What the study found
The study found that systematic reviews (reviews that collect and assess existing research) are a foundation for living evidence-informed clinical and public health guidelines, but they cannot be used alone. The authors also found that different kinds of systematic reviews can support guidelines, including intervention, diagnostic, prognostic, and cost-effectiveness reviews.
Why the authors say this matters
The authors conclude that systematic reviews support the development of clinical and public health recommendations, but that additional factors must also be considered. They say this is needed to make recommendations appropriate and implementable.
What the researchers tested
The authors reviewed methodological evidence about how to plan and conduct systematic reviews for living evidence-informed clinical and public health guidelines. They selected the most up-to-date methodological handbooks and articles on systematic review methods.
What worked and what didn't
The review found that core steps in systematic review methods are shared across review types. However, the authors report that methods often need to be adapted depending on the type of review, including tools for assessing risk of bias and ways to analyze and synthesize evidence. They also state that certainty of evidence should be assessed using Grading of Recommendations Assessment, Development and Evaluation guidance matched to the question type.
What to keep in mind
The abstract does not describe specific limitations of the review. It also does not list the additional factors that must be considered beyond systematic reviews when forming recommendations.
Key points
- Systematic reviews are described as the foundation for guideline recommendations.
- Systematic reviews alone are not enough to make recommendations appropriate and implementable.
- Different systematic review types can inform guidelines, including intervention, diagnostic, prognostic, and cost-effectiveness reviews.
- Review methods often need to be adapted to the type of question and evidence.
- Certainty of evidence should be assessed with GRADE guidance matched to the question type.
Disclosure
- Research title:
- Systematic reviews are necessary but not sufficient for guidelines
- Authors:
- Francisca Verdugo-Paiva, Olivia R. Urquhart, Ankita Shashikant Bhosale, Carolina Castro Martins-Pfeifer, Michael Glick, Alonso Carrasco-Labra
- Publication date:
- 2026-03-01
- OpenAlex record:
- View
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