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How to Write an Article Review (With Examples)

Last Updated: August 26, 2024 Fact Checked

Preparing to Write Your Review

Writing the article review, sample article reviews, expert q&a.

This article was co-authored by Jake Adams . Jake Adams is an academic tutor and the owner of Simplifi EDU, a Santa Monica, California based online tutoring business offering learning resources and online tutors for academic subjects K-College, SAT & ACT prep, and college admissions applications. With over 14 years of professional tutoring experience, Jake is dedicated to providing his clients the very best online tutoring experience and access to a network of excellent undergraduate and graduate-level tutors from top colleges all over the nation. Jake holds a BS in International Business and Marketing from Pepperdine University. There are 12 references cited in this article, which can be found at the bottom of the page. This article has been fact-checked, ensuring the accuracy of any cited facts and confirming the authority of its sources. This article has been viewed 3,133,148 times.

An article review is both a summary and an evaluation of another writer's article. Teachers often assign article reviews to introduce students to the work of experts in the field. Experts also are often asked to review the work of other professionals. Understanding the main points and arguments of the article is essential for an accurate summation. Logical evaluation of the article's main theme, supporting arguments, and implications for further research is an important element of a review . Here are a few guidelines for writing an article review.

Education specialist Alexander Peterman recommends: "In the case of a review, your objective should be to reflect on the effectiveness of what has already been written, rather than writing to inform your audience about a subject."

Article Review 101

  • Read the article very closely, and then take time to reflect on your evaluation. Consider whether the article effectively achieves what it set out to.
  • Write out a full article review by completing your intro, summary, evaluation, and conclusion. Don't forget to add a title, too!
  • Proofread your review for mistakes (like grammar and usage), while also cutting down on needless information.

Step 1 Understand what an article review is.

  • Article reviews present more than just an opinion. You will engage with the text to create a response to the scholarly writer's ideas. You will respond to and use ideas, theories, and research from your studies. Your critique of the article will be based on proof and your own thoughtful reasoning.
  • An article review only responds to the author's research. It typically does not provide any new research. However, if you are correcting misleading or otherwise incorrect points, some new data may be presented.
  • An article review both summarizes and evaluates the article.

Step 2 Think about the organization of the review article.

  • Summarize the article. Focus on the important points, claims, and information.
  • Discuss the positive aspects of the article. Think about what the author does well, good points she makes, and insightful observations.
  • Identify contradictions, gaps, and inconsistencies in the text. Determine if there is enough data or research included to support the author's claims. Find any unanswered questions left in the article.

Step 3 Preview the article.

  • Make note of words or issues you don't understand and questions you have.
  • Look up terms or concepts you are unfamiliar with, so you can fully understand the article. Read about concepts in-depth to make sure you understand their full context.

Step 4 Read the article closely.

  • Pay careful attention to the meaning of the article. Make sure you fully understand the article. The only way to write a good article review is to understand the article.

Step 5 Put the article into your words.

  • With either method, make an outline of the main points made in the article and the supporting research or arguments. It is strictly a restatement of the main points of the article and does not include your opinions.
  • After putting the article in your own words, decide which parts of the article you want to discuss in your review. You can focus on the theoretical approach, the content, the presentation or interpretation of evidence, or the style. You will always discuss the main issues of the article, but you can sometimes also focus on certain aspects. This comes in handy if you want to focus the review towards the content of a course.
  • Review the summary outline to eliminate unnecessary items. Erase or cross out the less important arguments or supplemental information. Your revised summary can serve as the basis for the summary you provide at the beginning of your review.

Step 6 Write an outline of your evaluation.

  • What does the article set out to do?
  • What is the theoretical framework or assumptions?
  • Are the central concepts clearly defined?
  • How adequate is the evidence?
  • How does the article fit into the literature and field?
  • Does it advance the knowledge of the subject?
  • How clear is the author's writing? Don't: include superficial opinions or your personal reaction. Do: pay attention to your biases, so you can overcome them.

Step 1 Come up with...

  • For example, in MLA , a citation may look like: Duvall, John N. "The (Super)Marketplace of Images: Television as Unmediated Mediation in DeLillo's White Noise ." Arizona Quarterly 50.3 (1994): 127-53. Print. [9] X Trustworthy Source Purdue Online Writing Lab Trusted resource for writing and citation guidelines Go to source

Step 3 Identify the article.

  • For example: The article, "Condom use will increase the spread of AIDS," was written by Anthony Zimmerman, a Catholic priest.

Step 4 Write the introduction.

  • Your introduction should only be 10-25% of your review.
  • End the introduction with your thesis. Your thesis should address the above issues. For example: Although the author has some good points, his article is biased and contains some misinterpretation of data from others’ analysis of the effectiveness of the condom.

Step 5 Summarize the article.

  • Use direct quotes from the author sparingly.
  • Review the summary you have written. Read over your summary many times to ensure that your words are an accurate description of the author's article.

Step 6 Write your critique.

  • Support your critique with evidence from the article or other texts.
  • The summary portion is very important for your critique. You must make the author's argument clear in the summary section for your evaluation to make sense.
  • Remember, this is not where you say if you liked the article or not. You are assessing the significance and relevance of the article.
  • Use a topic sentence and supportive arguments for each opinion. For example, you might address a particular strength in the first sentence of the opinion section, followed by several sentences elaborating on the significance of the point.

Step 7 Conclude the article review.

  • This should only be about 10% of your overall essay.
  • For example: This critical review has evaluated the article "Condom use will increase the spread of AIDS" by Anthony Zimmerman. The arguments in the article show the presence of bias, prejudice, argumentative writing without supporting details, and misinformation. These points weaken the author’s arguments and reduce his credibility.

Step 8 Proofread.

  • Make sure you have identified and discussed the 3-4 key issues in the article.

article research review

You Might Also Like

Write Articles

  • ↑ https://libguides.cmich.edu/writinghelp/articlereview
  • ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548566/
  • ↑ Jake Adams. Academic Tutor & Test Prep Specialist. Expert Interview. 24 July 2020.
  • ↑ https://guides.library.queensu.ca/introduction-research/writing/critical
  • ↑ https://www.iup.edu/writingcenter/writing-resources/organization-and-structure/creating-an-outline.html
  • ↑ https://writing.umn.edu/sws/assets/pdf/quicktips/titles.pdf
  • ↑ https://owl.purdue.edu/owl/research_and_citation/mla_style/mla_formatting_and_style_guide/mla_works_cited_periodicals.html
  • ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548565/
  • ↑ https://writingcenter.uconn.edu/wp-content/uploads/sites/593/2014/06/How_to_Summarize_a_Research_Article1.pdf
  • ↑ https://www.uis.edu/learning-hub/writing-resources/handouts/learning-hub/how-to-review-a-journal-article
  • ↑ https://writingcenter.unc.edu/tips-and-tools/editing-and-proofreading/

About This Article

Jake Adams

If you have to write an article review, read through the original article closely, taking notes and highlighting important sections as you read. Next, rewrite the article in your own words, either in a long paragraph or as an outline. Open your article review by citing the article, then write an introduction which states the article’s thesis. Next, summarize the article, followed by your opinion about whether the article was clear, thorough, and useful. Finish with a paragraph that summarizes the main points of the article and your opinions. To learn more about what to include in your personal critique of the article, keep reading the article! Did this summary help you? Yes No

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  • CAREER FEATURE
  • 04 December 2020
  • Correction 09 December 2020

How to write a superb literature review

Andy Tay is a freelance writer based in Singapore.

You can also search for this author in PubMed   Google Scholar

Colourful bookmarks on note pads

Credit: Getty

Literature reviews are important resources for scientists. They provide historical context for a field while offering opinions on its future trajectory. Creating them can provide inspiration for one’s own research, as well as some practice in writing. But few scientists are trained in how to write a review — or in what constitutes an excellent one. Even picking the appropriate software to use can be an involved decision (see ‘Tools and techniques’). So Nature asked editors and working scientists with well-cited reviews for their tips.

WENTING ZHAO: Be focused and avoid jargon

Assistant professor of chemical and biomedical engineering, Nanyang Technological University, Singapore.

When I was a research student, review writing improved my understanding of the history of my field. I also learnt about unmet challenges in the field that triggered ideas.

For example, while writing my first review 1 as a PhD student, I was frustrated by how poorly we understood how cells actively sense, interact with and adapt to nanoparticles used in drug delivery. This experience motivated me to study how the surface properties of nanoparticles can be modified to enhance biological sensing. When I transitioned to my postdoctoral research, this question led me to discover the role of cell-membrane curvature, which led to publications and my current research focus. I wouldn’t have started in this area without writing that review.

article research review

Collection: Careers toolkit

A common problem for students writing their first reviews is being overly ambitious. When I wrote mine, I imagined producing a comprehensive summary of every single type of nanomaterial used in biological applications. It ended up becoming a colossal piece of work, with too many papers discussed and without a clear way to categorize them. We published the work in the end, but decided to limit the discussion strictly to nanoparticles for biological sensing, rather than covering how different nanomaterials are used in biology.

My advice to students is to accept that a review is unlike a textbook: it should offer a more focused discussion, and it’s OK to skip some topics so that you do not distract your readers. Students should also consider editorial deadlines, especially for invited reviews: make sure that the review’s scope is not so extensive that it delays the writing.

A good review should also avoid jargon and explain the basic concepts for someone who is new to the field. Although I trained as an engineer, I’m interested in biology, and my research is about developing nanomaterials to manipulate proteins at the cell membrane and how this can affect ageing and cancer. As an ‘outsider’, the reviews that I find most useful for these biological topics are those that speak to me in accessible scientific language.

A man in glasses looking at the camera.

Bozhi Tian likes to get a variety of perspectives into a review. Credit: Aleksander Prominski

BOZHI TIAN: Have a process and develop your style

Associate professor of chemistry, University of Chicago, Illinois.

In my lab, we start by asking: what is the purpose of this review? My reasons for writing one can include the chance to contribute insights to the scientific community and identify opportunities for my research. I also see review writing as a way to train early-career researchers in soft skills such as project management and leadership. This is especially true for lead authors, because they will learn to work with their co-authors to integrate the various sections into a piece with smooth transitions and no overlaps.

After we have identified the need and purpose of a review article, I will form a team from the researchers in my lab. I try to include students with different areas of expertise, because it is useful to get a variety of perspectives. For example, in the review ‘An atlas of nano-enabled neural interfaces’ 2 , we had authors with backgrounds in biophysics, neuroengineering, neurobiology and materials sciences focusing on different sections of the review.

After this, I will discuss an outline with my team. We go through multiple iterations to make sure that we have scanned the literature sufficiently and do not repeat discussions that have appeared in other reviews. It is also important that the outline is not decided by me alone: students often have fresh ideas that they can bring to the table. Once this is done, we proceed with the writing.

I often remind my students to imagine themselves as ‘artists of science’ and encourage them to develop how they write and present information. Adding more words isn’t always the best way: for example, I enjoy using tables to summarize research progress and suggest future research trajectories. I’ve also considered including short videos in our review papers to highlight key aspects of the work. I think this can increase readership and accessibility because these videos can be easily shared on social-media platforms.

ANKITA ANIRBAN: Timeliness and figures make a huge difference

Editor, Nature Reviews Physics .

