded in part by National Institute of Disability Research and Rehabilitation
Grant H 133G000072 awarded to Jay M. Meythaler. Appreciation is expressed to Michael E. Dunn for sharing
information and opinions about the history of single-case designs in rehabilitation psychology research. Graphs of
participant data not presented in this article are available upon request from Daniel F. Brossart.
In a thoughtful commentary, Aeschleman (1991) observed a decreasing interest in single-case research (SCR)
designs in the rehabilitation psychology literature: Between 1985 and 1989, Aeschleman found only 6 out of 402
empirical papers published in Rehabilitation Psychology, Archives of Physical Medicine and Rehabilitation, and
Rehabilitation Counseling Bulletin used a single-subject design (<1.5% of the total; Aeschleman, 1991, p. 43). A brief
examination of the past 15 years of Rehabilitation Psychology reveals one article that offered an innovative way to
analyze single-case data (Callahan & Barisa, 2005) and another that was a true single-case study (Pijnenborg,
Withaar, Evans, van den Bosch, & Brouwer, 2007).
We disagree with Aeschleman's bleak conclusion that SCR designs “… have not made a methodological impact on
research in reh.
Whether you are preparing for an upcoming nursing exam or struggling with a specific topic, our service is designed to cater to your unique needs. We offer personalized tutoring and support to help you overcome your challenges and achieve your academic goals. With our take my nursing exam, you can improve your nursing knowledge and skills and feel confident when taking your nursing exams. For more information visit us at https://www.liveexamhelper.com/take-my-nursing-exam.html or email support@liveexamhelper.com. You can also call +1 (315) 557-6473 for assistance with nursing exams.
Running head WEEK 7 ASSIGNMENTA THEORETICAL FRAMEWORK 1WEE.docxrtodd599
Running head: WEEK 7 ASSIGNMENT:A THEORETICAL FRAMEWORK
1
WEEK 7 ASSIGNMENT:A THEORETICAL FRAMEWORK
3
Week 7 Assignment:A Theoretical Framework
Name
Name of the Institution
A Theoretical Framework
Several theories have been conceptualized in the past on the concept of employees’ wellbeing and health. Studies have liked the deterioration of employee health and wellbeing on lack or reduced motivation in the organization or among employees in the organization. In most cases, the theories that have been used to study employees’ health and wellbeing in connection to motivation are naturally content and process theories. Process theories are focused on studying the needs of the employees while process theories are focused on understanding the behaviors of the employees. This study will investigate both the needs and the behaviors of the employees based on the variables in the research topic.
According to a study that was done by Abbot and Doucouliagos (2003), most of the content theories investigates the incentives, necessities and the basic elements of the job that contribute to human contentment. They also focus on understanding the basic factor in the organization that influences the conduct of the employees. Some of the commonly known content theories include Herzberg’s two-factor theory, McClelland’s theory, Maslow’s hierarchy of needs theory, and Alderfer’s ERG theory. This study will employ McClelland’s theory, Maslow’s hierarchy of needs theory
to understand the needs of the employees in this study. Similarly, Burns and Others (2015) argues that process theories are the kind of theories that investigate and explains factors that stimulate, direct, maintain and stop employees’ behaviors in an organizational perspective. There are four types of process theories and they include Expectancy, Equity, Reinforcement, and Goal setting theories. However, based on the goals and objectives of this study, expectancy and equity theories will be used alongside the identified content theories.
References
Abbott, M. & Doucouliagos, C. (2003). The efficiency of Australian universities: A data envelopment analysis. Economics of Education Review, 22(1), 89-97
Burns, A. J., Roberts, T. L., Posey, C., Bennett, R. J. & Courtney, J. F. (2015). Assessing the role of security education, training, and awareness on insiders' security-related behavior: An expectancy theory approach. In: System Sciences (HICSS), 2015 48th Hawaii International Conference.
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Methods Pyramids as an Organizing Structure for Evidence-Based Medicine--SIGC...jodischneider
Keynote talk 2020-08-01 for the JCDL Workshop on Conceptual Models: https://sig-cm.github.io/news/JCDL-2020-CFP/
Discussion points:
* Methods are a key part of the Knowledge Organizing Structure for Evidence-Based Medicine.
* Methods relate to how we GENERATE evidence.
