Table 1 Checklist of items to include when reporting a systematic review or meta-analysis View this table: From QUOROM to PRISMA The new PRISMA checklist differs in several respects from the QUOROM checklist, and table 2 lists the substantive specific changes. Conceptual issues in the evolution from QUOROM to PRISMA. Completing a systematic review is an iterative process. The conduct of a systematic review depends heavily on the scope and quality of included studies: thus systematic reviewers may need to modify their original review protocol during its conduct. Developing the PRISMA statement A three-day meeting was held in Ottawa, Canada, in June 2005 with 29 participants, including review authors, methodologists, clinicians, medical editors, and a consumer. The objective of the Ottawa meeting was to revise and expand the QUOROM checklist and flow diagram as needed. 8 In this article, we summarise a revision of these guidelines, renamed PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses which have been updated to address several conceptual and practical advances in the science of systematic reviews (see box).
We have adopted the definitions used by the Cochrane Collaboration. 17 A systematic review is a review of a clearly formulated question that uses systematic and explicit methods to identify, select, and critically appraise relevant research, and to collect and analyse data from the studies that are included in the review.
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As with other publications, the reporting quality of systematic reviews varies, limiting readers ability to assess the strengths and weaknesses of those reviews. Several early studies evaluated the quality of review reports.
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