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Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources
Open accessAbstract
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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“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]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“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.”
From Challenges and barriers in virtual teams: a literature review (2020) · cites this paper as [91]
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In the citing paper
“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.”
From Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups (2006) · cites this paper as [17]
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“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”
From Guidelines for snowballing in systematic literature studies and a replication in software engineering (2014) · cites this paper as [15]
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“the included articles’ reference lists also were evaluated (using the snowball method) to ensure that all relevant articles were included in the study [21].”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [21]
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“After reading the first author ' s reports on the literature, the full research team decided to exclude another 71 articles from the selection that, based on the full text, proved not to meet the inclusion criteria.”
From The Role of School in Adolescents’ Identity Development. A Literature Review (2019) · cites this paper as Greenhalgh and Peacock (2005)
Experimental — accuracy not yet measuredIn the citing paper
“As many relevant studies may be identified in sources other than electronic databases [29,30], searches that extend beyond the standard electronic databases should be considered.”
From COSMOS-E: Guidance on conducting systematic reviews and meta-analyses of observational studies of etiology (2019) · cites this paper as [29]
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Citations
Cites
Synthesising qualitative and quantitative evidence: A review of possible methods
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“A secondary search was completed of the reference lists of the included studies as well as prior systematic reviews to ensure a complete data set was obtained.(54) Titles, abstracts, and full-text articleswere reviewed independently”
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Requirements Engineering Visualization: A Systematic Literature Review
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“papers, so we performed citation tracking (forward snowballing [25]) to identify relevant papers citing the papers in the previous step.”
MethodGeraedts, M., Drösler, S. E., Döbler, K., Eberlein-Gonska, M., Heller, G., Kuske, S., Manser, T., Sens, B., Stausberg, J., & Schrappe, M. (2017) · Das Gesundheitswesen · doi:10.1055/s-0043-112431 · Cited by 47
“Das vorliegende Memorandum erläutert wesentliche etablierte Fragestellungen und Methoden der QPSF. Vor dem Hintergrund der besonderen gesundheitspolitischen Bedeutung des Themas werden Methoden der Messgrößenentwicklung und -prüfung, die Risikoadjustierung, Methoden zur Erhebung von Patientensicherheitsdaten, Instrume…”
BackgroundInfluentialViceconti, A., Camerone, E. M., Luzzi, D., Pentassuglia, D., Pardini, M., Ristori, D., Rossettini, G., Gallace, A., Longo, M. R., & Testa, M. (2020) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2020.00083 · Cited by 52
Characteristics of facilitators in knowledge translation: An integrative review
Elledge, C. M., Avworo, A., Cochetti, J., Carvalho, C., & Grota, P. G. (2018) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2018.03.002 · Cited by 46
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“Finally, to tackle the rigidity inherent in SLR search strategies, we fine-tuned our sample following the recommendations by Greenhalgh and Peacock (2005).”
InfluentialBarriers to equitable disaster recovery: A scoping literature review
Ferreira, R. J., Davidson, T., Buttell, F., Contillo, C. M., Leddie, C., Leahy, C., Nuñez-Dune, C., Lentz, B., Simkins, M., Jerolleman, A., et al. (2024) · International Journal of Disaster Risk Reduction · doi:10.1016/j.ijdrr.2024.104628 · Cited by 46
Graph Neural Networks for building and civil infrastructure operation and maintenance enhancement
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Seeing the Person in the Patient
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Astin, F., Horrocks, J. A., & Closs, S. J. (2014) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-14-96 · Cited by 46
“These were a database searches, papers identified through personal knowledge and ‘snowballing’ using references from key papers to identify others [25].”
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“(34) The inclusion and exclusion criteria and the algorithm followed for study retrieval and selection are reported in Figure 1.”
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“However, Greenhalgh and Peacock (2005) have shown how systematic reviews of complex evidence cannot rely solely on predefined search strategies.”
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Daily Self-Weighing to Control Body Weight in Adults
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The Impact of Shipping on Air Quality in the Port Cities of the Mediterranean Area: A Review
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“Any disagreement between the authors in the data extraction was resolved by a consensus discussion to make the final decision [27].”
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Architectural technical debt identification
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“the construct validity of this study, the automatic search was complemented by a snowballing process [13].”
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“38 A potentially relevant entry is selected if it (i) satisfies all inclusion criteria and (ii) does not satisfy any of the exclusion criteria.”