* Different methods generate evidence of different kinds and strength.
* I believe Methods can be useful in mining claims and arguments from papers: methods AUTHORIZE claims.
* More specialized hierarchies of evidence can be found in medicine
* Various groups are complicating the “evidence pyramid” hierarchy of evidence.
Applied Research Essay example
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NURS-6052N-37, Essent of Evidence-Based Pract.2017Discussion-1.docxcarlibradley31429
NURS-6052N-37, Essent of Evidence-Based Pract.2017
Discussion:-1
Nursing Research and Evidence-Based Practice
In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.
Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).
To prepare:
Consider a recent clinical experience in which you were providing care for a patient.
Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
What questions have you thought about in a particular area of care such as a procedure or policy?
Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.
Learning Resources
Required Readings
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Introduction to Nursing Research in an Evidence-Based Practice Environment”
This chapter provides an introduction to nursing research, its history, and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research.
Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice”
The focus of this chapter includes an overview of the key aspects of evidence-based practice, a review of how to identify credible research and appraise its value, and, finally, a discussion on how to take the identified evidence and convert it into a practice.
Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research.
Presenting a published paper:
"Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review
approach"
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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2. What makes a review systematic (as opposed to unsystematic) is the use of an explicit
and auditable protocol for review.
If what makes a review systematic is adherence to a protocol, what makes a review
unsystematic is simply that it does not adhere to a protocol.
Sandelowski, M. (2008). Reading, writing and systematic review. Journal of Advanced Nursing, 64(1), 104-110.
8. Systematic Reviews in Academia
Is it appropriate;
d) to assign an individual the task of completing a systematic review as their first major
postgraduate project?
b) to assign a systematic review project to an individual, when clearly the majority of systematic
reviews are completed by teams.
h) Is Academia arming these researchers/students with enough knowledge and understanding of
what an SR is and how to undertake such a large and involved project.
9.
10.
11. Cochrane Handbook guidelines on Searching
“ When designing a search strategy, in order to be comprehensive it is necessary to include a wide
range of free-text terms for each of the concepts selected.”
“Use a wide-variety of search terms, combined with OR within each concept.”
Use “both free-text and subject headings”.
“Searches for systematic reviews aim to be as extensive as possible in order to ensure the as
many as possible of the necessary and relevant studies are included in the review”
Higgins, J. P. T., Green, S., & Cochrane Collaboration. (2008). Cochrane handbook for systematic reviews of interventions. Chichester,
England ; Hoboken, NJ: Wiley-Blackwell
12. If what makes a review systematic is adherence to a protocol, what makes a review
unsystematic is simply that it does not adhere to a protocol.
Sandelowski, M. (2008). Reading, writing and systematic review. Journal of Advanced Nursing, 64(1), 104-110.
13. Examples of Search Strategy Reporting in a
Journal Based Systematic Review (2)
Data Sources and Searches
We searched the Cochrane Central Register of Controlled Trials and Cochrane Database of
Systematic Reviews (through the fourth quarter of 2008) and MEDLINE (1 January 2001 to 1
December 2008) for relevant studies and meta-analyses (16). We also conducted secondary
referencing by manually reviewing reference lists of key articles and searching citations by using
Web of Science (17). Appendix Figure 2 (available at www.annals.org) shows our search
results.
Nelson, H. D., Tyne, K., Naik, A., Bougatsos, C., Chan, B. K., & Humphrey, L. (2009). Screening for breast cancer: An
update for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 151(10), 727-737.
15. Examples of Search Strategy Reporting in a
Journal Based Systematic Review (1)
Data sources and searches
We conducted the review by using the following protocol. Two reviewers independently searched the
MEDLINE, Web of Science, EMBASE, CINAHL, PsycINFO, and ERIC databases for studies
published through September 2006 whose title, abstract, or keywords included reference to both
false-positive results and screening mammography.
The search terms were (false positive OR abnormal OR benign) AND (breast cancer OR
mammog*).
We also manually searched the reference sections of relevant papers and circulated requests for
unpublished studies among colleagues and the authors of the articles we identified. We limited
the searches to English-language studies.
Brewer, N. T., Salz, T., & Lillie, S. E. (2007). Systematic review: The long-term effects of false-positive mammograms. Annals of Internal
Medicine, 146(7), 502-510
16. Search Strategy Reporting: Same topic, different
search strategies and reporting.