One of my roles as a journal editor is to evaluate proposals for reviews. The best proposals are timely and clearly explain why readers should pay attention to the proposed topic.

It is not enough for a review to be a summary of the latest growth in the literature: the most interesting reviews instead provide a discussion about disagreements in the field.

article research review

Careers Collection: Publishing

Scientists often centre the story of their primary research papers around their figures — but when it comes to reviews, figures often take a secondary role. In my opinion, review figures are more important than most people think. One of my favourite review-style articles 3 presents a plot bringing together data from multiple research papers (many of which directly contradict each other). This is then used to identify broad trends and suggest underlying mechanisms that could explain all of the different conclusions.

An important role of a review article is to introduce researchers to a field. For this, schematic figures can be useful to illustrate the science being discussed, in much the same way as the first slide of a talk should. That is why, at Nature Reviews, we have in-house illustrators to assist authors. However, simplicity is key, and even without support from professional illustrators, researchers can still make use of many free drawing tools to enhance the value of their review figures.

A woman wearing a lab coat smiles at the camera.

Yoojin Choi recommends that researchers be open to critiques when writing reviews. Credit: Yoojin Choi

YOOJIN CHOI: Stay updated and be open to suggestions

Research assistant professor, Korea Advanced Institute of Science and Technology, Daejeon.

I started writing the review ‘Biosynthesis of inorganic nanomaterials using microbial cells and bacteriophages’ 4 as a PhD student in 2018. It took me one year to write the first draft because I was working on the review alongside my PhD research and mostly on my own, with support from my adviser. It took a further year to complete the processes of peer review, revision and publication. During this time, many new papers and even competing reviews were published. To provide the most up-to-date and original review, I had to stay abreast of the literature. In my case, I made use of Google Scholar, which I set to send me daily updates of relevant literature based on key words.

Through my review-writing process, I also learnt to be more open to critiques to enhance the value and increase the readership of my work. Initially, my review was focused only on using microbial cells such as bacteria to produce nanomaterials, which was the subject of my PhD research. Bacteria such as these are known as biofactories: that is, organisms that produce biological material which can be modified to produce useful materials, such as magnetic nanoparticles for drug-delivery purposes.

article research review

Synchronized editing: the future of collaborative writing

However, when the first peer-review report came back, all three reviewers suggested expanding the review to cover another type of biofactory: bacteriophages. These are essentially viruses that infect bacteria, and they can also produce nanomaterials.

The feedback eventually led me to include a discussion of the differences between the various biofactories (bacteriophages, bacteria, fungi and microalgae) and their advantages and disadvantages. This turned out to be a great addition because it made the review more comprehensive.

Writing the review also led me to an idea about using nanomaterial-modified microorganisms to produce chemicals, which I’m still researching now.

PAULA MARTIN-GONZALEZ: Make good use of technology

PhD student, University of Cambridge, UK.

Just before the coronavirus lockdown, my PhD adviser and I decided to write a literature review discussing the integration of medical imaging with genomics to improve ovarian cancer management.

As I was researching the review, I noticed a trend in which some papers were consistently being cited by many other papers in the field. It was clear to me that those papers must be important, but as a new member of the field of integrated cancer biology, it was difficult to immediately find and read all of these ‘seminal papers’.

That was when I decided to code a small application to make my literature research more efficient. Using my code, users can enter a query, such as ‘ovarian cancer, computer tomography, radiomics’, and the application searches for all relevant literature archived in databases such as PubMed that feature these key words.

The code then identifies the relevant papers and creates a citation graph of all the references cited in the results of the search. The software highlights papers that have many citation relationships with other papers in the search, and could therefore be called seminal papers.

My code has substantially improved how I organize papers and has informed me of key publications and discoveries in my research field: something that would have taken more time and experience in the field otherwise. After I shared my code on GitHub, I received feedback that it can be daunting for researchers who are not used to coding. Consequently, I am hoping to build a more user-friendly interface in a form of a web page, akin to PubMed or Google Scholar, where users can simply input their queries to generate citation graphs.

Tools and techniques

Most reference managers on the market offer similar capabilities when it comes to providing a Microsoft Word plug-in and producing different citation styles. But depending on your working preferences, some might be more suitable than others.

Reference managers

Attribute

EndNote

Mendeley

Zotero

Paperpile

Cost

A one-time cost of around US$340 but comes with discounts for academics; around $150 for students

Free version available

Free version available

Low and comes with academic discounts

Level of user support

Extensive user tutorials available; dedicated help desk

Extensive user tutorials available; global network of 5,000 volunteers to advise users

Forum discussions to troubleshoot

Forum discussions to troubleshoot

Desktop version available for offline use?

Available

Available

Available

Unavailable

Document storage on cloud

Up to 2 GB (free version)

Up to 2 GB (free version)

Up to 300 MB (free version)

Storage linked to Google Drive

Compatible with Google Docs?

No

No

Yes

Yes

Supports collaborative working?

No group working

References can be shared or edited by a maximum of three other users (or more in the paid-for version)

No limit on the number of users

No limit on the number of users

Here is a comparison of the more popular collaborative writing tools, but there are other options, including Fidus Writer, Manuscript.io, Authorea and Stencila.

Collaborative writing tools

Attribute

Manubot

Overleaf

Google Docs

Cost

Free, open source

$15–30 per month, comes with academic discounts

Free, comes with a Google account

Writing language

Type and write in Markdown*

Type and format in LaTex*

Standard word processor

Can be used with a mobile device?

No

No

Yes

References

Bibliographies are built using DOIs, circumventing reference managers

Citation styles can be imported from reference managers

Possible but requires additional referencing tools in a plug-in, such as Paperpile

*Markdown and LaTex are code-based formatting languages favoured by physicists, mathematicians and computer scientists who code on a regular basis, and less popular in other disciplines such as biology and chemistry.

doi: https://doi.org/10.1038/d41586-020-03422-x

Interviews have been edited for length and clarity.

Updates & Corrections

Correction 09 December 2020 : An earlier version of the tables in this article included some incorrect details about the programs Zotero, Endnote and Manubot. These have now been corrected.

Hsing, I.-M., Xu, Y. & Zhao, W. Electroanalysis 19 , 755–768 (2007).

Article   Google Scholar  

Ledesma, H. A. et al. Nature Nanotechnol. 14 , 645–657 (2019).

Article   PubMed   Google Scholar  

Brahlek, M., Koirala, N., Bansal, N. & Oh, S. Solid State Commun. 215–216 , 54–62 (2015).

Choi, Y. & Lee, S. Y. Nature Rev. Chem . https://doi.org/10.1038/s41570-020-00221-w (2020).

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article research review

An article review is a critical evaluation of a scholarly or scientific piece, which aims to summarize its main ideas, assess its contributions, and provide constructive feedback. A well-written review not only benefits the author of the article under scrutiny but also serves as a valuable resource for fellow researchers and scholars. Follow these steps to create an effective and informative article review:

1. Understand the purpose: Before diving into the article, it is important to understand the intent of writing a review. This helps in focusing your thoughts, directing your analysis, and ensuring your review adds value to the academic community.

2. Read the article thoroughly: Carefully read the article multiple times to get a complete understanding of its content, arguments, and conclusions. As you read, take notes on key points, supporting evidence, and any areas that require further exploration or clarification.

3. Summarize the main ideas: In your review’s introduction, briefly outline the primary themes and arguments presented by the author(s). Keep it concise but sufficiently informative so that readers can quickly grasp the essence of the article.

4. Evaluate the strengths and weaknesses: In subsequent paragraphs, assess the strengths and limitations of the article based on factors such as methodology, quality of evidence presented, coherence of arguments, and alignment with existing literature in the field. Be fair and objective while providing your critique.

5. Discuss any implications: Deliberate on how this particular piece contributes to or challenges existing knowledge in its discipline. You may also discuss potential improvements for future research or explore real-world applications stemming from this study.

6. Provide recommendations: Finally, offer suggestions for both the author(s) and readers regarding how they can further build on this work or apply its findings in practice.

7. Proofread and revise: Once your initial draft is complete, go through it carefully for clarity, accuracy, and coherence. Revise as necessary, ensuring your review is both informative and engaging for readers.

Sample Review:

A Critical Review of “The Effects of Social Media on Mental Health”

Introduction:

“The Effects of Social Media on Mental Health” is a timely article which investigates the relationship between social media usage and psychological well-being. The authors present compelling evidence to support their argument that excessive use of social media can result in decreased self-esteem, increased anxiety, and a negative impact on interpersonal relationships.

Strengths and weaknesses:

One of the strengths of this article lies in its well-structured methodology utilizing a variety of sources, including quantitative surveys and qualitative interviews. This approach provides a comprehensive view of the topic, allowing for a more nuanced understanding of the effects of social media on mental health. However, it would have been beneficial if the authors included a larger sample size to increase the reliability of their conclusions. Additionally, exploring how different platforms may influence mental health differently could have added depth to the analysis.

Implications:

The findings in this article contribute significantly to ongoing debates surrounding the psychological implications of social media use. It highlights the potential dangers that excessive engagement with online platforms may pose to one’s mental well-being and encourages further research into interventions that could mitigate these risks. The study also offers an opportunity for educators and policy-makers to take note and develop strategies to foster healthier online behavior.

Recommendations:

Future researchers should consider investigating how specific social media platforms impact mental health outcomes, as this could lead to more targeted interventions. For practitioners, implementing educational programs aimed at promoting healthy online habits may be beneficial in mitigating the potential negative consequences associated with excessive social media use.

Conclusion:

Overall, “The Effects of Social Media on Mental Health” is an important and informative piece that raises awareness about a pressing issue in today’s digital age. Given its minor limitations, it provides valuable

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  • How to Write a Literature Review | Guide, Examples, & Templates

How to Write a Literature Review | Guide, Examples, & Templates

Published on January 2, 2023 by Shona McCombes . Revised on September 11, 2023.

What is a literature review? A literature review is a survey of scholarly sources on a specific topic. It provides an overview of current knowledge, allowing you to identify relevant theories, methods, and gaps in the existing research that you can later apply to your paper, thesis, or dissertation topic .

There are five key steps to writing a literature review:

  • Search for relevant literature
  • Evaluate sources
  • Identify themes, debates, and gaps
  • Outline the structure
  • Write your literature review

A good literature review doesn’t just summarize sources—it analyzes, synthesizes , and critically evaluates to give a clear picture of the state of knowledge on the subject.

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Table of contents

What is the purpose of a literature review, examples of literature reviews, step 1 – search for relevant literature, step 2 – evaluate and select sources, step 3 – identify themes, debates, and gaps, step 4 – outline your literature review’s structure, step 5 – write your literature review, free lecture slides, other interesting articles, frequently asked questions, introduction.

  • Quick Run-through
  • Step 1 & 2

When you write a thesis , dissertation , or research paper , you will likely have to conduct a literature review to situate your research within existing knowledge. The literature review gives you a chance to:

  • Demonstrate your familiarity with the topic and its scholarly context
  • Develop a theoretical framework and methodology for your research
  • Position your work in relation to other researchers and theorists
  • Show how your research addresses a gap or contributes to a debate
  • Evaluate the current state of research and demonstrate your knowledge of the scholarly debates around your topic.

Writing literature reviews is a particularly important skill if you want to apply for graduate school or pursue a career in research. We’ve written a step-by-step guide that you can follow below.

