About this Resource
How systematic should you be?
The stages of a systematic review
1. Produce a review protocol / plan
2. Assemble a review group / advisory group
3. Formulate review question(s)
4. Conduct a thorough search
5. Select relevant studies
6. Appraise the quality of studies
7. Extract information from individual studies
8. Synthesise studies
9. Report what is known and not known
10. Inform research, policy and practice
4. Conduct a thorough search 


Systematic reviews aim to locate, select and appraise as much as possible of the texts relevant to the particular review question(s).  The are numerous approaches used to locate studies and the effectiveness of these are influenced by the question being addressed and the nature of the field.  Take a look at the table below produced by 
Greenhalgh and Peacock (2005),  

Search Approach        

Number of Relevant articles Located

Protocol driven (search strategy defined at the outset of the study)        

150

Electronic database search*     

126

Hand search (32 journals)        

24

"Snowballing" (emerging as the study unfolds)   

252

Reference tracking - scanning the reference lists of all full text papers       

218

Citation tracking: using special citation tracking databases to identify articles that had subsequently cited those papers           

34

Personal knowledge (what you know and who you know)       

119

Existing knowledge and resources

85

Personal contacts and academic networks

29

Serendipitous discovery (such as finding a relevant paper when looking for something else).

5

Total in final report         

495

It is clear that a search needs to incoporate a combination of protocol driven, snowballing and personal knowledge approaches.  A search that is restricted to database searching alone is likely to locate a very small percentage of relevant articles.  Greenhalgh and Peacock (p. 1065) conclude that,

"systematic review of complex evidence cannot rely solely on predefined, protocol driven search strategies, no matter how many databases are searched. Strategies that might seem less efficient (such as browsing library shelves, asking colleagues, pursuing references that look interesting, and simply being alert to serendipitous discovery) may have a better yield per hour spent and are likely to identify important sources that would otherwise be missed." 

To ensure a thorough search, we recommend a six-step search strategy.  To access guidance on the six steps click on the links below:

Reference:
Greenhalgh, T. and Peacok, R. (2005), Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources.  British Medical Journal. November 5; 331(7524): 1064–1065.

 

The text on this page was created by Professor David Denyer, Professor of Organizational Change, Cranfield School of Management.