Psychological consequences of False-Positive Mammograms
– The Bond et al search strategy, is over 18 pages
– The Brewer et al search strategy is 2 lines.
– Bond et al search 15 databases
– Brewer search 6 databases including ERIC
– Bond et al identified 5058 articles
– Brewer identified 11,726 articles.
Mary Bond, Toby Pavey, Chris Cooper, Chris Hyde, Ruth Garside. A systematic review of the psychological consequences of false-positive
screening mammograms. PROSPERO 2011:CRD42011001345
Brewer, N. T., Salz, T., & Lillie, S. E. (2007). Systematic review: The long-term effects of false-positive mammograms. Annals of Internal
Medicine, 146(7), 502-510
17.
18. “I don’t really know much about systematic reviews but
that’s what I’ve got to do.”
19. If you are doing almost anything related to health care
today, being “evidence based” is de rigeur.
Steinberg (2005)
Steinberg, E. P., & Luce, B. R. (2005). Evidence based? Caveat emptor! Health Affairs, 24(1), 80-92.
20. The Rise and Rise of Systematic Reviews
Boell, Sebastian and
Cezec-Kecmanovic,
Dubravka, “Are systematic
reviews better, less biased
and of higher quality?"
(2011). ECIS 2011
Proceedings. Paper 223.
http://aisel.aisnet.org/ecis2
011/223
21.
22.
23. Systematic Review critiques
– There can be large variation in conclusions of systematic reviews on the same topic.
(Sandelowski 2008)
– “Systematic reviews ostensibly addressing the same research question will not include
the same reports nor necessarily come to the same conclusions.”
(Sandelowski 2008)(Ezzo 2001) (Linde & Willich 2003)
– “The outcomes of systematic reviews are as situated, partial and perspectival as any other
human activity.”( Lather 1999) (Sandelowski 2008)
24. Systematic Review critiques
Dijkers writes “Reviews are becoming indispensable in keeping up with an exponentially growing
rehabilitation literature.
Adherents of the systematic reviews that support evidence-based practice have been quite dismissive
of narrative (traditional, qualitative, and non-systematic) reviews.
However, the types of problems that plague the latter may also be found in systematic reviews,
which, in addition, have problems of their own.”
Dijkers, M. P. J. M. (2009). The value of "traditional" reviews in the era of systematic reviewing. American Journal of Physical Medicine and
Rehabilitation, 88(5), 423-430.
25.
26. Nelson, H. D., Tyne, K., Naik, A., Bougatsos, C., Chan, B. K., & Humphrey, L.
(2009).
Screening for breast cancer: An update for the U.S. Preventive Services Task Force.
Annals of Internal Medicine, 151(10), 727-737
27. Letters regarding Nelson et al Screening for breast cancer: An update for the
U.S. Preventive Services Task Force 2009
– We believe that this statement mischaracterises the empirical literature (
DeFrank & Brewer, 2010)
– “unfortunately the report drifts away from the published evidence” (DeFrank & Brewer, 2010)
– The USPSTF evaluation and supporting articles are plagued with ambiguity over the terms
“screen” and “screening” when used alone and in conjunction with mammography.” (Dean, 2010)
– Unfortunately these erroneous data from the early overview were used for both the 2002 and 2009
USPSTF evaluations. (Dean, 2010)
– It is indefensible that Nelson and colleagues base their estimate of diagnosis on flawed studies
when data from 600,000 randomly assigned women are available. (Jørgensen & Gøtzsche, 2010)
– It is curious that Nelson and colleagues do not quote our Cochrane review as they searched the
Cochrane Library.(Jørgensen & Gøtzsche, 2010)
– The USPSTF study lacks evidence to support a reduction in mammography screening in African-
American and Latino women” (Seewaldt, 2010)
Nelson, H. D., Tyne, K., Naik, A., Bougatsos, C., Chan, B. K., & Humphrey, L. (2009). Screening for breast cancer: An update for the U.S.
Preventive Services Task Force. Annals of Internal Medicine, 151(10), 727-737.