Literature review guide

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Writing literature reviews can be quite challenging! A good starting point could be to look at some examples, depending on what kind of literature review you’d like to write.

  • Example literature review #1: “Why Do People Migrate? A Review of the Theoretical Literature” ( Theoretical literature review about the development of economic migration theory from the 1950s to today.)
  • Example literature review #2: “Literature review as a research methodology: An overview and guidelines” ( Methodological literature review about interdisciplinary knowledge acquisition and production.)
  • Example literature review #3: “The Use of Technology in English Language Learning: A Literature Review” ( Thematic literature review about the effects of technology on language acquisition.)
  • Example literature review #4: “Learners’ Listening Comprehension Difficulties in English Language Learning: A Literature Review” ( Chronological literature review about how the concept of listening skills has changed over time.)

You can also check out our templates with literature review examples and sample outlines at the links below.

Download Word doc Download Google doc

Before you begin searching for literature, you need a clearly defined topic .

If you are writing the literature review section of a dissertation or research paper, you will search for literature related to your research problem and questions .

Make a list of keywords

Start by creating a list of keywords related to your research question. Include each of the key concepts or variables you’re interested in, and list any synonyms and related terms. You can add to this list as you discover new keywords in the process of your literature search.

  • Social media, Facebook, Instagram, Twitter, Snapchat, TikTok
  • Body image, self-perception, self-esteem, mental health
  • Generation Z, teenagers, adolescents, youth

Search for relevant sources

Use your keywords to begin searching for sources. Some useful databases to search for journals and articles include:

  • Your university’s library catalogue
  • Google Scholar
  • Project Muse (humanities and social sciences)
  • Medline (life sciences and biomedicine)
  • EconLit (economics)
  • Inspec (physics, engineering and computer science)

You can also use boolean operators to help narrow down your search.

Make sure to read the abstract to find out whether an article is relevant to your question. When you find a useful book or article, you can check the bibliography to find other relevant sources.

You likely won’t be able to read absolutely everything that has been written on your topic, so it will be necessary to evaluate which sources are most relevant to your research question.

For each publication, ask yourself:

  • What question or problem is the author addressing?
  • What are the key concepts and how are they defined?
  • What are the key theories, models, and methods?
  • Does the research use established frameworks or take an innovative approach?
  • What are the results and conclusions of the study?
  • How does the publication relate to other literature in the field? Does it confirm, add to, or challenge established knowledge?
  • What are the strengths and weaknesses of the research?

Make sure the sources you use are credible , and make sure you read any landmark studies and major theories in your field of research.

You can use our template to summarize and evaluate sources you’re thinking about using. Click on either button below to download.

Take notes and cite your sources

As you read, you should also begin the writing process. Take notes that you can later incorporate into the text of your literature review.

It is important to keep track of your sources with citations to avoid plagiarism . It can be helpful to make an annotated bibliography , where you compile full citation information and write a paragraph of summary and analysis for each source. This helps you remember what you read and saves time later in the process.

Prevent plagiarism. Run a free check.

To begin organizing your literature review’s argument and structure, be sure you understand the connections and relationships between the sources you’ve read. Based on your reading and notes, you can look for:

  • Trends and patterns (in theory, method or results): do certain approaches become more or less popular over time?
  • Themes: what questions or concepts recur across the literature?
  • Debates, conflicts and contradictions: where do sources disagree?
  • Pivotal publications: are there any influential theories or studies that changed the direction of the field?
  • Gaps: what is missing from the literature? Are there weaknesses that need to be addressed?

This step will help you work out the structure of your literature review and (if applicable) show how your own research will contribute to existing knowledge.

  • Most research has focused on young women.
  • There is an increasing interest in the visual aspects of social media.
  • But there is still a lack of robust research on highly visual platforms like Instagram and Snapchat—this is a gap that you could address in your own research.

There are various approaches to organizing the body of a literature review. Depending on the length of your literature review, you can combine several of these strategies (for example, your overall structure might be thematic, but each theme is discussed chronologically).

Chronological

The simplest approach is to trace the development of the topic over time. However, if you choose this strategy, be careful to avoid simply listing and summarizing sources in order.

Try to analyze patterns, turning points and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred.

If you have found some recurring central themes, you can organize your literature review into subsections that address different aspects of the topic.

For example, if you are reviewing literature about inequalities in migrant health outcomes, key themes might include healthcare policy, language barriers, cultural attitudes, legal status, and economic access.

Methodological

If you draw your sources from different disciplines or fields that use a variety of research methods , you might want to compare the results and conclusions that emerge from different approaches. For example:

  • Look at what results have emerged in qualitative versus quantitative research
  • Discuss how the topic has been approached by empirical versus theoretical scholarship
  • Divide the literature into sociological, historical, and cultural sources

Theoretical

A literature review is often the foundation for a theoretical framework . You can use it to discuss various theories, models, and definitions of key concepts.

You might argue for the relevance of a specific theoretical approach, or combine various theoretical concepts to create a framework for your research.

Like any other academic text , your literature review should have an introduction , a main body, and a conclusion . What you include in each depends on the objective of your literature review.

The introduction should clearly establish the focus and purpose of the literature review.

Depending on the length of your literature review, you might want to divide the body into subsections. You can use a subheading for each theme, time period, or methodological approach.

As you write, you can follow these tips:

  • Summarize and synthesize: give an overview of the main points of each source and combine them into a coherent whole
  • Analyze and interpret: don’t just paraphrase other researchers — add your own interpretations where possible, discussing the significance of findings in relation to the literature as a whole
  • Critically evaluate: mention the strengths and weaknesses of your sources
  • Write in well-structured paragraphs: use transition words and topic sentences to draw connections, comparisons and contrasts

In the conclusion, you should summarize the key findings you have taken from the literature and emphasize their significance.

When you’ve finished writing and revising your literature review, don’t forget to proofread thoroughly before submitting. Not a language expert? Check out Scribbr’s professional proofreading services !

This article has been adapted into lecture slides that you can use to teach your students about writing a literature review.

Scribbr slides are free to use, customize, and distribute for educational purposes.

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If you want to know more about the research process , methodology , research bias , or statistics , make sure to check out some of our other articles with explanations and examples.

  • Sampling methods
  • Simple random sampling
  • Stratified sampling
  • Cluster sampling
  • Likert scales
  • Reproducibility

 Statistics

  • Null hypothesis
  • Statistical power
  • Probability distribution
  • Effect size
  • Poisson distribution

Research bias

  • Optimism bias
  • Cognitive bias
  • Implicit bias
  • Hawthorne effect
  • Anchoring bias
  • Explicit bias

A literature review is a survey of scholarly sources (such as books, journal articles, and theses) related to a specific topic or research question .

It is often written as part of a thesis, dissertation , or research paper , in order to situate your work in relation to existing knowledge.

There are several reasons to conduct a literature review at the beginning of a research project:

  • To familiarize yourself with the current state of knowledge on your topic
  • To ensure that you’re not just repeating what others have already done
  • To identify gaps in knowledge and unresolved problems that your research can address
  • To develop your theoretical framework and methodology
  • To provide an overview of the key findings and debates on the topic

Writing the literature review shows your reader how your work relates to existing research and what new insights it will contribute.

The literature review usually comes near the beginning of your thesis or dissertation . After the introduction , it grounds your research in a scholarly field and leads directly to your theoretical framework or methodology .

A literature review is a survey of credible sources on a topic, often used in dissertations , theses, and research papers . Literature reviews give an overview of knowledge on a subject, helping you identify relevant theories and methods, as well as gaps in existing research. Literature reviews are set up similarly to other  academic texts , with an introduction , a main body, and a conclusion .

An  annotated bibliography is a list of  source references that has a short description (called an annotation ) for each of the sources. It is often assigned as part of the research process for a  paper .  

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A Step-by-Step Guide to Writing a Scientific Review Article

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Manisha Bahl, A Step-by-Step Guide to Writing a Scientific Review Article, Journal of Breast Imaging , Volume 5, Issue 4, July/August 2023, Pages 480–485, https://doi.org/10.1093/jbi/wbad028

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Scientific review articles are comprehensive, focused reviews of the scientific literature written by subject matter experts. The task of writing a scientific review article can seem overwhelming; however, it can be managed by using an organized approach and devoting sufficient time to the process. The process involves selecting a topic about which the authors are knowledgeable and enthusiastic, conducting a literature search and critical analysis of the literature, and writing the article, which is composed of an abstract, introduction, body, and conclusion, with accompanying tables and figures. This article, which focuses on the narrative or traditional literature review, is intended to serve as a guide with practical steps for new writers. Tips for success are also discussed, including selecting a focused topic, maintaining objectivity and balance while writing, avoiding tedious data presentation in a laundry list format, moving from descriptions of the literature to critical analysis, avoiding simplistic conclusions, and budgeting time for the overall process.

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Introduction

Literature reviews take time. here is some general information to know before you start.  .

  •  VIDEO -- This video is a great overview of the entire process.  (2020; North Carolina State University Libraries) --The transcript is included --This is for everyone; ignore the mention of "graduate students" --9.5 minutes, and every second is important  
  • OVERVIEW -- Read this page from Purdue's OWL. It's not long, and gives some tips to fill in what you just learned from the video.  
  • NOT A RESEARCH ARTICLE -- A literature review follows a different style, format, and structure from a research article.  
 
Reports on the work of others. Reports on original research.
To examine and evaluate previous literature.

To test a hypothesis and/or make an argument.

May include a short literature review to introduce the subject.

  • Next: Evaluate >>
  • Last Updated: Jul 30, 2024 1:42 PM
  • URL: https://guides.library.jhu.edu/lit-review
  • Insights blog

What is a review article?

Learn how to write a review article.

What is a review article? A review article can also be called a literature review, or a review of literature. It is a survey of previously published research on a topic. It should give an overview of current thinking on the topic. And, unlike an original research article, it will not present new experimental results.

Writing a review of literature is to provide a critical evaluation of the data available from existing studies. Review articles can identify potential research areas to explore next, and sometimes they will draw new conclusions from the existing data.

Why write a review article?

To provide a comprehensive foundation on a topic.

To explain the current state of knowledge.

To identify gaps in existing studies for potential future research.

To highlight the main methodologies and research techniques.

Did you know? 

There are some journals that only publish review articles, and others that do not accept them.

Make sure you check the  aims and scope  of the journal you’d like to publish in to find out if it’s the right place for your review article.

How to write a review article

Below are 8 key items to consider when you begin writing your review article.

Check the journal’s aims and scope

Make sure you have read the aims and scope for the journal you are submitting to and follow them closely. Different journals accept different types of articles and not all will accept review articles, so it’s important to check this before you start writing.

Define your scope

Define the scope of your review article and the research question you’ll be answering, making sure your article contributes something new to the field. 

As award-winning author Angus Crake told us, you’ll also need to “define the scope of your review so that it is manageable, not too large or small; it may be necessary to focus on recent advances if the field is well established.” 

Finding sources to evaluate

When finding sources to evaluate, Angus Crake says it’s critical that you “use multiple search engines/databases so you don’t miss any important ones.” 

For finding studies for a systematic review in medical sciences,  read advice from NCBI . 

