Checklist for reporting a systematic review (with or without a meta-analysis)

This checklist is based on the PRISMA statement; an evidence-based minimum set of items for reporting systematic reviews and meta-analyses. Although the checklist focuses on the reporting of reviews evaluating randomized trials, it can also be used for reporting systematic reviews of other types of research, particularly evaluations of interventions.  Read more


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Instructions

Complete this checklist by entering the page numbers from your manuscript where readers will find each of the items listed below.

Your article may not currently address all the items on the checklist. Please modify your text to include the missing information. If you are certain that an item does not apply, please write "n/a" and provide a short explanation.

Download your completed checklist and include it as an extra file when you submit to a journal.

Title

1.

Title

Identify the report as a systematic review. Read more

Abstract

2.

Abstract

Report an abstract addressing each item in the PRISMA 2020 for Abstracts checklist. Read more

Introduction

3.

Background/rationale

Describe the rationale for the review in the context of existing knowledge. Read more

4.

Objectives

Provide an explicit statement of the objective(s) or question(s) the review addresses. Read more

Methods

5.

Eligibility criteria

Specify the inclusion and exclusion criteria for the review and how studies were grouped for the syntheses. Read more

6.

Information sources

Specify all databases, registers, websites, organisations, reference lists, and other sources searched or consulted to identify studies. Specify the date when each source was last searched or consulted. Read more

7.

Search strategy

Present the full search strategies for all databases, registers, and websites, including any filters and limits used. Read more

8.

Selection process

Specify the methods used to decide whether a study met the inclusion criteria of the review, including how many reviewers screened each record and each report retrieved, whether they worked independently, and, if applicable, details of automation tools used in the process. Read more

9.

Data collection process

Specify the methods used to collect data from reports, including how many reviewers collected data from each report, whether they worked independently, any processes for obtaining or confirming data from study investigators, and, if applicable, details of automation tools used in the process. Read more

10a

Data items

List and define all outcomes for which data were sought. Specify whether all results that were compatible with each outcome domain in each study were sought (for example, for all measures, time points, analyses), and, if not, the methods used to decide which results to collect. Read more

10b

Data items

List and define all other variables for which data were sought (such as participant and intervention characteristics, funding sources). Describe any assumptions made about any missing or unclear information. Read more

11.

Study risk of bias assessment

Specify the methods used to assess risk of bias in the included studies, including details of the tool(s) used, how many reviewers assessed each study and whether they worked independently, and, if applicable, details of automation tools used in the process. Read more

12.

Effect measures

Specify for each outcome the effect measure(s) (such as risk ratio, mean difference) used in the synthesis or presentation of results. Read more

13a

Synthesis methods

Describe the processes used to decide which studies were eligible for each synthesis (such as tabulating the study intervention characteristics and comparing against the planned groups for each synthesis (item #5)). Read more

13b

Synthesis methods

Describe any methods required to prepare the data for presentation or synthesis, such as handling of missing summary statistics or data conversions. Read more

13c

Synthesis methods

Describe any methods used to tabulate or visually display results of individual studies and syntheses. Read more

13d

Synthesis methods

Describe any methods used to synthesise results and provide a rationale for the choice(s). If meta-analysis was performed, describe the model(s), method(s) to identify the presence and extent of statistical heterogeneity, and software package(s) used. Read more

13e

Synthesis methods

Describe any methods used to explore possible causes of heterogeneity among study results (such as subgroup analysis, meta-regression). Read more

13f

Synthesis methods

Describe any sensitivity analyses conducted to assess robustness of the synthesised results. Read more

14.

Reporting bias assessment

Describe any methods used to assess risk of bias due to missing results in a synthesis (arising from reporting biases). Read more

15.

Certainty assessment

Describe any methods used to assess certainty (or confidence) in the body of evidence for an outcome. Read more

Results

16a

Study selection

Describe the results of the search and selection process, from the number of records identified in the search to the number of studies included in the review, ideally using a flow diagram (http://www.prisma-statement.org/PRISMAStatement/FlowDiagram). Read more

16b

Study selection

Cite studies that might appear to meet the inclusion criteria, but which were excluded, and explain why they were excluded. Read more

17.

Study characteristics

Cite each included study and present its characteristics. Read more

18.

Risk of bias in studies

Present assessments of risk of bias for each included study. Read more

19.

Results of individual studies

For all outcomes, present for each study (a) summary statistics for each group (where appropriate) and (b) an effect estimate and its precision (such as confidence/credible interval), ideally using structured tables or plots. Read more

20a

Results of syntheses

For each synthesis, briefly summarise the characteristics and risk of bias among contributing studies. Read more

20b

Results of syntheses

Present results of all statistical syntheses conducted. If meta-analysis was done, present for each the summary estimate and its precision (such as confidence/credible interval) and measures of statistical heterogeneity. If comparing groups, describe the direction of the effect. Read more

20c

Results of syntheses

Present results of all investigations of possible causes of heterogeneity among study results. Read more

20d

Results of syntheses

Present results of all sensitivity analyses conducted to assess the robustness of the synthesised results. Read more

21.

Risk of reporting biases in syntheses

Present assessments of risk of bias due to missing results (arising from reporting biases) for each synthesis assessed. Read more

22.

Certainty of evidence

Present assessments of certainty (or confidence) in the body of evidence for each outcome assessed. Read more

Discussion

23a

Results in context

Provide a general interpretation of the results in the context of other evidence. Read more

23b

Limitations of included studies

Discuss any limitations of the evidence included in the review. Read more

23c

Limitations of the review methods

Discuss any limitations of the review processes used. Read more

23d

Implications

Discuss implications of the results for practice, policy, and future research. Read more

Other information

24a

Registration and protocol

Provide registration information for the review, including register name and registration number, or state that the review was not registered. Read more

24b

Registration and protocol

Indicate where the review protocol can be accessed, or state that a protocol was not prepared. Read more

24c

Registration and protocol

Describe and explain any amendments to information provided at registration or in the protocol. Read more

25.

Support

Describe sources of financial or non-financial support for the review, and the role of the funders or sponsors in the review. Read more

26.

Competing interests

Declare any competing interests of review authors. Read more

27.

Availability of data, code, and other materials

Report which of the following are publicly available and where they can be found: template data collection forms; data extracted from included studies; data used for all analyses; analytic code; any other materials used in the review. Read more


To acknowledge this checklist in your methods, please state "We used the PRISMA checklist when writing our report [citation]". Then cite this checklist as Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.


The PRISMA checklist is distributed under the terms of the Creative Commons Attribution License CC-BY