28. Screening for breast cancer: An update for the
U.S. Preventive Services Task Force
Data Sources and Searches
We searched the Cochrane Central Register of Controlled Trials and Cochrane Database of
Systematic Reviews (through the fourth quarter of 2008) and MEDLINE (1 January 2001 to 1
December 2008) for relevant studies and meta-analyses (16). We also conducted secondary
referencing by manually reviewing reference lists of key articles and searching citations by using
Web of Science (17). Appendix Figure 2 (available at www.annals.org) shows our search
results.
Nelson, H. D., Tyne, K., Naik, A., Bougatsos, C., Chan, B. K., & Humphrey, L. (2009). Screening for breast cancer: An
update for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 151(10), 727-737.
29. Roles for Librarians in Systematic Reviews
As search, database and information experts;
– Scope Searching
– Assist in the formulation of Search Strategies.
– Nominate suitable databases to search
– Endnote Training
– Provide Systematic Reviewers with an overview of currently available protocols or methodologies
– Assist in the reporting of and layout of the search strategy
– Provide a critiquing role on the reporting of the review (What have they included, what have they
left out)
– Librarian involvement in training for potential reviewers.
– Being a member of the Review team
– Recommending against a Systematic Review where appropriate.
30. Bibliography
Boell, S. K., & Cecez-Kecmanovic, D. (2010). Literature reviews and the hermeneutic circle. Australian Academic and Research Libraries, 41(2),
129-144.
Boell, S. K., & Cezec-Kecmanovic, D. (2011). Are systematic reviews better, less biased and of higher quality? Paper presented at the
European Conference on Information Systems (ECIS). http://aisel.aisnet.org/ecis2011/223
Dean, P. B. (2010). Comments and response on the USPSTF recommendation on screening for breast cancer [4]. Annals of Internal Medicine,
152(8), 539.
DeFrank, J. T., & Brewer, N. T. (2010). The background review for the USPSTF recommendation on screening for breast cancer [2]. Annals of
Internal Medicine, 152(8), 537-538.
Dijkers, M. P. J. M. (2009). The value of "traditional" reviews in the era of systematic reviewing. American Journal of Physical Medicine and
Rehabilitation, 88(5), 423-430.
Ezzo, J., Bausell, B., Moerman, D. E., Berman, B., & Hadhazy, V. (2001). Reviewing the reviews: How strong is the evidence? How clear are the
conclusions? International Journal of Technology Assessment in Health Care, 17(4), 457-466.
Higgins, J. P. T., Green, S., & Cochrane Collaboration. (2008). Cochrane handbook for systematic reviews of interventions. Chichester,
England ; Hoboken, NJ: Wiley-Blackwell.
Jørgensen, K. J., & Gøtzsche, P. C. (2010). The background review for the USPSTF recommendation on screening for breast cancer [3].
Annals of Internal Medicine, 152(8), 538.
Kitchenham, B. (2004). Procedures for performing systematic reviews. Keele, UK, Keele University, 33, 2004.
McMichael, C., Waters, E., & Volmink, J. (2005). Evidence-based public health: What does it offer developing countries? Journal of Public
Health, 27(2), 215-221.
Moher, D., Tetzlaff, J., Tricco, A. C., Sampson, M., & Altman, D. G. (2007). Epidemiology and Reporting Characteristics of Systematic Reviews.
PLoS Med, 4(3), e78. doi: 10.1371/journal.pmed.0040078
Nelson, H. D., Tyne, K., Naik, A., Bougatsos, C., Chan, B. K., & Humphrey, L. (2009). Screening for breast cancer: An update for the U.S.
Preventive Services Task Force. Annals of Internal Medicine, 151(10), 727-737.
Sampson, M., McGowan, J., Tetzlaff, J., Cogo, E., & Moher, D. (2008). No consensus exists on search reporting methods for systematic
reviews. Journal of Clinical Epidemiology, 61(8), 748-754. doi: 10.1016/j.jclinepi.2007.10.009
Sandelowski, M. (2008). Reading, writing and systematic review. Journal of Advanced Nursing, 64(1), 104-110.
Seewaldt, V. L. (2010). Comments and Response on the USPSTF Recommendation on Screening for Breast Cancer. Annals of Internal
Medicine, 152(8), 541-542. doi: 10.1059/0003-4819-152-8-201004200-00205
Yoshii, A., Plaut, D. A., McGraw, K. A., Anderson, M. J., & Wellik, K. E. (2009). Analysis of the reporting of search strategies in Cochrane
systematic reviews. [Article]. Journal of the Medical Library Association, 97(1), 21-29.
