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PRISMA 2020 Checklist



The PRISMA 2020 statement is intended to facilitate transparent reporting of systematic reviews (with or without meta-analysis). It has been designed primarily for systematic reviews of studies that evaluate the effects of health interventions, irrespective of the design of the included studies. However, the checklist items are applicable to reports of systematic reviews evaluating other non-health-related interventions (e.g. social or educational interventions), and many items are applicable to systematic reviews with objectives other than evaluating interventions (e.g. evaluating aetiology, prevalence or prognosis). PRISMA 2020 is intended for use in systematic reviews that include synthesis (e.g. pairwise meta-analysis, or other synthesis methods), or do not include synthesis (e.g. because only one eligible study is identified).

The PRISMA 2020 statement comprises a 27-item checklist addressing the introduction, methods, results and discussion sections of a systematic review report, and a 12-item checklist for the abstract. Once users record a response for each item in the checklist(s) below, they can generate and download a report of their completed checklist in Word or PDF format.




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Download Checklist The "Download Checklist" button will only become active once you have responsed to all relevant items.


TITLE

Title

1

Identify the report as a systematic review.

ABSTRACT

Abstract

2

See the PRISMA 2020 for Abstracts checklist

Go to PRISMA-A
INTRODUCTION

Rationale

3

Describe the rationale for the review in the context of existing knowledge.


Objectives

4

Provide an explicit statement of the objective(s) or question(s) the review addresses.

METHODS

Eligibility criteria

5

Specify the inclusion and exclusion criteria for the review and how studies were grouped for the syntheses.


Information sources

6

Specify all databases, registers, websites, organisations, reference lists and other sources searched or consulted to identify studies. Specify the date when each source was last searched or consulted.


Search strategy

7

Present the full search strategies for all databases, registers and websites, including any filters and limits used.


Selection process

8

Specify the methods used to decide whether a study met the inclusion criteria of the review, including how many reviewers screened each record and each report retrieved, whether they worked independently, and if applicable, details of automation tools used in the process.


Data collection process

9

Specify the methods used to collect data from reports, including how many reviewers collected data from each report, whether they worked independently, any processes for obtaining or confirming data from study investigators, and if applicable, details of automation tools used in the process.


Data items

10a

List and define all outcomes for which data were sought. Specify whether all results that were compatible with each outcome domain in each study were sought (e.g. for all measures, time points, analyses), and if not, the methods used to decide which results to collect.



10b

List and define all other variables for which data were sought (e.g. participant and intervention characteristics, funding sources). Describe any assumptions made about any missing or unclear information.


Study risk of bias assessment

11

Specify the methods used to assess risk of bias in the included studies, including details of the tool(s) used, how many reviewers assessed each study and whether they worked independently, and if applicable, details of automation tools used in the process.


Effect measures

12

Specify for each outcome the effect measure(s) (e.g. risk ratio, mean difference) used in the synthesis or presentation of results.


Synthesis methods

13a

Describe the processes used to decide which studies were eligible for each synthesis (e.g. tabulating the study intervention characteristics and comparing against the planned groups for each synthesis (item 5)).



13b

Describe any methods required to prepare the data for presentation or synthesis, such as handling of missing summary statistics, or data conversions.



13c

Describe any methods used to tabulate or visually display results of individual studies and syntheses.



13d

Describe any methods used to synthesize results and provide a rationale for the choice(s). If meta-analysis was performed, describe the model(s), method(s) to identify the presence and extent of statistical heterogeneity, and software package(s) used.



13e

Describe any methods used to explore possible causes of heterogeneity among study results (e.g. subgroup analysis, meta-regression).



13f

Describe any sensitivity analyses conducted to assess robustness of the synthesized results.


Reporting bias assessment

14

Describe any methods used to assess risk of bias due to missing results in a synthesis (arising from reporting biases).


Certainty assessment

15

Describe any methods used to assess certainty (or confidence) in the body of evidence for an outcome.

RESULTS

Study selection

16a

Describe the results of the search and selection process, from the number of records identified in the search to the number of studies included in the review, ideally using a flow diagram.



16b

Cite studies that might appear to meet the inclusion criteria, but which were excluded, and explain why they were excluded.


Study characteristics

17

Cite each included study and present its characteristics.


Risk of bias in studies

18

Present assessments of risk of bias for each included study.


Results of individual studies

19

For all outcomes, present, for each study: (a) summary statistics for each group (where appropriate) and (b) an effect estimate and its precision (e.g. confidence/credible interval), ideally using structured tables or plots.


Results of syntheses

20a

For each synthesis, briefly summarise the characteristics and risk of bias among contributing studies.



20b

Present results of all statistical syntheses conducted. If meta-analysis was done, present for each the summary estimate and its precision (e.g. confidence/credible interval) and measures of statistical heterogeneity. If comparing groups, describe the direction of the effect.



20c

Present results of all investigations of possible causes of heterogeneity among study results.



20d

Present results of all sensitivity analyses conducted to assess the robustness of the synthesized results.


Reporting biases

21

Present assessments of risk of bias due to missing results (arising from reporting biases) for each synthesis assessed.


Certainty of evidence

22

Present assessments of certainty (or confidence) in the body of evidence for each outcome assessed.

DISCUSSION

Discussion

23a

Provide a general interpretation of the results in the context of other evidence.



23b

Discuss any limitations of the evidence included in the review.



23c

Discuss any limitations of the review processes used.



23d

Discuss implications of the results for practice, policy, and future research.

OTHER INFORMATION

Registration and protocol

24a

Provide registration information for the review, including register name and registration number, or state that the review was not registered.



24b

Indicate where the review protocol can be accessed, or state that a protocol was not prepared.



24c

Describe and explain any amendments to information provided at registration or in the protocol.


Support

25

Describe sources of financial or non-financial support for the review, and the role of the funders or sponsors in the review.


Competing interests

26

Declare any competing interests of review authors.


Availability of data, code and other materials

27

Report which of the following are publicly available and where they can be found: template data collection forms; data extracted from included studies; data used for all analyses; analytic code; any other materials used in the review.


TITLE

Title

1

Identify the report as a systematic review.

BACKGROUND

Objectives

2

Provide an explicit statement of the main objective(s) or question(s) the review addresses.

METHODS

Eligibility criteria

3

Specify the inclusion and exclusion criteria for the review.


Information sources

4

Specify the information sources (e.g. databases, registers) used to identify studies and the date when each was last searched.


Risk of bias

5

Specify the methods used to assess risk of bias in the included studies.


Synthesis of results

6

Specify the methods used to present and synthesize results.

RESULTS

Included studies

7

Give the total number of included studies and participants and summarise relevant characteristics of studies.


Synthesis of results

8

Present results for main outcomes, preferably indicating the number of included studies and participants for each. If meta-analysis was done, report the summary estimate and confidence/credible interval. If comparing groups, indicate the direction of the effect (i.e. which group is favoured).

DISCUSSION

Limitations of evidence

9

Provide a brief summary of the limitations of the evidence included in the review (e.g. study risk of bias, inconsistency and imprecision).


Interpretation

10

Provide a general interpretation of the results and important implications.

OTHER

Funding

11

Specify the primary source of funding for the review.


Registration

12

Provide the register name and registration number.