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LancetClaw AnswersUpdated Mar 17, 2026

How to do a systematic review step by step?

Short answer

A systematic review follows a structured process: (1) define your question using PICO, (2) register a protocol (PROSPERO), (3) search multiple databases systematically, (4) screen titles/abstracts then full texts, (5) extract data from included studies, (6) assess quality using appropriate tools, (7) synthesize results (meta-analysis if possible), and (8) report following PRISMA 2020 guidelines.

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Recommended mode: ResearchScenario: Planning and conducting a first systematic review for publication.

Action Snapshot

  • Execution steps9
  • Failure checks4
  • FAQ entries2

Quick Actions

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Execution Steps

  1. 1Define your research question using the PICO framework.
  2. 2Register your protocol in PROSPERO and publish it if possible.
  3. 3Develop a comprehensive search strategy across 3+ databases.
  4. 4Screen titles and abstracts using two independent reviewers.
  5. 5Screen full texts against eligibility criteria and document exclusion reasons.
  6. 6Extract data using a pre-piloted extraction form.
  7. 7Assess quality using appropriate tools (RoB 2 for RCTs, NOS for observational).
  8. 8Synthesize results narratively and/or with meta-analysis.
  9. 9Report using the PRISMA 2020 checklist and flow diagram.

Prompt Template

Help me plan a systematic review on [topic]. I need a PICO question, search strategy for PubMed/Embase/Cochrane, and a timeline estimate.

Common Failure Points

  • Starting the review without a registered protocol
  • Searching only one database (always search 3+ databases)
  • Using a single reviewer for screening (always use two independent reviewers)
  • Not verifying references for retractions before finalizing

FAQ

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