Editor's Notes
This may be my quote for the day. I think I should be wearing a t-shirt (I used to believe, but no I’m not sure Talk about experiences with the Systematic Review Service What the service does Experience with the Students/Researchers
SR Line-up 1 Many of the examples I am using today are outside Clinical Medicine, but not all. Pause. The first in my Line-up.
First Review in my Line-up The breast feeding practices of the mountain tribes of Laos: a systematic review. .
The second in my line-up. A student from Public Health requests help developing and writing the search strategy for his SR. The only problem, when I see him.................................
If you are not already aware Systematic Reviews are being adopted and adapted by disciplines outside Medicine and clinical medicine. This slide shows some of the disciplines that are now producing systematic reviews I say adapted, because the Systematic Reviews presented in some disciplines only have a vague resemblance to systematic reviews from the EBM movement . Boell suggests that Systematic Reviews in Software Engineering are really just “Systematic Literature Reviews”. This appears true in other disciplines as well. Many of these disciplines don’t include any form of Meta-analysis in their reviews. Nor do they rely on a hierarchy of evidence. At the same time as they are being promoted in these disciplines, critics of systematic reviews have emerged. Criticisms include questioning the appropriateness of SR’s in disciplines relying on Qualitative studies for evidence and where SR’s outside Medicine, often accept any form of research Critics question the point of meta-analysis, where there is meta-analysis on studies that are not similar enough to be synthesised. Take International Health and International studies whose focus is Less Developed Countries. Critics argue that much of the knowledge in less developed countries isn’t published, so a systematic review isn’t going to include this knowledge. Also, not many RCt’s are undertaken in “third world countries”, and how much use is an RCT from a first world country. Yet AusAid and DFID Insist on research being undertaken in the form of systematic reviews.
Alongside the rise of SR in various disciplines, has been the increasing interest in SR in the Academic World where Postgraduate students are expected to produce a Systematic Review as their major research project. While the clinical medicine discipline seem to approach this reasonably well, assigning each SR topic to a team, other disciplines, including Public Health have, I believe, unrealistic expectations of their students. The students are expected to undertake their SR’s as an individual project, which I believe contradicts the idea of Systematic Reviews and is how my second example was able to do what he did.
Community based Disaster Risk Management Library contacted by the review team Search has caused the database to cut off UNSW Also, the search strings are too long to be pasted into Search box Review is on Community Based Disaster Risk Management Conducted by Global Health Research Centre The review is being funded by AusAid, who insist that it is a SR The actual question they are answering is How, why and when do Community Based Disaster Risk Management initiatives impact on social and economic costs of disasters? Not really a narrow focused question Quantitative review, with no Meta-analysis and no Hierarchy of Evidence
The problem here is the Search Strategy which is way too broad. The actual question they are answering is How, why and when do Community Based Disaster Risk Management initiatives impact on social and economic costs of disasters? Not really a narrow focused question Terms such as Capacity , empowerment , alongside economic aspect and indigenous knowledge. The team are following the Search Guidelines from the Cochrane Handbook to Use a wide variety of terms, use both free-text terms and subject headings
This guideline I believe can be misleading, or taken too literally as it has in this Review. I sometimes feel it is taken too literally in clinical medicine reviews as well. I see complicated searches that are OTT, and just create unnecessary work for the review team. A lot of my examples today relate to breast cancer screening, particularly mammography. The search strategies for this topic often search for Breast cancer or Breast neoplasm in addition to Mammography. In my opinion this is not necessary. Illustratates the inconsistency of search strategies (on same topic and different detail of coverage).
And according to the literature, one of the common pitfalls in a systematic review is the completeness of the reporting of its search strategy. If the search strategy reporting is inadequate, the review is not transparent and can’t be replicated.
This is a typical example of a Search Strategy Report in a journal based systematic review. This Report of a Search Strategy is from a Systematic Review that changed the United States Policy on who is recommended for Mammography.