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Automation in manufacturing and assembly of industrialised construction
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“Electronic databases (PubMed and PsycINFO) and the snowball method (citations in articles reviewed) [16] were used to identify candidate studies.”
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The current state of systematic reviews in library and information studies
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Green IS Research: A Modernity Perspective
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Lean Product Development: Nothing New Under the Sun?
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“Furthermore, snowballing (see Greenhalgh and Peacock [2005] and Wohlin and Prikladnicki [2013]) was applied to the publications found through the databases.”
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BackgroundMethodCatania, L. S., Hetrick, S. E., Newman, L. K., & Purcell, R. (2011) · Advances in Mental Health · doi:10.5172/jamh.2011.10.1.6 · Cited by 41
“We supplemented the search with ‘snowballing’ (Greenhalgh & Peacock, 2005) to enable further examination of the research conducted on models of integrated care that incorporate some degree of collaboration between professionals.”
MethodFerlie, E. B., Nicolini, D., Ledger, J., D’Andreta, D., Kravčenko, D., & de Pury, J. (2017) · Health Services and Delivery Research · doi:10.3310/hsdr05170 · Cited by 44
Improving instructional practice through peer observation and feedback: A review of the literature
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“Greenhalgh and Peacock (2005) argue that in order to provide a robust illustration of a body of literature on a particular topic, systematic reviews cannot rely solely on the results acquired from predefined search protocols.”
BackgroundMethodBolster-Foucault, C., Fane, B. H. M., & Blair, A. (2021) · Health Promotion and Chronic Disease Prevention in Canada · doi:10.24095/hpcdp.41.3.03 · Cited by 42
Han, J., Zhou, H., Löwik, S. J. A., & de Weerd-Nederhof, P. C. (2022) · Industrial Marketing Management · doi:10.1016/j.indmarman.2022.08.008 · Cited by 51
Architecting ML-enabled systems: Challenges, best practices, and design decisions
Nazir, R., Bucaioni, A., & Pelliccione, P. (2023) · Journal of Systems and Software · doi:10.1016/j.jss.2023.111860 · Cited by 44
Prodanović, V., Bach, P. M., & Stojković, M. (2024) · Urban Ecosystems · doi:10.1007/s11252-024-01558-6 · Cited by 52
“Drawing inspiration from the work of Greenhalgh et al. (2005) on narrative synthesis, our narra - tive approach allows us to weave together historical con - text, theoretical frameworks, and contemporary practices.”
Updating comparative effectiveness reviews: Current efforts in AHRQ's Effective Health Care Program
Tsertsvadze, A., Maglione, M., Chou, R., Garritty, C., Coleman, C. I., Lux, L. J., Bass, E. B., Balshem, H., & Moher, D. (2011) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2011.03.011 · Cited by 41
Høyland, S. A. (2017) · Safety Science · doi:10.1016/j.ssci.2017.10.019 · Cited by 41
Direct verbal aggression in school settings: A review of the literature
Poling, D. V., Smith, S. W., Taylor, G. G., & Worth, M. R. (2019) · Aggression and Violent Behavior · doi:10.1016/j.avb.2019.01.010 · Cited by 41
Miguel, A. F. P., Mello, F. W., Melo, G., & Rivero, E. R. C. (2019) · Head & Neck · doi:10.1002/hed.26009 · Cited by 41
Management of UK priority invasive alien plants: a systematic review protocol
Martin, P. A., Shackelford, G. E., Bullock, J. M., Gallardo, B., Aldridge, D. C., & Sutherland, W. J. (2020) · Environmental Evidence · doi:10.1186/s13750-020-0186-y · Cited by 40
Lesson Study as a Faculty Development Initiative in Higher Education: A Systematic Review
Hervas, G. (2021) · AERA Open · doi:10.1177/2332858420982564 · Cited by 40
“Following this, the reference lists of studies that passed the second screening was reviewed in order to conduct a backward snowballing search (Jalali & Wohlin, 2012), a method useful to find less visible literature (Greenhalgh & Peacock, 2005).”
MethodMortality after emergency versus elective groin hernia repair: a systematic review and meta-analysis
Sæter, A. H., Fonnes, S., Rosenberg, J., & Andresen, K. (2022) · Surgical Endoscopy · doi:10.1007/s00464-022-09327-2 · Cited by 40
“Finally, a snowball search was conducted where reference lists from the included articles were screened for potentially eligible studies [12].”
