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1
Literature Reviews
        4th Research Summer School
                   12 June 2012

          Taghreed Justinia Msc PhD
    Asst. Professor, Department of Health Informatics
Asst. Director, Information & Communication Technology
                    KSAU-HS, NGHA
         Tel. +966 2 6240000 ext 26217 / 26210
            Email: JustiniaT@ngha.med.sa
In this session…


 Definition and understanding of a literature review

 Important steps in literature review writing

 Critical appraisal of journals, articles and websites




                             3
Literature Search


 The best way to find high quality information is to
  carry out a literature search on one or more databases
  and to download, copy or request relevant current
  publications on the topic/s of interest.




                            4
What is a research literature
                review?

 It is a systematic, explicit and reproducible method
  for identifying, evaluating, and synthesizing the
  existing body of completed and recorded work
  produced by researchers, scholars, and practitioners.




  Fink, A. (2005). Conducting Research Literature Reviews. London: Sage.
                                     5
Steps in
          literature review writing

   Selecting the research questions
   Selecting the sources
   Choosing search terms
   Conducting the search
   Applying practical screening criteria
   Critically appraising the literature
     Journals & Articles
     Websites



                              6
Selecting the research
      questions




          7
Research questions influence
               search results
       High =
       lots of
       articles                Broad
                               Questions



Retrieval
(# of search
results)


                                                       Narrow
                                                       Questions
       Low =
       very few
       articles
                  Low = mostly                            High = directly
                  irrelevant articles      Relevancy      relevant articles

                                               8
Possible research questions


Broad question:
   What is the prevalence of bacterial meningitis?

Narrow question:
   What costs are associated with hospitalization for bacterial
   meningitis?

Very narrow question:
   What strategies have been utilized in Saudi Arabia to reduce length
   of stay for patients with bacterial meningitis?

                                   9
Selecting Sources




        10
Literature review data sources


   Online public bibliographic databases
   Commercial bibliographic databases
   Specialized bibliographic databases
   Manual or “hand searches” of references lists
   “Grey literature”
   Web reports
   Expert opinions




                              11
Bibliographic Databases


 Medicine
    MEDLINE (PubMed or Ovid), EMBASE, Cochrane Library, PsycINFO
 Multidisciplinary
    Scopus
    Web of Science
 Nursing and Allied Health
    CINAHL




                                 12
Websites


 Associations, Organizations & Government

      World Health Organization (WHO)
      Health Canada
      Canadian Medical Association
      UK National Health Service (NHS)




                                13
“Grey Literature”


 Dissertations & Theses

 SCOPUS (conference proceedings)

 Web search engines (i.e. Google Scholar)




                            14
Citation List


 Searching databases will result in a list of citations,
  which include the information needed to locate the
  articles in print journals and other sources




                              15
Critically Appraising
Journals & Articles




          16
Be Critical


 Once you have obtained the papers most relevant to
  your question you should consider a number of things
  before using the results.

 This applies even when the publications are from peer
  reviewed journals.




                           17
Publication Bias


 Negative results don’t (often) get published – If you
  want to carry out a detailed or systematic review of a
  subject area, you might consider trying to get hold of
  unpublished studies.

 Reviewers may be biased against unconventional versus
  conventional techniques (eg orthodox drug versus
  alternative therapy).



                            18
Authorship


 Are the authors based at a well-established Centre of
  Excellence?

 Are there any issues of sponsorship or competing
  interests?




                            19
Journal Ranking &
               Impact Factors

 Impact Factor is:
    A measure of the frequency with which the "average
     article" in a journal has been cited in a particular year or
     period

 The impact factor of a journal is linked to its
  popularity and accessibility

 Journals with higher impact factors in a subject area
  are generally more highly regarded

                               20
Abstract Quality


 Read the paper carefully; don’t rely on only the abstract
 Many abstracts in peer reviewed journals have errors
 Three common types of inaccuracies are:
    data inconsistent in abstract and body of the paper,
     tables, and figures
    data or information in the abstract do not appear
     elsewhere
    conclusions in the abstract not substantiated in the paper
     itself


                              21
Critically Appraising
      Websites




          22
Be critical, be selective


 The peer review system for journal articles provides a
  degree of quality control.

 However, anybody can put anything on the web (you
  have to do your own critical appraisal).




                            23
What to consider


 Content
    consider intended audience, purpose of site, accuracy
    are the sources of information provided?
 Source; Consider
      author(s)
      is it current and up to date?
      depth/breadth of coverage
      bias – are there any conflicts of interest
 Structure; Consider
    graphics, presentation, ease of use, clarity
                                24
Don’t forget!


 Your subject librarian can always help you. Don’t waste
  that valuable resource.

 Make an point to meet your medical/university
  librarian to assist and advise you on your literature
  searches and literature reviews.




                             25
Useful References


 Fink, A. (2005). Conducting Research Literature Reviews. London:
  Sage.
 Greenhalgh, T. (2006). How to read a paper (3rd ed.). London: BMJ
  Publishing Group.
 Sackett, D., Straus, S., & Richardson, W. (2000). Evidence-based
  medicine (2nd ed.). Edinburgh: Churchill Livingstone.
 Wilson, P. (2002). How to find the good and avoid the bad or
  ugly. A short guide to tools for rating quality of health
  information on the internet. BMJ, 324, 598-602.




