Developing comprehensive, reproducible, and transparent searches takes time. The full search process for your systematic review might look something like this:
Conducting some preliminary, non-systematic searches on your topic will help you to:
When you are ready to conduct your systematic search, consider the following process:
Document entire search process
Follow the PRISMA-S guidelines for reporting searches in comprehensive reviews to describe the search process.
Systematic searching requires a set of skills and techniques that you may not have encountered in your previous research. In addition to guiding you to key databases and other sources of information, these pages offers some tips on systematic search methods.
The concept map form above can be useful for keeping track of your brainstorming of terms to search on each concept of your research question.
The ideal first step in the systematic review process is to see if other reviews have been published on your topic, or if relevant research is in the process of being completed. Existing systematic reviews and protocols can be found in the following places:
You can also use search filters to locate systematic reviews in other databases.
Health Science Databases*
Interdisciplinary Databases *
* For other recommendations of databases for a specific discipline, check out the relevant subject guide
Grey literature is literature produced by any organisation whose central purpose is not publishing. These organisations include governments, businesses, not-for-profits, health organisations and associations, and more. Searching for grey literature can be difficult because it is not usually indexed within traditional databases. When completing a systematic review, however, it is imperative to find as much evidence as possible, and that means searching beyond academic literature alone.
See: Hartling L, Featherstone R, Nuspl M, Shave K, Dryden DM, Vandermeer B. Grey literature in systematic reviews: a cross-sectional study of the contribution of non-English reports, unpublished studies and dissertations to the results of meta-analyses in child-relevant reviews. BMC Medical Research Methodology. 2017 Apr 19;17(1):64. http://dx.doi.org/10.1186/s12874-017-0347-z
In order to produce a fully replicable systematic review, your team should document as much of your search process as possible. While searching, it's a good idea to develop the following habits:
Every major health sciences database offers you the option to create a personal account. Please do so! Your account will allow you to save searches and search histories. This means you will easily be able to re-run a search. Additionally, most databases let you set up alerts that will notify you of new results as they are added to the database.
In addition to saving searches in your personal database accounts, back them up by copy and pasting them into a Word document. Include the date of each search. This will allow you to easily share searches with team members, and provide a back-up in case something goes wrong.
Notes for formatting search histories from select Dalhousie Library databases:
Embase: select all history and email to yourself. The resulting history will be in a format that can be easily copied into a table in a Word document.
PubMed: from Advanced search page, download history from search builder. This creates a spreadsheet that can be saved or copied into a Word doc.
MEDLINE through Ovid: Click the "Copy Search History Details link below the search history or type ..ps into the search bar to generate a file of the search history which can be printed, saved, or copied into a Word doc.
CINAHL: choose print history and copy the resulting table.
Scopus: Copy the complete search from the Advanced Search page
When exporting citations to your reference manager, it can be tempting to take advantage of direct export tools. Instead, we recommend saving your citation files in .RIS or .TXT format. These files can be imported directly into your reference manager. Having these files on hand is an additional method of documenting your final searches.
Each citation file name should include the following:
Search filters, sometimes called hedges, are strings of search terms that are used to limit search results. Many databases feature a built-in set of search filters that are commonly used to limit search results by age group, publication type, study type, and more.
When conducting a systematic review, however, there is a possibility that these filters may exclude relevant studies. For this reason, search experts and institutions have developed their own search filters, and many are available online for public use.
From the Cochrane Handbook, Section 6.4.11, Box 6.4.a:
(((((((((randomized controlled trial [pt]) OR controlled clinical trial [pt]) OR randomized [tiab]) OR placebo [tiab]) OR drug therapy [sh]) OR randomly [tiab]) OR trial [tiab]) OR groups [tiab])) NOT ((animals [mh] NOT humans [mh]))
From Glanville, J. M., Lefebvre, C., Miles, J. N. V., & Camosso-Stefinovic, J. (2006). How to identify randomized controlled trials in MEDLINE: ten years on. Journal of the Medical Library Association, 94(2), 130–136.:
(((((((clinical trial[pt]) OR randomized[tiab]) OR placebo[tiab]) OR clinical trials[mh]) OR randomly[tiab]) OR trial[ti])) NOT ((animals[mh]) NOT (animals[mh] AND humans[mh]))
