Large-scale systematic review support for guideline development in diabetes precision medicine

Authors

DOI:

https://doi.org/10.5195/jmla.2024.1863

Keywords:

Systematic review methodology, project management, search strategy development, role of information specialist, teamwork, online collaboration

Abstract

Background: Involving librarians as team members can lead to better quality in reviews. To improve their search results, an international diabetes project involved two medical librarians in a large-scale project planning of a series of systematic reviews for clinical guidelines in diabetes precision medicine.

Case Presentation: The precision diabetes project was divided into teams. Four diabetes mellitus types (type 1, type 2, gestational, and monogenic) were divided into teams focusing on diagnostics, prevention, treatment, or prognostics. A search consultation plan was set up for the project to help organize the work. We performed searches in Embase and PubMed for 14 teams, building complex searches that involved non-traditional search strategies. Our search strategies generated very large amounts of records that created challenges in balancing sensitivity with precision. We also performed overlap searches for type 1 and type 2 diabetes search strategies; and assisted in setting up reviews in the Covidence tool for screening.

Conclusions: This project gave us opportunities to test methods we had not used before, such as overlap comparisons between whole search strategies. It also gave us insights into the complexity of performing a search balancing sensitivity and specificity and highlights the need for a clearly defined communication plan for extensive evidence synthesis projects.

Author Biography

Maria Björklund, Lund University, Faculty of Medicine, Library & ICT, Sweden

Lund University, Faculty of Medicine, Library & ICT, Sweden

Liaison Librarian

References

Townsend WA, Anderson PF, Ginier EC, MacEachern MP, Saylor KM, Shipman BL, et al. A competency framework for librarians involved in systematic reviews. J Med Libr Assoc. 2017;105(3):268-75.

McKeown S, Ross-White A. Building capacity for librarian support and addressing collaboration challenges by formalizing library systematic review services. Journal of the Medical Library Association. 2019;107(3):411-9.

Russell F, Grbin L, Beard F, Higgins J, Kelly B. The Evolution of a Mediated Systematic Review Search Service. Journal of the Australian Library & Information Association. 2022;71(1):89-107.

McGowan J, Sampson M, Salzwedel DM, Cogo E, Foerster V, Lefebvre C. PRESS Peer Review of Electronic Search Strategies: 2015 Guideline Statement. J Clin Epidemiol. 2016;75:40-6.

Rethlefsen ML, Farrell AM, Osterhaus Trzasko LC, Brigham TJ. Librarian co-authors correlated with higher quality reported search strategies in general internal medicine systematic reviews. J Clin Epidemiol. 2015;68(6):617-26.

Dudden RF, Protzko SL. The systematic review team: contributions of the health sciences librarian. Med Ref Serv Q. 2011;30(3):301-15.

McKeown S, Mir ZM, Ritonja JA, Soleas E. Systematic review support received and needed by researchers: a survey of libraries supporting Ontario medical schools. Journal of the Canadian Health Libraries Association (JCHLA). 2021;42(3):154-63.

Spencer AJ, Eldredge JD. Roles for librarians in systematic reviews: a scoping. Journal of the Medical Library Association. 2018;106(1):46-56.

Faculty of Medicine LU. Faculty of Medicine at Lund University [Internet]. Lund: Lund University; 2023 [cited 2023 February 10]. Available from: https://www.medicine.lu.se/faculty-medicine-lund-university.

Lund University. Lund University. About the university [Internet]. Lund: Lund University; 2023 [cited 2023 February 10]. Available from: https://www.lunduniversity.lu.se/about-university.

Cochrane Sweden. Cochrane Sweden. About us. [Internet]. Lund: Cochrane Sweden; 2023 [cited 2023 February 10]. Available from: https://sweden.cochrane.org/about-us.

American Diabetes Association. Precision Medicine in Diabetes Initiative [Internet]. 2018 [cited 2023 February 10]. Available from: https://professional.diabetes.org/content-page/precision-medicine-diabetes-initiative-0.

Higgins JPT TJ, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions [Internet]: Cochrane; 2022 [cited 2023 February 10]. Available from: www.training.cochrane.org/handbook.

Schellinger J, Sewell K, Bloss JE, Ebron T, Forbes C. The effect of librarian involvement on the quality of systematic reviews in dental medicine. PLoS One. 2021;16(9):e0256833.

Chung WK, Erion K, Florez JC, Hattersley AT, Hivert MF, Lee CG, et al. Precision medicine in diabetes: a Consensus Report from the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia. 2020;63(9):1671-93.

O'Dwyer LC, Wafford QE. Addressing challenges with systematic review teams through effective communication: a case report. Journal of the Medical Library Association. 2021;109(4):643-7.

National Institute for Health and Care Excellence (NICE). Identifying the evidence: literature searching and evidence submission. 2014 (updated 2022) [cited February 10, 2023]. In: Developing NICE guidelines: the manual [Internet]. National Institute for Health and Care Excellence (NICE), [cited February 10, 2023]. Available from: https://www.nice.org.uk/process/pmg20/chapter/identifying-the-evidence-literature-searching-and-evidence-submission.

Lunny C, Pieper D, Thabet P, Kanji S. Managing overlap of primary study results across systematic reviews: practical considerations for authors of overviews of reviews. BMC Med Res Methodol. 2021;21(1):140.

Bullers K, Howard AM, Hanson A, Kearns WD, Orriola JJ, Polo RL, et al. It takes longer than you think: librarian time spent on systematic review tasks. J Med Libr Assoc. 2018;106(2):198-207.

Nicholson J, McCrillis A, Williams JD. Collaboration challenges in systematic reviews: a survey of health sciences librarians. J Med Libr Assoc. 2017;105(4):385-93.

Knehans A, Dell E, Robinson C. Starting a Fee-Based Systematic Review Service. Med Ref Serv Q. 2016;35(3):266-73.

Tobias, D.K., Merino, J., Ahmad, A. et al. Second international consensus report on gaps and opportunities for the clinical translation of precision diabetes medicine. Nat Med 29, 2438–2457 (2023).

Nature Communications Medicine. Collection Precision Medicine in Diabetes. [Internet] London: SpringerNature; 2023. [cited March 4, 2024]. Available from: https://www.nature.com/collections/ijchbebadj.

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Published

2024-07-29

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Section

Case Report