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Evidence Synthesis

Evidence Synthesis Process: Evaluating

Evaluating: In evaluating your search results, you systematically reduce the thousands of citations you initially identified to dozens for closer examination. Often, some of these steps are done concurrently. For example, after 500 citations have been evaluated for relevancy, the studies chosen for inclusion can be evaluated for quality and bias, while the next 500 citations are evaluated for relevancy.

Evaluating Step
Explanation
The citations from the searches are de-duplicated

These are combined into a master list with the resulting number of citations documented.

Each article is evaluated for relevancy

At least two reviewers determine whether a citation meets the eligibility criteria for inclusion as set up in the protocol.

Often inclusion/exclusion can be based on title and abstract but sometimes full-text is required for the determination.

Tools are available that can help track the status of each citation. Some have AI which can speed up the process.

Full text is obtained

For those citations which inclusion cannot be determined by title and abstract alone.

For all citations to be included in the synthesis.

Master list of studies is complied

Some studies may be written up in more than one article.

Some articles may include more than one study.

Each study is evaluated for quality and bias (Critical Appraisal)

At least two reviewers determine the quality of each study.

A valid quality assessment tool or checklist appropriate for the type of study should be used.

A list of studies to be included in the synthesis is compiled If any studies are deemed to be of lower quality or biased, documentation of their inclusion or exclusion is necessary.
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