Writing your title, abstract and keywords

Spend time writing an effective title, abstract and keywords. This will help maximize the visibility of your article online, making sure the right readers find your research. Your title and abstract should be clear, concise, accurate, and informative. 

For more information and guidance on getting these right, read our guide to writing a good abstract and title  and our  researcher’s guide to search engine optimization . 

Introduce the topic

Does a literature review need an introduction? Yes, always start with an overview of the topic and give some context, explaining why a review of the topic is necessary. Gather research to inform your introduction and make it broad enough to reach out to a large audience of non-specialists. This will help maximize its wider relevance and impact. 

Don’t make your introduction too long. Divide the review into sections of a suitable length to allow key points to be identified more easily.

Include critical discussion

Make sure you present a critical discussion, not just a descriptive summary of the topic. If there is contradictory research in your area of focus, make sure to include an element of debate and present both sides of the argument. You can also use your review paper to resolve conflict between contradictory studies.

What researchers say

Angus Crake, researcher

As part of your conclusion, include making suggestions for future research on the topic. Focus on the goal to communicate what you understood and what unknowns still remains.

Use a critical friend

Always perform a final spell and grammar check of your article before submission. 

You may want to ask a critical friend or colleague to give their feedback before you submit. If English is not your first language, think about using a language-polishing service.

Find out more about how  Taylor & Francis Editing Services can help improve your manuscript before you submit.

What is the difference between a research article and a review article?

Differences in...
Presents the viewpoint of the author Critiques the viewpoint of other authors on a particular topic
New content Assessing already published content
Depends on the word limit provided by the journal you submit to Tends to be shorter than a research article, but will still need to adhere to words limit

Before you submit your review article…

Complete this checklist before you submit your review article:

Have you checked the journal’s aims and scope?

Have you defined the scope of your article?

Did you use multiple search engines to find sources to evaluate?

Have you written a descriptive title and abstract using keywords?

Did you start with an overview of the topic?

Have you presented a critical discussion?

Have you included future suggestions for research in your conclusion?

Have you asked a friend to do a final spell and grammar check?

article research review

Expert help for your manuscript

article research review

Taylor & Francis Editing Services  offers a full range of pre-submission manuscript preparation services to help you improve the quality of your manuscript and submit with confidence.

Related resources

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Home

How to Review a Journal Article

drone shot of quad

For many kinds of assignments, like a  literature review , you may be asked to offer a critique or review of a journal article. This is an opportunity for you as a scholar to offer your  qualified opinion  and  evaluation  of how another scholar has composed their article, argument, and research. That means you will be expected to go beyond a simple  summary  of the article and evaluate it on a deeper level. As a college student, this might sound intimidating. However, as you engage with the research process, you are becoming immersed in a particular topic, and your insights about the way that topic is presented are valuable and can contribute to the overall conversation surrounding your topic.

IMPORTANT NOTE!!

Some disciplines, like Criminal Justice, may only want you to summarize the article without including your opinion or evaluation. If your assignment is to summarize the article only, please see our literature review handout.

Before getting started on the critique, it is important to review the article thoroughly and critically. To do this, we recommend take notes,  annotating , and reading the article several times before critiquing. As you read, be sure to note important items like the thesis, purpose, research questions, hypotheses, methods, evidence, key findings, major conclusions, tone, and publication information. Depending on your writing context, some of these items may not be applicable.

Questions to Consider

To evaluate a source, consider some of the following questions. They are broken down into different categories, but answering these questions will help you consider what areas to examine. With each category, we recommend identifying the strengths and weaknesses in each since that is a critical part of evaluation.

Evaluating Purpose and Argument

  • How well is the purpose made clear in the introduction through background/context and thesis?
  • How well does the abstract represent and summarize the article’s major points and argument?
  • How well does the objective of the experiment or of the observation fill a need for the field?
  • How well is the argument/purpose articulated and discussed throughout the body of the text?
  • How well does the discussion maintain cohesion?

Evaluating the Presentation/Organization of Information

  • How appropriate and clear is the title of the article?
  • Where could the author have benefited from expanding, condensing, or omitting ideas?
  • How clear are the author’s statements? Challenge ambiguous statements.
  • What underlying assumptions does the author have, and how does this affect the credibility or clarity of their article?
  • How objective is the author in his or her discussion of the topic?
  • How well does the organization fit the article’s purpose and articulate key goals?

Evaluating Methods

  • How appropriate are the study design and methods for the purposes of the study?
  • How detailed are the methods being described? Is the author leaving out important steps or considerations?
  • Have the procedures been presented in enough detail to enable the reader to duplicate them?

Evaluating Data

  • Scan and spot-check calculations. Are the statistical methods appropriate?
  • Do you find any content repeated or duplicated?
  • How many errors of fact and interpretation does the author include? (You can check on this by looking up the references the author cites).
  • What pertinent literature has the author cited, and have they used this literature appropriately?

Following, we have an example of a summary and an evaluation of a research article. Note that in most literature review contexts, the summary and evaluation would be much shorter. This extended example shows the different ways a student can critique and write about an article.

Chik, A. (2012). Digital gameplay for autonomous foreign language learning: Gamers’ and language teachers’ perspectives. In H. Reinders (ed.),  Digital games in language learning and teaching  (pp. 95-114). Eastbourne, UK: Palgrave Macmillan.

Be sure to include the full citation either in a reference page or near your evaluation if writing an  annotated bibliography .

In Chik’s article “Digital Gameplay for Autonomous Foreign Language Learning: Gamers’ and Teachers’ Perspectives”, she explores the ways in which “digital gamers manage gaming and gaming-related activities to assume autonomy in their foreign language learning,” (96) which is presented in contrast to how teachers view the “pedagogical potential” of gaming. The research was described as an “umbrella project” consisting of two parts. The first part examined 34 language teachers’ perspectives who had limited experience with gaming (only five stated they played games regularly) (99). Their data was recorded through a survey, class discussion, and a seven-day gaming trial done by six teachers who recorded their reflections through personal blog posts. The second part explored undergraduate gaming habits of ten Hong Kong students who were regular gamers. Their habits were recorded through language learning histories, videotaped gaming sessions, blog entries of gaming practices, group discussion sessions, stimulated recall sessions on gaming videos, interviews with other gamers, and posts from online discussion forums. The research shows that while students recognize the educational potential of games and have seen benefits of it in their lives, the instructors overall do not see the positive impacts of gaming on foreign language learning.

The summary includes the article’s purpose, methods, results, discussion, and citations when necessary.

This article did a good job representing the undergraduate gamers’ voices through extended quotes and stories. Particularly for the data collection of the undergraduate gamers, there were many opportunities for an in-depth examination of their gaming practices and histories. However, the representation of the teachers in this study was very uneven when compared to the students. Not only were teachers labeled as numbers while the students picked out their own pseudonyms, but also when viewing the data collection, the undergraduate students were more closely examined in comparison to the teachers in the study. While the students have fifteen extended quotes describing their experiences in their research section, the teachers only have two of these instances in their section, which shows just how imbalanced the study is when presenting instructor voices.

Some research methods, like the recorded gaming sessions, were only used with students whereas teachers were only asked to blog about their gaming experiences. This creates a richer narrative for the students while also failing to give instructors the chance to have more nuanced perspectives. This lack of nuance also stems from the emphasis of the non-gamer teachers over the gamer teachers. The non-gamer teachers’ perspectives provide a stark contrast to the undergraduate gamer experiences and fits neatly with the narrative of teachers not valuing gaming as an educational tool. However, the study mentioned five teachers that were regular gamers whose perspectives are left to a short section at the end of the presentation of the teachers’ results. This was an opportunity to give the teacher group a more complex story, and the opportunity was entirely missed.

Additionally, the context of this study was not entirely clear. The instructors were recruited through a master’s level course, but the content of the course and the institution’s background is not discussed. Understanding this context helps us understand the course’s purpose(s) and how those purposes may have influenced the ways in which these teachers interpreted and saw games. It was also unclear how Chik was connected to this masters’ class and to the students. Why these particular teachers and students were recruited was not explicitly defined and also has the potential to skew results in a particular direction.

Overall, I was inclined to agree with the idea that students can benefit from language acquisition through gaming while instructors may not see the instructional value, but I believe the way the research was conducted and portrayed in this article made it very difficult to support Chik’s specific findings.

Some professors like you to begin an evaluation with something positive but isn’t always necessary.

The evaluation is clearly organized and uses transitional phrases when moving to a new topic.

This evaluation includes a summative statement that gives the overall impression of the article at the end, but this can also be placed at the beginning of the evaluation.

This evaluation mainly discusses the representation of data and methods. However, other areas, like organization, are open to critique.

Academia Insider

Review Paper Format: How To Write A Review Article Fast

This guide aims to demystify the review paper format, presenting practical tips to help you accelerate the writing process. 

From understanding the structure to synthesising literature effectively, we’ll explore how to create a compelling review article swiftly, ensuring your work is both impactful and timely.

Whether you’re a seasoned researcher or a budding scholar, these insights will streamline your writing journey.

Research Paper, Review Paper Format

PartsNotes
Title & AbstractSets the stage with a concise title and a descriptive abstract summarising the review’s scope and findings.
IntroductionLays the groundwork by presenting the research question, justifying the review’s importance, and highlighting knowledge gaps.
MethodologyDetails the research methods used to select, assess, and synthesise studies, showcasing the review’s rigor and integrity.
BodyThe core section where literature is summarised, analysed, and critiqued, synthesising evidence and presenting arguments with well-structured paragraphs.
Discussion & ConclusionWeaves together main points, reflects on the findings’ implications for the field, and suggests future research directions.
CitationAcknowledges the scholarly community’s contributions, linking to cited research and enriching the review’s academic discourse.

What Is A Review Paper?

Diving into the realm of scholarly communication, you might have stumbled upon a research review article.

This unique genre serves to synthesise existing data, offering a panoramic view of the current state of knowledge on a particular topic. 

article research review

Unlike a standard research article that presents original experiments, a review paper delves into published literature, aiming to: 

  • clarify, and
  • evaluate previous findings.

Imagine you’re tasked to write a review article. The starting point is often a burning research question. Your mission? To scour various journals, piecing together a well-structured narrative that not only summarises key findings but also identifies gaps in existing literature.

This is where the magic of review writing shines – it’s about creating a roadmap for future research, highlighting areas ripe for exploration.

Review articles come in different flavours, with systematic reviews and meta-analyses being the gold standards. The methodology here is meticulous, with a clear protocol for selecting and evaluating studies.

This rigorous approach ensures that your review is more than just an overview; it’s a critical analysis that adds depth to the understanding of the subject.

Crafting a good review requires mastering the art of citation. Every claim or observation you make needs to be backed by relevant literature. This not only lends credibility to your work but also provides a treasure trove of information for readers eager to delve deeper.

Types Of Review Paper

Not all review articles are created equal. Each type has its methodology, purpose, and format, catering to different research needs and questions.

Systematic Review Paper

First up is the systematic review, the crème de la crème of review types. It’s known for its rigorous methodology, involving a detailed plan for:

  • identifying,
  • selecting, and
  • critically appraising relevant research. 

The aim? To answer a specific research question. Systematic reviews often include meta-analyses, where data from multiple studies are statistically combined to provide more robust conclusions. This review type is a cornerstone in evidence-based fields like healthcare.

