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Nursing Times Research
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Challenges in updating a systematic review

Elizabeth McInnes, BA(Hons), RN, Graduate DipApplSci, MPH

Australia

Lesley Duf, BSc, MA, RN

Mary McClarey, BA(Hons), RGN, SCM, DipHV

Plymouth Community Services Trust

Some of the problems encountered when updating a systematic review are outlined, with discussion of possible solutions. The major problems were: using a different reviewer; literature searching and sifting; study appraisal and lack of pre-determined 'acceptable' designs. The main lessons learned are that inclusion criteria may need to be revised, and that deviations from 'gold standard' systematic review methods should be documented. The paper concludes by noting that the updating of a systematic review is not straightforward, despite the application of recommended methodological safeguards. Yet, updating of systematic reviews is a process which will be undertaken increasingly, particularly by those involved in the development of evidence-linked clinical guidelines.

Key Words: Systematic review • Updating • Methodology • Evidence-based healthcare

Nursing Times Research, Vol. 4, No. 1, 66-71 (1999)
DOI: 10.1177/136140969900400111
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