Here is Yoshi’s recommended elements of the search strategy description What can make a SR unsystematic? “ Lack of detail in the reporting of the search strategy” so that it is both inadequate for critical appraisal and unable to be replicated. According to Moher, many non-Cochrane reviews do not report key aspects of their Systematic Review Methodology thus impairing confidence in their results and conclusions . An important difference between Cochrane reviews and journal based reviews are the word restriction issues imposed by Journals. Cochrane reviews, are not encumbered by word length restrictions as are many journal article based reviews. Moher. Ways around the restrictions are to refer the reader to a separate web page for more detail. However.
Continuing on the theme of Reporting of Search Strategies, I want to show you 2 search strategy reports in Systematic Reviews published as Journal articles, and I have to say that I believe these examples to be typical. Taking you back to my earlier quote, What makes a systematic review unsystematic is not adhering to a protocol. The search strategy reporting in this and the next example is inadequate to judge the quality and validity of the review,........nor is there enough detail to replicate the search. Both are required outcomes in a Systematic Review. The Search Strategy report informs us that the reviewers searched the ERIC Database. Thankfully they didn’t retrieve any articles from ERIC. Also note the search terms used. This was one of my two comparative searches on Psychological Outcomes of False-Positive Results in Screening Mammography.
I’m going to talk about this in more detail later, but in looking at some SR’s on the topic of psycholpgical consequences of False Positive mammograms . I have observed Reviews on ostensibly the same topic but with amazing variation of their search strategy and level of search strategy reporting. Inconsistency of Search Strategies in Systematic Reviews on the same topic
Psychologist based at a major teaching hospital. Looking to implement psychological therapy program for Breast Cancer patients. Is told she must undertake a Systematic Review before she can trial and report on her proposed therapy program.
I don’t really know much about systematic reviews but that’s what I’ve got to do.”
I love this quote. It sums up for me the feeling of how Systematic Reviews and EBM are becoming ubiquitous. Why this pressure to produce systematic reviews? Why is it so? I believe in part it is about language and the fact that EBM and Systematic Reviews have hijacked the language in their favour.
These terms are used to describe narrative literature reviews by the promoters of systematic reviews. Would you want to write a “non systematic” review. Should the status of the review article be based upon the fact that it is a “Systematic Review” rather than the quality of the review itself in other words, if it is a systematic review it must be good, if a narrative review, must be poor research, subjective and the author is biased. According to Dijkers Systematic Reviews have a surprising degree of subjective interpretation in summarising evidence and making recommendations(Dijkers 2009) Sandelowski points to “ a large variation in conclusions of systematic reviews on the same topic. And Systematic reviews ostensibly addressing the same research question will not include the same reports nor necessarily come to the same conclusions. So, are systematic reviews as impartial and scientific as we are led to believe.
The status of the review article is based upon the fact that it is a “Systematic Review” rather than the quality of the review itself in other words, if it is a systematic review it must be good, if a narrative review, must be poor research, subjective and the author is biased. According to Dijkers Systematic Reviews have a surprising degree of subjective interpretation in summarising evidence and making recommendations(Dijkers 2009)
This study is a journal based systematic review that has been used by the United States Preventive Services Task Force to formulate the Recommendations in the US to determine who and how often women are recommended for Breast Cancer Screening. This Review was published in the Annals of Internal Medicine. The following issue of the Annals included 11 letters commenting on the review. 9 of the letters were critical of various aspects of the review.
Mischaracterises the empirical literature Uses erroneous data Based on flawed studies. Don’t quote a cochrane review Don’t represent Afro-American or Latino Women . Supporting articles plagued with ambiguity. Conclusion drifts away from the published evidence. And what about the Search Strategy report for such an important study?
So, I think what I’m trying to say is “Don’t fall into the trap of “its a systematic review therefore it is superior research” Any research or review should be judged on its merits, not just its label.
If we as Librarians have skills and understanding of both EBM and Systematic Reviews I feel that we have an important role to play. We are certainly the experts when it comes to databases and searching databases. Reviewers might think they have enough knowledge, but in many cases I have seen, they do not. Also, our Systematic Review Service is seeing researchers contact us for advice. Every time I assist a systematic review team or individual I learn more about the process. We also have an important critical role as well, which I guess is partly what I am doing today. My final quote for today, “Don’t fall into the trap of “its a systematic review therefore it is superior research” Any research or review should be judged on its merits, not just its label. Thank you.