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Evidence Synthesis: What is Evidence Synthesis?

The purpose of this guide is to provide patrons with information about evidence synthesis.

IMPORTANT:

 

This guide is a work-in-progress!

For additional help or resources regarding the evidence synthesis process, please contact library.help@usu.edu.

What is Evidence Synthesis?

Evidence synthesis interprets individual studies within the broader context of existing knowledge, providing a rigorous foundation for informed decision-making in policy and clinical practice. It uses transparent methodologies to systematically (orderly) address questions through study selection, appraisal, analysis, and evidence strength assessment. This comprehensive approach ensures that research is understood in context, which is essential for effective decision-making, especially when studies may conflict. Evidence synthesis methods are applied across diverse fields, including education, health care, and environmental conservation, and are utilized by various organizations. 

Adapted from: https://evidencesynthesis.org/what-is-evidence-synthesis/ 


Evidence Synthesis vs. Lit Review

It's important to understand the differences between a traditional literature review and evidence synthesis. Review the table below for some comparisons.

 

Literature Review

Evidence Synthesis

Review Question/Topic

Topics may be broad in scope; the goal of the review may be to place one's own research within the existing body of knowledge, or to gather information that supports a particular viewpoint.

Starts with a well-defined research question to be answered by the review. Reviews are conducted with the aim of finding all existing evidence in an unbiased, transparent, and reproducible way.

Searching for Studies

Searches may be ad hoc and based on what the author is already familiar with. Searches are not exhaustive or fully comprehensive.

Attempts are made to find all existing published and unpublished literature on the research question. The process is well-documented and reported.

Study Selection

 

Often lack clear reasons for why studies were included or excluded from the review.

Reasons for including or excluding studies are explicit and informed by the research question.

Assessing the Quality of Included Studies

 

Often do not consider study quality or potential biases in study design.

Systematically assesses risk of bias of individual studies and overall quality of the evidence, including sources of heterogeneity between study results.

Synthesis of Existing Research

 

Conclusions are more qualitative and may not be based on study quality.

Bases conclusions on quality of the studies and provide recommendations for practice or to address knowledge gaps.

Adapted from https://guides.library.cornell.edu/evidence-synthesis/intro


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Types of Evidence Synthesis

Definition

systematic review seeks to systematically search for, appraise, and synthesis research evidence. It adheres to guidelines on the conduct of a review.

Search and Appraisal

It aims for exhaustive and comprehensive searching, and the quality assessment may determine inclusion and exclusion.

Synthesis and Analysis

The synthesis is usually narrative with accompanying tables. It's analysis provides information on what is know and recommendations for practice. It also shows what's unknown, uncertainty about findings, and recommendations for future research.

Definition

scoping review is a preliminary assessment of potential size and scope of available research literature. This review aims to identify extent and qualities of research evidence, including ongoing research.

Search and Appraisal

The completeness of the search is determined by whatever time/scope restraints exist. It can include research in progress. There is no formal quality assessment.

Synthesis and Analysis

The synthesis is usually tabular (using tables to display information) with some narrative. The analysis characterizes the quality and quantity of literature, maybe by study design or other key features. It attempts to specify a applicable review. 

Definition

rapid review is the assessment of what's already known about an issue by using systematic review methods for searching and appraising existing research.

Search and Appraisal

The completeness of the search is determined by whatever time restraints exist. There is a time-limited formal quality assessment.

Synthesis and Analysis

The synthesis is usually narrative and tabular, and there is an analysis of quantities of literature and overall direction of effect of literature.

Definition

A literature review is a work which examines recent or current literature in a field. It can cover subjects of a wide range at various levels of comprehensiveness. A lit review can include research findings at times.

Search and Appraisal

It may or may not include comprehensive searching or quality assessment.

Synthesis and Analysis

It is usually narrative and the analysis may be chronological, conceptual, thematic, among others.

Definition

A meta-analysis statistically combines results of qualitative studies to provide more precise effects of the results.

Search and Appraisal

It aims for comprehensive searching and could use funnel plot (or scatter plot) to assess completeness. The quality assessment may determine inclusion/exclusion and/or sensitivity analyses.

Synthesis and Analysis

The synthesis is graphical and arranged in a table (with rows and columns). The analysis is numerical of measures of effect, assuming absence of diversity.