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PRISMA Literature Reviews (Flow Chart & Example)

Aug 19, 2025

Overview

This lecture explains the PRISMA guidelines for systematic literature reviews, covering its purpose, main components, flowchart steps, checklist, and practical application.

What is PRISMA?

  • PRISMA stands for Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
  • It is a guideline designed to make systematic reviews and meta-analyses transparent and complete.
  • PRISMA standardizes the reporting process, but not the specific review methods.

Key Goals of PRISMA

  • Promotes transparency to allow other researchers to replicate and verify reviews.
  • Ensures completeness so all relevant information is reported.
  • Increases comparability between systematic reviews.

PRISMA Flowchart (Diagram) Steps

  • Identification: Systematically search databases and record all studies found.
  • Screening: Remove duplicates, review titles/abstracts, and exclude irrelevant studies.
  • Eligibility: Read full texts, exclude those not meeting criteria.
  • Inclusion: Finalize the group of studies to be included in the review.

Implementing PRISMA in Your Review

  • Search multiple relevant databases; document methods and sources.
  • Develop and apply your own study selection criteria.
  • Use the PRISMA diagram to visualize and report the selection process.
  • Extract key information (sample size, methods, results) from included studies.
  • Assess the quality of each study before final inclusion.

PRISMA Checklist Sections

  • Title/Abstract: Clearly state it's a systematic review and summarize the work.
  • Introduction: Provide background, rationale, and objectives.
  • Methods: Define inclusion/exclusion criteria, sources, strategies, and bias assessment.
  • Results: Report selection process with a flow diagram and present findings.
  • Discussion: Interpret results, note limitations, and suggest implications.
  • Additional Info: Disclose protocol, funding, conflicts of interest, and data availability.

Example Application

  • Example review identified studies via databases and manual searches, removed duplicates, screened and assessed eligibility, then included relevant studies.
  • PRISMA flowchart and checklist were used to document each step and decision.

Key Terms & Definitions

  • Systematic Review — A structured, comprehensive summary of research on a specific topic.
  • Meta-Analysis — A statistical method to combine results from multiple studies.
  • PRISMA Flowchart — A diagram showing the study selection process in phases.
  • Manual Search — Searching sources outside databases like journals and websites.

Action Items / Next Steps

  • Use the PRISMA 2020 checklist and flowchart from the official PRISMA website.
  • Cite the original PRISMA source in your methods section.
  • Develop your own selection and analysis criteria for your review.