Literature Review Paper

Then there’s the literature review, a broader type you might encounter.

Here, the goal is to give an overview of the main points and debates on a topic, without the stringent methodological framework of a systematic review.

Literature reviews are great for getting a grasp of the field and identifying where future research might head. Often reading literature review papers can help you to learn about a topic rather quickly.

review paper format

Narrative Reviews

Narrative reviews allow for a more flexible approach. Authors of narrative reviews draw on existing literature to provide insights or critique a certain area of research.

This is generally done with a less formal structure than systematic reviews. This type is particularly useful for areas where it’s difficult to quantify findings across studies.

Scoping Reviews

Scoping reviews are gaining traction for their ability to map out the existing literature on a broad topic, identifying:

  • key concepts,
  • theories, and
Unlike systematic reviews, scoping reviews have a more exploratory approach, which can be particularly useful in emerging fields or for topics that haven’t been comprehensively reviewed before.

Each type of review serves a unique purpose and requires a specific skill set. Whether you’re looking to summarise existing findings, synthesise data for evidence-based practice, or explore new research territories, there’s a review type that fits the bill. 

Knowing how to write, read, and interpret these reviews can significantly enhance your understanding of any research area.

What Are The Parts In A Review Paper

A review paper has a pretty set structure, with minor changes here and there to suit the topic covered. The format not only organises your thoughts but also guides your readers through the complexities of your topic.

Title & Abstract

Starting with the title and abstract, you set the stage. The title should be a concise indicator of the content, making it easier for others to quickly tell what your article content is about.

As for the abstract, it should act as a descriptive summary, offering a snapshot of your review’s scope and findings. 

Introduction

The introduction lays the groundwork, presenting the research question that drives your review. It’s here you:

  • justify the importance of your review,
  • delineating the current state of knowledge and
  • highlighting gaps.

This section aims to articulate the significance of the topic and your objective in exploring it.

Methodology

The methodology section is the backbone of systematic reviews and meta-analyses, detailing the research methods employed to select, assess, and synthesise studies. 

review paper format

This transparency allows readers to gauge the rigour and reproducibility of your review. It’s a testament to the integrity of your work, showing how you’ve minimised bias.

The heart of your review lies in the body, where you:

  • analyse, and
  • critique existing literature.

This is where you synthesise evidence, draw connections, and present both sides of any argument. Well-structured paragraphs and clear subheadings guide readers through your analysis, offering insights and fostering a deeper understanding of the subject.

Discussion & Conclusion

The discussion or conclusion section is where you weave together the main points, reflecting on what your findings mean for the field.

It’s about connecting the dots, offering a synthesis of evidence that answers your initial research question. This part often hints at future research directions, suggesting areas that need further exploration due to gaps in existing knowledge.

Lastly, the citation list is your nod to the scholarly community, acknowledging the contributions of others. Each citation is a thread in the larger tapestry of academic discourse, enabling readers to delve deeper into the research that has shaped your review.

Tips To Write An Review Article Fast

Writing a review article quickly without sacrificing quality might seem like a tall order, but with the right approach, it’s entirely achievable. 

Clearly Define Your Research Question

Clearly define your research question. A focused question not only narrows down the scope of your literature search but also keeps your review concise and on track.

By honing in on a specific aspect of a broader topic, you can avoid the common pitfall of becoming overwhelmed by the vast expanse of available literature. This specificity allows you to zero in on the most relevant studies, making your review more impactful.

Efficient Literature Searching

Utilise databases specific to your field and employ advanced search techniques like Boolean operators. This can drastically reduce the time you spend sifting through irrelevant articles.

Additionally, leveraging citation chains—looking at who has cited a pivotal paper in your area and who it cites—can uncover valuable sources you might otherwise miss.

Organise Your Findings Systematically

Developing a robust organisation strategy is key. As you gather sources, categorize them based on themes or methodologies. This not only aids in structuring your review but also in identifying areas where research is lacking or abundant.

Tools like citation management software can be invaluable here, helping you keep track of your sources and their key points. We list out some of the best AI tools for academic research here. 

article research review

Build An Outline Before Writing

Don’t underestimate the power of a well-structured outline. A clear blueprint of your article can guide your writing process, ensuring that each section flows logically into the next.

This roadmap not only speeds up the writing process by providing a clear direction but also helps maintain coherence, ensuring your review article delivers a compelling narrative that advances understanding in your field.

Start Writing With The Easiest Sections

When it’s time to write, start with sections you find easiest. This might be the methodology or a particular thematic section where you feel most confident.

Getting words on the page can build momentum, making it easier to tackle more challenging sections later.

Remember, your first draft doesn’t have to be perfect; the goal is to start articulating your synthesis of the literature.

Learn How To Write An Article Review

Mastering the review paper format is a crucial step towards efficient academic writing. By adhering to the structured components outlined, you can streamline the creation of a compelling review article.

Embracing these guidelines not only speeds up the writing process but also enhances the clarity and impact of your work, ensuring your contributions to scholarly discourse are both valuable and timely.

article research review

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How to Write an Article Review: Tips and Examples

article research review

Did you know that article reviews are not just academic exercises but also a valuable skill in today's information age? In a world inundated with content, being able to dissect and evaluate articles critically can help you separate the wheat from the chaff. Whether you're a student aiming to excel in your coursework or a professional looking to stay well-informed, mastering the art of writing article reviews is an invaluable skill.

Short Description

In this article, our research paper writing service experts will start by unraveling the concept of article reviews and discussing the various types. You'll also gain insights into the art of formatting your review effectively. To ensure you're well-prepared, we'll take you through the pre-writing process, offering tips on setting the stage for your review. But it doesn't stop there. You'll find a practical example of an article review to help you grasp the concepts in action. To complete your journey, we'll guide you through the post-writing process, equipping you with essential proofreading techniques to ensure your work shines with clarity and precision!

What Is an Article Review: Grasping the Concept 

A review article is a type of professional paper writing that demands a high level of in-depth analysis and a well-structured presentation of arguments. It is a critical, constructive evaluation of literature in a particular field through summary, classification, analysis, and comparison.

If you write a scientific review, you have to use database searches to portray the research. Your primary goal is to summarize everything and present a clear understanding of the topic you've been working on.

Writing Involves:

  • Summarization, classification, analysis, critiques, and comparison.
  • The analysis, evaluation, and comparison require the use of theories, ideas, and research relevant to the subject area of the article.
  • It is also worth nothing if a review does not introduce new information, but instead presents a response to another writer's work.
  • Check out other samples to gain a better understanding of how to review the article.

Types of Review

When it comes to article reviews, there's more than one way to approach the task. Understanding the various types of reviews is like having a versatile toolkit at your disposal. In this section, we'll walk you through the different dimensions of review types, each offering a unique perspective and purpose. Whether you're dissecting a scholarly article, critiquing a piece of literature, or evaluating a product, you'll discover the diverse landscape of article reviews and how to navigate it effectively.

types of article review

Journal Article Review

Just like other types of reviews, a journal article review assesses the merits and shortcomings of a published work. To illustrate, consider a review of an academic paper on climate change, where the writer meticulously analyzes and interprets the article's significance within the context of environmental science.

Research Article Review

Distinguished by its focus on research methodologies, a research article review scrutinizes the techniques used in a study and evaluates them in light of the subsequent analysis and critique. For instance, when reviewing a research article on the effects of a new drug, the reviewer would delve into the methods employed to gather data and assess their reliability.

Science Article Review

In the realm of scientific literature, a science article review encompasses a wide array of subjects. Scientific publications often provide extensive background information, which can be instrumental in conducting a comprehensive analysis. For example, when reviewing an article about the latest breakthroughs in genetics, the reviewer may draw upon the background knowledge provided to facilitate a more in-depth evaluation of the publication.

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Formatting an Article Review

The format of the article should always adhere to the citation style required by your professor. If you're not sure, seek clarification on the preferred format and ask him to clarify several other pointers to complete the formatting of an article review adequately.

How Many Publications Should You Review?

  • In what format should you cite your articles (MLA, APA, ASA, Chicago, etc.)?
  • What length should your review be?
  • Should you include a summary, critique, or personal opinion in your assignment?
  • Do you need to call attention to a theme or central idea within the articles?
  • Does your instructor require background information?

When you know the answers to these questions, you may start writing your assignment. Below are examples of MLA and APA formats, as those are the two most common citation styles.

Using the APA Format

Articles appear most commonly in academic journals, newspapers, and websites. If you write an article review in the APA format, you will need to write bibliographical entries for the sources you use:

  • Web : Author [last name], A.A [first and middle initial]. (Year, Month, Date of Publication). Title. Retrieved from {link}
  • Journal : Author [last name], A.A [first and middle initial]. (Publication Year). Publication Title. Periodical Title, Volume(Issue), pp.-pp.
  • Newspaper : Author [last name], A.A [first and middle initial]. (Year, Month, Date of Publication). Publication Title. Magazine Title, pp. xx-xx.

Using MLA Format

  • Web : Last, First Middle Initial. “Publication Title.” Website Title. Website Publisher, Date Month Year Published. Web. Date Month Year Accessed.
  • Newspaper : Last, First M. “Publication Title.” Newspaper Title [City] Date, Month, Year Published: Page(s). Print.
  • Journal : Last, First M. “Publication Title.” Journal Title Series Volume. Issue (Year Published): Page(s). Database Name. Web. Date Month Year Accessed.

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The Pre-Writing Process

Facing this task for the first time can really get confusing and can leave you unsure of where to begin. To create a top-notch article review, start with a few preparatory steps. Here are the two main stages from our dissertation services to get you started:

Step 1: Define the right organization for your review. Knowing the future setup of your paper will help you define how you should read the article. Here are the steps to follow:

  • Summarize the article — seek out the main points, ideas, claims, and general information presented in the article.
  • Define the positive points — identify the strong aspects, ideas, and insightful observations the author has made.
  • Find the gaps —- determine whether or not the author has any contradictions, gaps, or inconsistencies in the article and evaluate whether or not he or she used a sufficient amount of arguments and information to support his or her ideas.
  • Identify unanswered questions — finally, identify if there are any questions left unanswered after reading the piece.

Step 2: Move on and review the article. Here is a small and simple guide to help you do it right:

  • Start off by looking at and assessing the title of the piece, its abstract, introductory part, headings and subheadings, opening sentences in its paragraphs, and its conclusion.
  • First, read only the beginning and the ending of the piece (introduction and conclusion). These are the parts where authors include all of their key arguments and points. Therefore, if you start with reading these parts, it will give you a good sense of the author's main points.
  • Finally, read the article fully.

These three steps make up most of the prewriting process. After you are done with them, you can move on to writing your own review—and we are going to guide you through the writing process as well.

Outline and Template

As you progress with reading your article, organize your thoughts into coherent sections in an outline. As you read, jot down important facts, contributions, or contradictions. Identify the shortcomings and strengths of your publication. Begin to map your outline accordingly.

If your professor does not want a summary section or a personal critique section, then you must alleviate those parts from your writing. Much like other assignments, an article review must contain an introduction, a body, and a conclusion. Thus, you might consider dividing your outline according to these sections as well as subheadings within the body. If you find yourself troubled with the pre-writing and the brainstorming process for this assignment, seek out a sample outline.

