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PRISMA Flow Diagram Creation

Aug 4, 2025

Overview

This lecture demonstrates how to create a PRISMA flow diagram, highlighting both Word-based and online Shiny app tools for systematic reviews.

Introduction to PRISMA Flow Diagram

  • The PRISMA flow diagram visually tracks the study selection process in systematic reviews.
  • PRISMA stands for Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

Creating PRISMA Diagrams Using Word

  • PRISMA’s official website provides a Word template for the flow diagram.
  • Users manually input numbers for searches, exclusions, and included studies.
  • Editing the Word template can be tedious and may require customizing rows for multiple databases.

Using the PRISMA Shiny App

  • The PRISMA Shiny app is a free online tool for generating flow diagrams via point-and-click.
  • Access the app through the Evidence Synthesis Hackathon website.
  • Users can include/exclude elements like registers and other searches based on their needs.
  • Individual databases can be added and named, with numbers entered for each.
  • The app updates the diagram in real time as information is entered.

Completing the Diagram

  • Enter the number of records found, duplicates removed, excluded studies, and screening results.
  • Enter the reasons for study exclusion at the full-text screening phase.
  • After final numbers are input, the diagram is ready for download.

Exporting and Citing the Diagram

  • The diagram can be downloaded in several formats, including PDF.
  • The tool requests users to cite the source of the diagram.

Flexibility and Customization

  • The app allows for adding or removing sections such as registers, previous studies, and other search methods.
  • Customization supports different research fields and workflows.

Key Terms & Definitions

  • PRISMA Flow Diagram — A chart that documents the process of identifying, screening, and including studies in a systematic review.
  • Duplicate removal — The process of identifying and eliminating repeated records before screening.
  • Shiny app — A web application framework for R that allows interactive data visualization.

Action Items / Next Steps

  • Choose a method (Word document or Shiny app) to create your PRISMA flow diagram.
  • Collect all study identification and screening numbers required for the diagram.
  • If using the Shiny app, access it through the Evidence Synthesis Hackathon website and input your data.
  • Download and cite your completed PRISMA diagram as required for your project.