                                26
Useful Sites


 NHS Solutions for Public Health
  http://www.sph.nhs.uk/what-we-do/public-health-workforce/resources
 CADTH. Grey Matters: a practical search tool for evidence-based
  medicine - http://cadth.ca/en/resources/grey-matters
 Cochrane Handbook for Systematic Reviews and Interventions -
  http://www.cochrane-handbook.org/
 IOM (Institute of Medicine). Finding what works in health care:
  standards for systematic reviews -
  http://www.iom.edu/Reports/2011/Finding-What-Works-in-Health-Care-Stan




                               27
Questions?




    28

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RSS 2012 Literature Reviews

  • 2. Literature Reviews 4th Research Summer School 12 June 2012 Taghreed Justinia Msc PhD Asst. Professor, Department of Health Informatics Asst. Director, Information & Communication Technology KSAU-HS, NGHA Tel. +966 2 6240000 ext 26217 / 26210 Email: JustiniaT@ngha.med.sa
  • 3. In this session…  Definition and understanding of a literature review  Important steps in literature review writing  Critical appraisal of journals, articles and websites 3
  • 4. Literature Search  The best way to find high quality information is to carry out a literature search on one or more databases and to download, copy or request relevant current publications on the topic/s of interest. 4
  • 5. What is a research literature review?  It is a systematic, explicit and reproducible method for identifying, evaluating, and synthesizing the existing body of completed and recorded work produced by researchers, scholars, and practitioners. Fink, A. (2005). Conducting Research Literature Reviews. London: Sage. 5
  • 6. Steps in literature review writing  Selecting the research questions  Selecting the sources  Choosing search terms  Conducting the search  Applying practical screening criteria  Critically appraising the literature  Journals & Articles  Websites 6
  • 8. Research questions influence search results High = lots of articles Broad Questions Retrieval (# of search results) Narrow Questions Low = very few articles Low = mostly High = directly irrelevant articles Relevancy relevant articles 8
  • 9. Possible research questions Broad question: What is the prevalence of bacterial meningitis? Narrow question: What costs are associated with hospitalization for bacterial meningitis? Very narrow question: What strategies have been utilized in Saudi Arabia to reduce length of stay for patients with bacterial meningitis? 9
  • 11. Literature review data sources  Online public bibliographic databases  Commercial bibliographic databases  Specialized bibliographic databases  Manual or “hand searches” of references lists  “Grey literature”  Web reports  Expert opinions 11
  • 12. Bibliographic Databases  Medicine  MEDLINE (PubMed or Ovid), EMBASE, Cochrane Library, PsycINFO  Multidisciplinary  Scopus  Web of Science  Nursing and Allied Health  CINAHL 12
  • 13. Websites  Associations, Organizations & Government  World Health Organization (WHO)  Health Canada  Canadian Medical Association  UK National Health Service (NHS) 13
  • 14. “Grey Literature”  Dissertations & Theses  SCOPUS (conference proceedings)  Web search engines (i.e. Google Scholar) 14
  • 15. Citation List  Searching databases will result in a list of citations, which include the information needed to locate the articles in print journals and other sources 15
  • 17. Be Critical  Once you have obtained the papers most relevant to your question you should consider a number of things before using the results.  This applies even when the publications are from peer reviewed journals. 17
  • 18. Publication Bias  Negative results don’t (often) get published – If you want to carry out a detailed or systematic review of a subject area, you might consider trying to get hold of unpublished studies.  Reviewers may be biased against unconventional versus conventional techniques (eg orthodox drug versus alternative therapy). 18
  • 19. Authorship  Are the authors based at a well-established Centre of Excellence?  Are there any issues of sponsorship or competing interests? 19
  • 20. Journal Ranking & Impact Factors  Impact Factor is:  A measure of the frequency with which the "average article" in a journal has been cited in a particular year or period  The impact factor of a journal is linked to its popularity and accessibility  Journals with higher impact factors in a subject area are generally more highly regarded 20
  • 21. Abstract Quality  Read the paper carefully; don’t rely on only the abstract  Many abstracts in peer reviewed journals have errors  Three common types of inaccuracies are:  data inconsistent in abstract and body of the paper, tables, and figures  data or information in the abstract do not appear elsewhere  conclusions in the abstract not substantiated in the paper itself 21
  • 22. Critically Appraising Websites 22
  • 23. Be critical, be selective  The peer review system for journal articles provides a degree of quality control.  However, anybody can put anything on the web (you have to do your own critical appraisal). 23
  • 24. What to consider  Content  consider intended audience, purpose of site, accuracy  are the sources of information provided?  Source; Consider  author(s)  is it current and up to date?  depth/breadth of coverage  bias – are there any conflicts of interest  Structure; Consider  graphics, presentation, ease of use, clarity 24
  • 25. Don’t forget!  Your subject librarian can always help you. Don’t waste that valuable resource.  Make an point to meet your medical/university librarian to assist and advise you on your literature searches and literature reviews. 25
  • 26. Useful References  Fink, A. (2005). Conducting Research Literature Reviews. London: Sage.  Greenhalgh, T. (2006). How to read a paper (3rd ed.). London: BMJ Publishing Group.  Sackett, D., Straus, S., & Richardson, W. (2000). Evidence-based medicine (2nd ed.). Edinburgh: Churchill Livingstone.  Wilson, P. (2002). How to find the good and avoid the bad or ugly. A short guide to tools for rating quality of health information on the internet. BMJ, 324, 598-602. 26
  • 27. Useful Sites  NHS Solutions for Public Health http://www.sph.nhs.uk/what-we-do/public-health-workforce/resources  CADTH. Grey Matters: a practical search tool for evidence-based medicine - http://cadth.ca/en/resources/grey-matters  Cochrane Handbook for Systematic Reviews and Interventions - http://www.cochrane-handbook.org/  IOM (Institute of Medicine). Finding what works in health care: standards for systematic reviews - http://www.iom.edu/Reports/2011/Finding-What-Works-in-Health-Care-Stan 27