Your custom essay must contain these constituent parts:

  • Pre-Title Page - Before diving into your review, start with essential details: article type, publication title, and author names with affiliations (position, department, institution, location, and email). Include corresponding author info if needed.
  • Running Head - In APA format, use a concise title (under 40 characters) to ensure consistent formatting.
  • Summary Page - Optional but useful. Summarize the article in 800 words, covering background, purpose, results, and methodology, avoiding verbatim text or references.
  • Title Page - Include the full title, a 250-word abstract, and 4-6 keywords for discoverability.
  • Introduction - Set the stage with an engaging overview of the article.
  • Body - Organize your analysis with headings and subheadings.
  • Works Cited/References - Properly cite all sources used in your review.
  • Optional Suggested Reading Page - If permitted, suggest further readings for in-depth exploration.
  • Tables and Figure Legends (if instructed by the professor) - Include visuals when requested by your professor for clarity.

Example of an Article Review

You might wonder why we've dedicated a section of this article to discuss an article review sample. Not everyone may realize it, but examining multiple well-constructed examples of review articles is a crucial step in the writing process. In the following section, our essay writing service experts will explain why.

Looking through relevant article review examples can be beneficial for you in the following ways:

  • To get you introduced to the key works of experts in your field.
  • To help you identify the key people engaged in a particular field of science.
  • To help you define what significant discoveries and advances were made in your field.
  • To help you unveil the major gaps within the existing knowledge of your field—which contributes to finding fresh solutions.
  • To help you find solid references and arguments for your own review.
  • To help you generate some ideas about any further field of research.
  • To help you gain a better understanding of the area and become an expert in this specific field.
  • To get a clear idea of how to write a good review.

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Steps for Writing an Article Review

Here is a guide with critique paper format on how to write a review paper:

steps for article review

Step 1: Write the Title

First of all, you need to write a title that reflects the main focus of your work. Respectively, the title can be either interrogative, descriptive, or declarative.

Step 2: Cite the Article

Next, create a proper citation for the reviewed article and input it following the title. At this step, the most important thing to keep in mind is the style of citation specified by your instructor in the requirements for the paper. For example, an article citation in the MLA style should look as follows:

Author's last and first name. "The title of the article." Journal's title and issue(publication date): page(s). Print

Abraham John. "The World of Dreams." Virginia Quarterly 60.2(1991): 125-67. Print.

Step 3: Article Identification

After your citation, you need to include the identification of your reviewed article:

  • Title of the article
  • Title of the journal
  • Year of publication

All of this information should be included in the first paragraph of your paper.

The report "Poverty increases school drop-outs" was written by Brian Faith – a Health officer – in 2000.

Step 4: Introduction

Your organization in an assignment like this is of the utmost importance. Before embarking on your writing process, you should outline your assignment or use an article review template to organize your thoughts coherently.

  • If you are wondering how to start an article review, begin with an introduction that mentions the article and your thesis for the review.
  • Follow up with a summary of the main points of the article.
  • Highlight the positive aspects and facts presented in the publication.
  • Critique the publication by identifying gaps, contradictions, disparities in the text, and unanswered questions.

Step 5: Summarize the Article

Make a summary of the article by revisiting what the author has written about. Note any relevant facts and findings from the article. Include the author's conclusions in this section.

Step 6: Critique It

Present the strengths and weaknesses you have found in the publication. Highlight the knowledge that the author has contributed to the field. Also, write about any gaps and/or contradictions you have found in the article. Take a standpoint of either supporting or not supporting the author's assertions, but back up your arguments with facts and relevant theories that are pertinent to that area of knowledge. Rubrics and templates can also be used to evaluate and grade the person who wrote the article.

Step 7: Craft a Conclusion

In this section, revisit the critical points of your piece, your findings in the article, and your critique. Also, write about the accuracy, validity, and relevance of the results of the article review. Present a way forward for future research in the field of study. Before submitting your article, keep these pointers in mind:

  • As you read the article, highlight the key points. This will help you pinpoint the article's main argument and the evidence that they used to support that argument.
  • While you write your review, use evidence from your sources to make a point. This is best done using direct quotations.
  • Select quotes and supporting evidence adequately and use direct quotations sparingly. Take time to analyze the article adequately.
  • Every time you reference a publication or use a direct quotation, use a parenthetical citation to avoid accidentally plagiarizing your article.
  • Re-read your piece a day after you finish writing it. This will help you to spot grammar mistakes and to notice any flaws in your organization.
  • Use a spell-checker and get a second opinion on your paper.

The Post-Writing Process: Proofread Your Work

Finally, when all of the parts of your article review are set and ready, you have one last thing to take care of — proofreading. Although students often neglect this step, proofreading is a vital part of the writing process and will help you polish your paper to ensure that there are no mistakes or inconsistencies.

To proofread your paper properly, start by reading it fully and checking the following points:

  • Punctuation
  • Other mistakes

Afterward, take a moment to check for any unnecessary information in your paper and, if found, consider removing it to streamline your content. Finally, double-check that you've covered at least 3-4 key points in your discussion.

And remember, if you ever need help with proofreading, rewriting your essay, or even want to buy essay , our friendly team is always here to assist you.

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What Is A Review Article?

How to write an article review, how to write an article review in apa format.

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Writing a good review article

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Table of Contents

As a young researcher, you might wonder how to start writing your first review article, and the extent of the information that it should contain. A review article is a comprehensive summary of the current understanding of a specific research topic and is based on previously published research. Unlike research papers, it does not contain new results, but can propose new inferences based on the combined findings of previous research.

Types of review articles

Review articles are typically of three types: literature reviews, systematic reviews, and meta-analyses.

A literature review is a general survey of the research topic and aims to provide a reliable and unbiased account of the current understanding of the topic.

A systematic review , in contrast, is more specific and attempts to address a highly focused research question. Its presentation is more detailed, with information on the search strategy used, the eligibility criteria for inclusion of studies, the methods utilized to review the collected information, and more.

A meta-analysis is similar to a systematic review in that both are systematically conducted with a properly defined research question. However, unlike the latter, a meta-analysis compares and evaluates a defined number of similar studies. It is quantitative in nature and can help assess contrasting study findings.

Tips for writing a good review article

Here are a few practices that can make the time-consuming process of writing a review article easier:

  • Define your question: Take your time to identify the research question and carefully articulate the topic of your review paper. A good review should also add something new to the field in terms of a hypothesis, inference, or conclusion. A carefully defined scientific question will give you more clarity in determining the novelty of your inferences.
  • Identify credible sources: Identify relevant as well as credible studies that you can base your review on, with the help of multiple databases or search engines. It is also a good idea to conduct another search once you have finished your article to avoid missing relevant studies published during the course of your writing.
  • Take notes: A literature search involves extensive reading, which can make it difficult to recall relevant information subsequently. Therefore, make notes while conducting the literature search and note down the source references. This will ensure that you have sufficient information to start with when you finally get to writing.
  • Describe the title, abstract, and introduction: A good starting point to begin structuring your review is by drafting the title, abstract, and introduction. Explicitly writing down what your review aims to address in the field will help shape the rest of your article.
  • Be unbiased and critical: Evaluate every piece of evidence in a critical but unbiased manner. This will help you present a proper assessment and a critical discussion in your article.
  • Include a good summary: End by stating the take-home message and identify the limitations of existing studies that need to be addressed through future studies.
  • Ask for feedback: Ask a colleague to provide feedback on both the content and the language or tone of your article before you submit it.
  • Check your journal’s guidelines: Some journals only publish reviews, while some only publish research articles. Further, all journals clearly indicate their aims and scope. Therefore, make sure to check the appropriateness of a journal before submitting your article.

Writing review articles, especially systematic reviews or meta-analyses, can seem like a daunting task. However, Elsevier Author Services can guide you by providing useful tips on how to write an impressive review article that stands out and gets published!

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Review articles: purpose, process, and structure

  • Published: 02 October 2017
  • Volume 46 , pages 1–5, ( 2018 )

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  • Robert W. Palmatier 1 ,
  • Mark B. Houston 2 &
  • John Hulland 3  

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Avoid common mistakes on your manuscript.

Many research disciplines feature high-impact journals that are dedicated outlets for review papers (or review–conceptual combinations) (e.g., Academy of Management Review , Psychology Bulletin , Medicinal Research Reviews ). The rationale for such outlets is the premise that research integration and synthesis provides an important, and possibly even a required, step in the scientific process. Review papers tend to include both quantitative (i.e., meta-analytic, systematic reviews) and narrative or more qualitative components; together, they provide platforms for new conceptual frameworks, reveal inconsistencies in the extant body of research, synthesize diverse results, and generally give other scholars a “state-of-the-art” snapshot of a domain, often written by topic experts (Bem 1995 ). Many premier marketing journals publish meta-analytic review papers too, though authors often must overcome reviewers’ concerns that their contributions are limited due to the absence of “new data.” Furthermore, relatively few non-meta-analysis review papers appear in marketing journals, probably due to researchers’ perceptions that such papers have limited publication opportunities or their beliefs that the field lacks a research tradition or “respect” for such papers. In many cases, an editor must provide strong support to help such review papers navigate the review process. Yet, once published, such papers tend to be widely cited, suggesting that members of the field find them useful (see Bettencourt and Houston 2001 ).

In this editorial, we seek to address three topics relevant to review papers. First, we outline a case for their importance to the scientific process, by describing the purpose of review papers . Second, we detail the review paper editorial initiative conducted over the past two years by the Journal of the Academy of Marketing Science ( JAMS ), focused on increasing the prevalence of review papers. Third, we describe a process and structure for systematic ( i.e. , non-meta-analytic) review papers , referring to Grewal et al. ( 2018 ) insights into parallel meta-analytic (effects estimation) review papers. (For some strong recent examples of marketing-related meta-analyses, see Knoll and Matthes 2017 ; Verma et al. 2016 ).

Purpose of review papers

In their most general form, review papers “are critical evaluations of material that has already been published,” some that include quantitative effects estimation (i.e., meta-analyses) and some that do not (i.e., systematic reviews) (Bem 1995 , p. 172). They carefully identify and synthesize relevant literature to evaluate a specific research question, substantive domain, theoretical approach, or methodology and thereby provide readers with a state-of-the-art understanding of the research topic. Many of these benefits are highlighted in Hanssens’ ( 2018 ) paper titled “The Value of Empirical Generalizations in Marketing,” published in this same issue of JAMS.

The purpose of and contributions associated with review papers can vary depending on their specific type and research question, but in general, they aim to

Resolve definitional ambiguities and outline the scope of the topic.

Provide an integrated, synthesized overview of the current state of knowledge.

Identify inconsistencies in prior results and potential explanations (e.g., moderators, mediators, measures, approaches).

Evaluate existing methodological approaches and unique insights.

Develop conceptual frameworks to reconcile and extend past research.

Describe research insights, existing gaps, and future research directions.

