Cited by 2,045Meta-analysis and systematic reviewsscientometrics and bibliometrics researchHealth Sciences Research and Education

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources

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Abstract

OBJECTIVE: To describe where papers come from in a systematic review of complex evidence. Method Audit of how the 495 primary sources for the review were originally identified. RESULTS: Only 30% of sources were obtained from the protocol defined at the outset of the study (that is, from the database and hand searches). Fifty one per cent were identified by "snowballing" (such as pursuing references of references), and 24% by personal knowledge or personal contacts. CONCLUSION: Systematic reviews of complex evidence cannot rely solely on protocol-driven search strategies.

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Crossref · 10.1136/bmj.38636.593461.68

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  • Snowballing is the best approach for identifying sources published in obscure journals according to Greenhalgh and Peacock's study.

    “and snowballing is the best approach for identifying sources published in obscure journals according to their study.”

    From Guidelines for snowballing in systematic literature studies and a replication in software engineering (2014) · cites this paper as [15]

    The paper’s “What this study adds” section calls snowball methods especially powerful for finding high-quality sources in obscure locations. The Discussion more specifically says citation tracking helps identify systematic reviews in obscure journals. It does not establish that snowballing is the best approach for finding all sources published in obscure journals. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Prior work by Greenhalgh and Peacock found that snowballing is likely to identify important sources missed by protocol-driven searches.

    “These additional methods were used because prior work by Greehalgh and Peacock [91] found that less efficient methods like snowballing are likely to identify important sources that would otherwise be missed, since predefined protocol driven search strategies cannot solely be relied on.”
  • We piloted the use of a highly structured search strategy using protocol-driven searches across a range of electronic databases but found that was unsatisfactory.

    “We piloted the use of a highly structured search strategy using protocol-driven searches across a range of electronic databases but, like Greenhalgh and Peacock [17] found that was this unsatisfactory.”
  • Greenhalgh and Peacock concluded that protocol-driven search approaches by themselves are not necessarily the most efficient method regardless of the number of databases used.

    “Greenhalgh and Peacock [15] applied three different search methods in their research, and concluded that protocol-driven search approaches by themselves are not necessarily the most efficient method regardless of the number of databases used”
  • The included articles' reference lists were evaluated using the snowball method to ensure that all relevant articles were included.

    “the included articles’ reference lists also were evaluated (using the snowball method) to ensure that all relevant articles were included in the study [21].”

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Metadata

Authors
Greenhalgh, T., & Peacock, R.
Affiliations
University College London (GB)
Corresponding author
Greenhalgh, Trisha
Venue
BMJ
Publisher
BMJ
Published
2005-10-17
Volume
331
Issue
7524
Pages
1064-1065
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2149364707
Cited by
2,045
References
5
Citations by year
2026: 162 · 2025: 147 · 2024: 202 · 2023: 188 · 2022: 187 · 2021: 210 · 2020: 157 · 2019: 139 · 2018: 88 · 2017: 92 · 2016: 77 · 2015: 74 · 2014: 83 · 2013: 69 · 2012: 41
FWCI
2.94
Type
journal article
Language
en
Open access
Locations
  • BMJ (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
  • Social Sciences › Library and Information Sciences › scientometrics and bibliometrics research
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords
systematic reviews, snowballing, protocol adherence, database searching, hand searching
MeSH terms
Data Collection, Review Literature as Topic, Information Storage and Retrieval

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