MethodWang, L., Zhao, Y., & Yin, X. (2023) · Journal of Cleaner Production · doi:10.1016/j.jclepro.2023.137054 · Cited by 40
Lee, K. S., Borbas, B., Plaha, P., Ashkan, K., Jenkinson, M. D., & Price, S. J. (2024) · World Neurosurgery · doi:10.1016/j.wneu.2024.02.133 · Cited by 40
Kokkinou, M., Beishon, L., Smailagic, N., Noel-Storr, A. H., Hyde, C., Ukoumunne, O. C., Worrall, R., Hayen, A., Desai, M., Ashok, A. H., et al. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010945.pub2 · Cited by 43
Cacciatore, G., Ugolini, A., Sforza, C., Gbinigie, O. A., & Plüddemann, A. (2019) · PLoS ONE · doi:10.1371/journal.pone.0221624 · Cited by 40
Examining prospects and challenges of Ghana’s petroleum industry: A systematic review
Abudu, H., & Sai, R. (2020) · Energy Reports · doi:10.1016/j.egyr.2020.04.009 · Cited by 40
How innovation can be defined, evaluated and rewarded in health technology assessment
Rejón-Parrilla, J. C., Espín, J., & Epstein, D. M. (2022) · Health Economics Review · doi:10.1186/s13561-021-00342-y · Cited by 40
Drennan, V. M., Rait, G., Cole, L., Grant, R., & Iliffe, S. (2012) · Neurourology and Urodynamics · doi:10.1002/nau.22333 · Cited by 40
Methods for documenting systematic review searches: a discussion of common issues
Rader, T., Mann, M., Stansfield, C., Cooper, C., & Sampson, M. (2014) · Research Synthesis Methods · doi:10.1002/jrsm.1097 · Cited by 37
“Over half (51%) were identified by supplementary search methods (such as pursuing reference lists), and 24% by personal knowledge or personal contacts’ (Greenhalgh and Peacock, 2005).”
BackgroundMethodInfluentialRodríguez, D., Carlos Jerjes-Sánchez, D., Fonseca, S., Garcia-Toto, R., Martinez-Alvarado, J. D., Panneflek, J., Ortiz-Ledesma, C., & Nevarez, F. (2020) · Journal of Thrombosis and Thrombolysis · doi:10.1007/s11239-020-02122-7 · Cited by 43
“We used the snowballing method [10], a manual search to avoid lost reports, and no language restriction.”
MethodBreit, M., Brunner, M., Molenaar, D., & Preckel, F. (2022) · Psychological Bulletin · doi:10.1037/bul0000379 · Cited by 45
Water innovation in industrial symbiosis - A global review
Ramin, E., Faria, L., Gargalo, C. L., Ramin, P., Flores‐Alsina, X., Andersen, M. M., & Gernaey, K. V. (2023) · Journal of Environmental Management · doi:10.1016/j.jenvman.2023.119578 · Cited by 39
“In addition, we applied a snowball procedure (Greenhalgh and Peacock, 2005) to identify additional papers using the reference lists of the papers resulting from the initial search.”
MethodNagarajan, I., & Priya, G. G. L. (2025) · Frontiers in Computer Science · doi:10.3389/fcomp.2024.1404494 · Cited by 47
Lost in publication: Half of all renal practice evidence is published in non-renal journals
Garg, A. X., Iansavichus, A. V., Kastner, M., Walters, L. A., Wilczynski, N. L., McKibbon, K. A., Yang, R. C., Rehman, F., & Haynes, R. B. (2006) · Kidney International · doi:10.1038/sj.ki.5001896 · Cited by 39
Archetypes of Translation: Recommendations for Dialogue
O’Mahoney, J. (2016) · International Journal of Management Reviews · doi:10.1111/ijmr.12103 · Cited by 39
Health effects of flooding in Canada: A 2015 review and description of gaps in research
Burton, H., Rabito, F. A., Danielson, L., & Takaro, T. K. (2016) · Canadian Water Resources Journal / Revue canadienne des ressources hydriques · doi:10.1080/07011784.2015.1128854 · Cited by 39
Metadata
- Authors
- Greenhalgh, T., & Peacock, R.
- Affiliations
- University College London (GB)
- Corresponding author
- Greenhalgh, Trisha
- ORCID
- 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
- PMC
- PMC1283190
- OpenAlex
- W2149364707
- Semantic Scholar
- 45cd85a4c05c0c295e4569e08f20a6f3268e6390
- 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
- bronze
- doi.org
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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