Not every review paper can offer all of these benefits, but this list represents their key contributions. To provide a sufficient contribution, a review paper needs to achieve three key standards. First, the research domain needs to be well suited for a review paper, such that a sufficient body of past research exists to make the integration and synthesis valuable—especially if extant research reveals theoretical inconsistences or heterogeneity in its effects. Second, the review paper must be well executed, with an appropriate literature collection and analysis techniques, sufficient breadth and depth of literature coverage, and a compelling writing style. Third, the manuscript must offer significant new insights based on its systematic comparison of multiple studies, rather than simply a “book report” that describes past research. This third, most critical standard is often the most difficult, especially for authors who have not “lived” with the research domain for many years, because achieving it requires drawing some non-obvious connections and insights from multiple studies and their many different aspects (e.g., context, method, measures). Typically, after the “review” portion of the paper has been completed, the authors must spend many more months identifying the connections to uncover incremental insights, each of which takes time to detail and explicate.

The increasing methodological rigor and technical sophistication of many marketing studies also means that they often focus on smaller problems with fewer constructs. By synthesizing these piecemeal findings, reconciling conflicting evidence, and drawing a “big picture,” meta-analyses and systematic review papers become indispensable to our comprehensive understanding of a phenomenon, among both academic and practitioner communities. Thus, good review papers provide a solid platform for future research, in the reviewed domain but also in other areas, in that researchers can use a good review paper to learn about and extend key insights to new areas.

This domain extension, outside of the core area being reviewed, is one of the key benefits of review papers that often gets overlooked. Yet it also is becoming ever more important with the expanding breadth of marketing (e.g., econometric modeling, finance, strategic management, applied psychology, sociology) and the increasing velocity in the accumulation of marketing knowledge (e.g., digital marketing, social media, big data). Against this backdrop, systematic review papers and meta-analyses help academics and interested managers keep track of research findings that fall outside their main area of specialization.

JAMS’ review paper editorial initiative

With a strong belief in the importance of review papers, the editorial team of JAMS has purposely sought out leading scholars to provide substantive review papers, both meta-analysis and systematic, for publication in JAMS . Many of the scholars approached have voiced concerns about the risk of such endeavors, due to the lack of alternative outlets for these types of papers. Therefore, we have instituted a unique process, in which the authors develop a detailed outline of their paper, key tables and figures, and a description of their literature review process. On the basis of this outline, we grant assurances that the contribution hurdle will not be an issue for publication in JAMS , as long as the authors execute the proposed outline as written. Each paper still goes through the normal review process and must meet all publication quality standards, of course. In many cases, an Area Editor takes an active role to help ensure that each paper provides sufficient insights, as required for a high-quality review paper. This process gives the author team confidence to invest effort in the process. An analysis of the marketing journals in the Financial Times (FT 50) journal list for the past five years (2012–2016) shows that JAMS has become the most common outlet for these papers, publishing 31% of all review papers that appeared in the top six marketing journals.

As a next step in positioning JAMS as a receptive marketing outlet for review papers, we are conducting a Thought Leaders Conference on Generalizations in Marketing: Systematic Reviews and Meta-Analyses , with a corresponding special issue (see www.springer.com/jams ). We will continue our process of seeking out review papers as an editorial strategy in areas that could be advanced by the integration and synthesis of extant research. We expect that, ultimately, such efforts will become unnecessary, as authors initiate review papers on topics of their own choosing to submit them to JAMS . In the past two years, JAMS already has increased the number of papers it publishes annually, from just over 40 to around 60 papers per year; this growth has provided “space” for 8–10 review papers per year, reflecting our editorial target.

Consistent with JAMS ’ overall focus on managerially relevant and strategy-focused topics, all review papers should reflect this emphasis. For example, the domains, theories, and methods reviewed need to have some application to past or emerging managerial research. A good rule of thumb is that the substantive domain, theory, or method should attract the attention of readers of JAMS .

The efforts of multiple editors and Area Editors in turn have generated a body of review papers that can serve as useful examples of the different types and approaches that JAMS has published.

Domain-based review papers

Domain-based review papers review, synthetize, and extend a body of literature in the same substantive domain. For example, in “The Role of Privacy in Marketing” (Martin and Murphy 2017 ), the authors identify and define various privacy-related constructs that have appeared in recent literature. Then they examine the different theoretical perspectives brought to bear on privacy topics related to consumers and organizations, including ethical and legal perspectives. These foundations lead in to their systematic review of privacy-related articles over a clearly defined date range, from which they extract key insights from each study. This exercise of synthesizing diverse perspectives allows these authors to describe state-of-the-art knowledge regarding privacy in marketing and identify useful paths for research. Similarly, a new paper by Cleeren et al. ( 2017 ), “Marketing Research on Product-Harm Crises: A Review, Managerial Implications, and an Agenda for Future Research,” provides a rich systematic review, synthesizes extant research, and points the way forward for scholars who are interested in issues related to defective or dangerous market offerings.

Theory-based review papers

Theory-based review papers review, synthetize, and extend a body of literature that uses the same underlying theory. For example, Rindfleisch and Heide’s ( 1997 ) classic review of research in marketing using transaction cost economics has been cited more than 2200 times, with a significant impact on applications of the theory to the discipline in the past 20 years. A recent paper in JAMS with similar intent, which could serve as a helpful model, focuses on “Resource-Based Theory in Marketing” (Kozlenkova et al. 2014 ). The article dives deeply into a description of the theory and its underlying assumptions, then organizes a systematic review of relevant literature according to various perspectives through which the theory has been applied in marketing. The authors conclude by identifying topical domains in marketing that might benefit from additional applications of the theory (e.g., marketing exchange), as well as related theories that could be integrated meaningfully with insights from the resource-based theory.

Method-based review papers

Method-based review papers review, synthetize, and extend a body of literature that uses the same underlying method. For example, in “Event Study Methodology in the Marketing Literature: An Overview” (Sorescu et al. 2017 ), the authors identify published studies in marketing that use an event study methodology. After a brief review of the theoretical foundations of event studies, they describe in detail the key design considerations associated with this method. The article then provides a roadmap for conducting event studies and compares this approach with a stock market returns analysis. The authors finish with a summary of the strengths and weaknesses of the event study method, which in turn suggests three main areas for further research. Similarly, “Discriminant Validity Testing in Marketing: An Analysis, Causes for Concern, and Proposed Remedies” (Voorhies et al. 2016 ) systematically reviews existing approaches for assessing discriminant validity in marketing contexts, then uses Monte Carlo simulation to determine which tests are most effective.

Our long-term editorial strategy is to make sure JAMS becomes and remains a well-recognized outlet for both meta-analysis and systematic managerial review papers in marketing. Ideally, review papers would come to represent 10%–20% of the papers published by the journal.

Process and structure for review papers

In this section, we review the process and typical structure of a systematic review paper, which lacks any long or established tradition in marketing research. The article by Grewal et al. ( 2018 ) provides a summary of effects-focused review papers (i.e., meta-analyses), so we do not discuss them in detail here.

Systematic literature review process

Some review papers submitted to journals take a “narrative” approach. They discuss current knowledge about a research domain, yet they often are flawed, in that they lack criteria for article inclusion (or, more accurately, article exclusion), fail to discuss the methodology used to evaluate included articles, and avoid critical assessment of the field (Barczak 2017 ). Such reviews tend to be purely descriptive, with little lasting impact.

In contrast, a systematic literature review aims to “comprehensively locate and synthesize research that bears on a particular question, using organized, transparent, and replicable procedures at each step in the process” (Littell et al. 2008 , p. 1). Littell et al. describe six key steps in the systematic review process. The extent to which each step is emphasized varies by paper, but all are important components of the review.

Topic formulation . The author sets out clear objectives for the review and articulates the specific research questions or hypotheses that will be investigated.

Study design . The author specifies relevant problems, populations, constructs, and settings of interest. The aim is to define explicit criteria that can be used to assess whether any particular study should be included in or excluded from the review. Furthermore, it is important to develop a protocol in advance that describes the procedures and methods to be used to evaluate published work.

Sampling . The aim in this third step is to identify all potentially relevant studies, including both published and unpublished research. To this end, the author must first define the sampling unit to be used in the review (e.g., individual, strategic business unit) and then develop an appropriate sampling plan.

Data collection . By retrieving the potentially relevant studies identified in the third step, the author can determine whether each study meets the eligibility requirements set out in the second step. For studies deemed acceptable, the data are extracted from each study and entered into standardized templates. These templates should be based on the protocols established in step 2.

Data analysis . The degree and nature of the analyses used to describe and examine the collected data vary widely by review. Purely descriptive analysis is useful as a starting point but rarely is sufficient on its own. The examination of trends, clusters of ideas, and multivariate relationships among constructs helps flesh out a deeper understanding of the domain. For example, both Hult ( 2015 ) and Huber et al. ( 2014 ) use bibliometric approaches (e.g., examine citation data using multidimensional scaling and cluster analysis techniques) to identify emerging versus declining themes in the broad field of marketing.

Reporting . Three key aspects of this final step are common across systematic reviews. First, the results from the fifth step need to be presented, clearly and compellingly, using narratives, tables, and figures. Second, core results that emerge from the review must be interpreted and discussed by the author. These revelatory insights should reflect a deeper understanding of the topic being investigated, not simply a regurgitation of well-established knowledge. Third, the author needs to describe the implications of these unique insights for both future research and managerial practice.

A new paper by Watson et al. ( 2017 ), “Harnessing Difference: A Capability-Based Framework for Stakeholder Engagement in Environmental Innovation,” provides a good example of a systematic review, starting with a cohesive conceptual framework that helps establish the boundaries of the review while also identifying core constructs and their relationships. The article then explicitly describes the procedures used to search for potentially relevant papers and clearly sets out criteria for study inclusion or exclusion. Next, a detailed discussion of core elements in the framework weaves published research findings into the exposition. The paper ends with a presentation of key implications and suggestions for the next steps. Similarly, “Marketing Survey Research Best Practices: Evidence and Recommendations from a Review of JAMS Articles” (Hulland et al. 2017 ) systematically reviews published marketing studies that use survey techniques, describes recent trends, and suggests best practices. In their review, Hulland et al. examine the entire population of survey papers published in JAMS over a ten-year span, relying on an extensive standardized data template to facilitate their subsequent data analysis.

Structure of systematic review papers

There is no cookie-cutter recipe for the exact structure of a useful systematic review paper; the final structure depends on the authors’ insights and intended points of emphasis. However, several key components are likely integral to a paper’s ability to contribute.

Depth and rigor

Systematic review papers must avoid falling in to two potential “ditches.” The first ditch threatens when the paper fails to demonstrate that a systematic approach was used for selecting articles for inclusion and capturing their insights. If a reader gets the impression that the author has cherry-picked only articles that fit some preset notion or failed to be thorough enough, without including articles that make significant contributions to the field, the paper will be consigned to the proverbial side of the road when it comes to the discipline’s attention.

Authors that fall into the other ditch present a thorough, complete overview that offers only a mind-numbing recitation, without evident organization, synthesis, or critical evaluation. Although comprehensive, such a paper is more of an index than a useful review. The reviewed articles must be grouped in a meaningful way to guide the reader toward a better understanding of the focal phenomenon and provide a foundation for insights about future research directions. Some scholars organize research by scholarly perspectives (e.g., the psychology of privacy, the economics of privacy; Martin and Murphy 2017 ); others classify the chosen articles by objective research aspects (e.g., empirical setting, research design, conceptual frameworks; Cleeren et al. 2017 ). The method of organization chosen must allow the author to capture the complexity of the underlying phenomenon (e.g., including temporal or evolutionary aspects, if relevant).