From University of Texas School of Public Health:
“interviews as topic”[Mesh:noexp] OR “focus groups”[Mesh:noexp] OR narration[Mesh:noexp] OR qualitative research[Mesh:noexp] OR (((“semi-structured”[TIAB] OR semistructured[TIAB] OR unstructured[TIAB] OR structured[TIAB] OR informal[TIAB] OR “in-depth”[TIAB] OR indepth[TIAB] OR “face-to-face”[TIAB] OR guide[TIAB] OR guides[TIAB]) AND (interview*[TIAB] OR discussion*[TIAB] OR questionnaire*[TIAB])) OR (“focus group”[TIAB] OR “focus groups”[TIAB] OR qualitative[TIAB] OR ethnograph*[TIAB] OR fieldwork[TIAB] OR “field work”[TIAB] OR “key informant”[TIAB]))
Adapted from SIGN:
((((((((((("Meta-Analysis as Topic"[Mesh]) OR meta analy*[tw]) OR metaanaly*[tw]) OR Meta-Analysis[pt]) OR (((systematic AND (review* OR overview*)) AND tw))) OR "Review Literature as Topic"[Mesh])) OR ((((((((cochrane[tiab]) OR embase[tiab]) OR ((psychlit OR psyclit[tiab]))) OR ((psychinfo OR psycinfo[tiab]))) OR ((cinahl OR cinhal[tiab]))) OR science citation index[tiab]) OR bids[tiab]) OR cancerlit[tiab])) OR (((((reference list*[tiab]) OR bibliograph*[tiab]) OR hand-search*[tiab]) OR relevant journals[tiab]) OR manual search*[tiab])) OR ((((selection criteria[tiab]) OR data extraction[tiab])) AND "Review"[pt]))) NOT (((("Comment"[pt]) OR "Letter"[pt]) OR "Editorial"[pt]) OR (("Animals"[Mesh]) NOT (("Animals"[Mesh] AND "Humans"[Mesh]))))
( (MH "Random Assignment") or (MH "Random Sample+") or (MH "Crossover Design") or (MH "Clinical Trials+") or (MH "Comparative Studies") or (MH "Control (Research)+") or (MH "Control Group") or (MH "Factorial Design") or (MH "Quasi-Experimental Studies+") or (MH "Placebos") or (MH "Meta Analysis") or (MH "Sample Size") or (MH "Research, Nursing") or (MH "Research Question") or (MH "Research Methodology+") or (MH "Evaluation Research+") or (MH "Concurrent Prospective Studies") or (MH "Prospective Studies") or (MH "Nursing Practice, Research-Based") or (MH "Solomon Four-Group Design") or (MH "One-Shot Case Study") or (MH "Pretest-Posttest Design+") or (MH "Static Group Comparison") or (MH "Study Design") or (MH "Clinical Research+") ) or ( clinical nursing research or random* or cross?over or placebo* or control* or factorial or sham* or meta?analy* or systematic review* or blind* or mask* or trial* )
From University of Texas School of Public Health:
(TI (systematic* n3 review*)) or (AB (systematic* n3 review*)) or (TI (systematic* n3 bibliographic*)) or (AB (systematic* n3 bibliographic*)) or (TI (systematic* n3 literature)) or (AB (systematic* n3 literature)) or (TI (comprehensive* n3 literature)) or (AB (comprehensive* n3 literature)) or (TI (comprehensive* n3 bibliographic*)) or (AB (comprehensive* n3 bibliographic*)) or (TI (integrative n3 review)) or (AB (integrative n3 review)) or (JN “Cochrane Database of Systematic Reviews”) or (TI (information n2 synthesis)) or (TI (data n2 synthesis)) or (AB (information n2 synthesis)) or (AB (data n2 synthesis)) or (TI (data n2 extract*)) or (AB (data n2 extract*)) or (TI (medline or pubmed or psyclit or cinahl or (psycinfo not “psycinfo database”) or “web of science” or scopus or embase)) or (AB (medline or pubmed or psyclit or cinahl or (psycinfo not “psycinfo database”) or “web of science” or scopus or embase)) or (MH “Systematic Review”) or (MH “Meta Analysis”) or (TI (meta-analy* or metaanaly*)) or (AB (meta-analy* or metaanaly*))
Adapted from the Cochrane Handbook by the Cochrane Occupational Health and Safety Group:
'crossover procedure':de OR 'double-blind procedure':de OR 'randomized controlled trial':de OR 'single-blind procedure':de OR (random* OR factorial* OR crossover* OR cross NEXT/1 over* OR placebo* OR doubl* NEAR/1 blind* OR singl* NEAR/1 blind* OR assign* OR allocat* OR volunteer*):de,ab,ti
Adapted from SIGN by the Cochrane Occupational Health and Safety Group:
'clinical trial'/de OR 'randomized controlled trial'/de OR 'randomization'/de OR 'single blind procedure'/de OR 'double blind procedure'/de OR 'crossover procedure'/de OR 'placebo'/de OR 'prospective study'/de OR 'randomi?ed controlled' NEXT/1 trial* OR rct OR 'randomly allocated' OR 'allocated randomly' OR 'random allocation' OR allocated NEAR/2 random OR single NEXT/1 blind* OR double NEXT/1 blind* OR (treble OR triple) NEAR/1 blind* OR placebo*
Adapted from McMaster HIRU:
interview:de,ab,ti OR 'health care organization'/exp OR experiences:de,ab,ti
Cochrane Highly Sensitive Search Strategy for identifying randomized trials in MEDLINE: sensitivity-maximizing version (2008 revision); Ovid format
1 randomized controlled trial.pt.
2 controlled clinical trial.pt.
3 randomized.ab.
4 placebo.ab.
5 drug therapy.fs.
6 randomly.ab.
7 trial.ab.
8 groups.ab.
9 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8
10 exp animals/ not humans.sh.
11 9 not 10
From: Lefebvre C, Glanville J, Briscoe S, Featherstone R, Littlewood A, Marshall C, Metzendorf M-I, Noel-Storr A, Paynter R, Rader T, Thomas J, Wieland LS. Technical Supplement to Chapter 4: Searching for and selecting studies. In: Higgins JPT, Thomas J, Chandler J, Cumpston MS, Li T, Page MJ, Welch VA (eds). Cochrane Handbook for Systematic Reviews of Interventions Version 6.3 (updated February 2022). Cochrane, 2022. Available from: www.training.cochrane.org/handbook.
https://training.cochrane.org/chapter04-tech-supplonlinepdfv65270924, Box 3.c