Replicability

Processes for the identification and inclusion of research articles should be described in sufficient detail, such that an interested reader could replicate the procedure. The procedures used to analyze chosen articles and extract their empirical findings and/or key takeaways should be described with similar specificity and detail.

We already have noted the potential usefulness of well-done review papers. Some scholars always are new to the field or domain in question, so review papers also need to help them gain foundational knowledge. Key constructs, definitions, assumptions, and theories should be laid out clearly (for which purpose summary tables are extremely helpful). An integrated conceptual model can be useful to organize cited works. Most scholars integrate the knowledge they gain from reading the review paper into their plans for future research, so it is also critical that review papers clearly lay out implications (and specific directions) for research. Ideally, readers will come away from a review article filled with enthusiasm about ways they might contribute to the ongoing development of the field.

Helpful format

Because such a large body of research is being synthesized in most review papers, simply reading through the list of included studies can be exhausting for readers. We cannot overstate the importance of tables and figures in review papers, used in conjunction with meaningful headings and subheadings. Vast literature review tables often are essential, but they must be organized in a way that makes their insights digestible to the reader; in some cases, a sequence of more focused tables may be better than a single, comprehensive table.

In summary, articles that review extant research in a domain (topic, theory, or method) can be incredibly useful to the scientific progress of our field. Whether integrating the insights from extant research through a meta-analysis or synthesizing them through a systematic assessment, the promised benefits are similar. Both formats provide readers with a useful overview of knowledge about the focal phenomenon, as well as insights on key dilemmas and conflicting findings that suggest future research directions. Thus, the editorial team at JAMS encourages scholars to continue to invest the time and effort to construct thoughtful review papers.

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Palmatier, R.W., Houston, M.B. & Hulland, J. Review articles: purpose, process, and structure. J. of the Acad. Mark. Sci. 46 , 1–5 (2018). https://doi.org/10.1007/s11747-017-0563-4

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How to Do a Systematic Review: A Best Practice Guide for Conducting and Reporting Narrative Reviews, Meta-Analyses, and Meta-Syntheses

Affiliations.

  • 1 Behavioural Science Centre, Stirling Management School, University of Stirling, Stirling FK9 4LA, United Kingdom; email: [email protected].
  • 2 Department of Psychological and Behavioural Science, London School of Economics and Political Science, London WC2A 2AE, United Kingdom.
  • 3 Department of Statistics, Northwestern University, Evanston, Illinois 60208, USA; email: [email protected].
  • PMID: 30089228
  • DOI: 10.1146/annurev-psych-010418-102803

Systematic reviews are characterized by a methodical and replicable methodology and presentation. They involve a comprehensive search to locate all relevant published and unpublished work on a subject; a systematic integration of search results; and a critique of the extent, nature, and quality of evidence in relation to a particular research question. The best reviews synthesize studies to draw broad theoretical conclusions about what a literature means, linking theory to evidence and evidence to theory. This guide describes how to plan, conduct, organize, and present a systematic review of quantitative (meta-analysis) or qualitative (narrative review, meta-synthesis) information. We outline core standards and principles and describe commonly encountered problems. Although this guide targets psychological scientists, its high level of abstraction makes it potentially relevant to any subject area or discipline. We argue that systematic reviews are a key methodology for clarifying whether and how research findings replicate and for explaining possible inconsistencies, and we call for researchers to conduct systematic reviews to help elucidate whether there is a replication crisis.

Keywords: evidence; guide; meta-analysis; meta-synthesis; narrative; systematic review; theory.

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Écrire, lire et revue critique, douglas archibald.

1 University of Ottawa, Ontario, Canada;

Maria Athina Martimianakis

2 University of Toronto, Ontario, Canada

Why reviews matter

What do all authors of the CMEJ have in common? For that matter what do all health professions education scholars have in common? We all engage with literature. When you have an idea or question the first thing you do is find out what has been published on the topic of interest. Literature reviews are foundational to any study. They describe what is known about given topic and lead us to identify a knowledge gap to study. All reviews require authors to be able accurately summarize, synthesize, interpret and even critique the research literature. 1 , 2 In fact, for this editorial we have had to review the literature on reviews . Knowledge and evidence are expanding in our field of health professions education at an ever increasing rate and so to help keep pace, well written reviews are essential. Though reviews may be difficult to write, they will always be read. In this editorial we survey the various forms review articles can take. As well we want to provide authors and reviewers at CMEJ with some guidance and resources to be able write and/or review a review article.

What are the types of reviews conducted in Health Professions Education?

Health professions education attracts scholars from across disciplines and professions. For this reason, there are numerous ways to conduct reviews and it is important to familiarize oneself with these different forms to be able to effectively situate your work and write a compelling rationale for choosing your review methodology. 1 , 2 To do this, authors must contend with an ever-increasing lexicon of review type articles. In 2009 Grant and colleagues conducted a typology of reviews to aid readers makes sense of the different review types, listing fourteen different ways of conducting reviews, not all of which are mutually exclusive. 3 Interestingly, in their typology they did not include narrative reviews which are often used by authors in health professions education. In Table 1 , we offer a short description of three common types of review articles submitted to CMEJ.

Three common types of review articles submitted to CMEJ

Type of ReviewDescriptionExamples of published HPE articles using review methodology
Systematic ReviewOften associated with Cochrane Reviews, this type of review aims to answer a narrowly focused question and uses a predetermined structured method to search, screen, select, appraise and summarize findings.Tang KS, Cheng DL, Mi E, Greenberg PB. Augmented reality in medical education: a systematic review. Can Med Ed J. 2020;11(1):e81.
And in this issue: of the CMEJ: Bahji A, Smith J, Danilewitz M, Crockford D, el-Guebaly N, Stuart H. Towards competency-based medical education in addictions psychiatry: a systematic review. . 2021; 12(3) 10.36834/cmej.69739
Scoping ReviewAims to quickly map a research area, documenting key concepts, sources of evidence, methodologies used. Typically, scoping reviews do not judge the quality of the papers included in the review. They tend to produce descriptive accounts of a topic area.Kalun P, Dunn K, Wagner N, Pulakunta T, Sonnadara R. Recent evidence on visual-spatial ability in surgical education: A scoping review. . 2020 Dec;11(6):e111.
Refer to Cacchione and Arksey and O’Malley and for more details.
(Critical) Narrative ReviewNarrative reviews are expert interpretations and critiques of previously published studies. They are not intended to be exhaustive in their review of evidence, but rather synthetic and generative. Research questions can be narrow or broad and are often theoretically derived. They may constitute a synthesis of existing models or schools of thoughts or generate a new interpretation or way of thinking.Examples of authors applying (Critical) Narrative reviews:
Ng, S. L., Kinsella, E. A., Friesen, F., & Hodges, B. (2015). Reclaiming a theoretical orientation to reflection in medical education research: a critical narrative review. (5), 461–475. 10.1111/medu.12680
For more information:
Greenhalgh, T., Thorne, S., & Malterud, K. (2018). Time to challenge the spurious hierarchy of systematic over narrative reviews? (6), e12931–n/a. 10.1111/eci.12931
Ferrari, R. Writing narrative style literature reviews. . 2015;24(4):230-235. doi:10.1179/2047480615Z.000000000329

More recently, authors such as Greenhalgh 4 have drawn attention to the perceived hierarchy of systematic reviews over scoping and narrative reviews. Like Greenhalgh, 4 we argue that systematic reviews are not to be seen as the gold standard of all reviews. Instead, it is important to align the method of review to what the authors hope to achieve, and pursue the review rigorously, according to the tenets of the chosen review type. Sometimes it is helpful to read part of the literature on your topic before deciding on a methodology for organizing and assessing its usefulness. Importantly, whether you are conducting a review or reading reviews, appreciating the differences between different types of reviews can also help you weigh the author’s interpretation of their findings.

In the next section we summarize some general tips for conducting successful reviews.

How to write and review a review article

In 2016 David Cook wrote an editorial for Medical Education on tips for a great review article. 13 These tips are excellent suggestions for all types of articles you are considering to submit to the CMEJ. First, start with a clear question: focused or more general depending on the type of review you are conducting. Systematic reviews tend to address very focused questions often summarizing the evidence of your topic. Other types of reviews tend to have broader questions and are more exploratory in nature.

Following your question, choose an approach and plan your methods to match your question…just like you would for a research study. Fortunately, there are guidelines for many types of reviews. As Cook points out the most important consideration is to be sure that the methods you follow lead to a defensible answer to your review question. To help you prepare for a defensible answer there are many guides available. For systematic reviews consult PRISMA guidelines ; 13 for scoping reviews PRISMA-ScR ; 14 and SANRA 15 for narrative reviews. It is also important to explain to readers why you have chosen to conduct a review. You may be introducing a new way for addressing an old problem, drawing links across literatures, filling in gaps in our knowledge about a phenomenon or educational practice. Cook refers to this as setting the stage. Linking back to the literature is important. In systematic reviews for example, you must be clear in explaining how your review builds on existing literature and previous reviews. This is your opportunity to be critical. What are the gaps and limitations of previous reviews? So, how will your systematic review resolve the shortcomings of previous work? In other types of reviews, such as narrative reviews, its less about filling a specific knowledge gap, and more about generating new research topic areas, exposing blind spots in our thinking, or making creative new links across issues. Whatever, type of review paper you are working on, the next steps are ones that can be applied to any scholarly writing. Be clear and offer insight. What is your main message? A review is more than just listing studies or referencing literature on your topic. Lead your readers to a convincing message. Provide commentary and interpretation for the studies in your review that will help you to inform your conclusions. For systematic reviews, Cook’s final tip is most likely the most important– report completely. You need to explain all your methods and report enough detail that readers can verify the main findings of each study you review. The most common reasons CMEJ reviewers recommend to decline a review article is because authors do not follow these last tips. In these instances authors do not provide the readers with enough detail to substantiate their interpretations or the message is not clear. Our recommendation for writing a great review is to ensure you have followed the previous tips and to have colleagues read over your paper to ensure you have provided a clear, detailed description and interpretation.

Finally, we leave you with some resources to guide your review writing. 3 , 7 , 8 , 10 , 11 , 16 , 17 We look forward to seeing your future work. One thing is certain, a better appreciation of what different reviews provide to the field will contribute to more purposeful exploration of the literature and better manuscript writing in general.

In this issue we present many interesting and worthwhile papers, two of which are, in fact, reviews.

Major Contributions

A chance for reform: the environmental impact of travel for general surgery residency interviews by Fung et al. 18 estimated the CO 2 emissions associated with traveling for residency position interviews. Due to the high emissions levels (mean 1.82 tonnes per applicant), they called for the consideration of alternative options such as videoconference interviews.

Understanding community family medicine preceptors’ involvement in educational scholarship: perceptions, influencing factors and promising areas for action by Ward and team 19 identified barriers, enablers, and opportunities to grow educational scholarship at community-based teaching sites. They discovered a growing interest in educational scholarship among community-based family medicine preceptors and hope the identification of successful processes will be beneficial for other community-based Family Medicine preceptors.

Exploring the global impact of the COVID-19 pandemic on medical education: an international cross-sectional study of medical learners by Allison Brown and team 20 studied the impact of COVID-19 on medical learners around the world. There were different concerns depending on the levels of training, such as residents’ concerns with career timeline compared to trainees’ concerns with the quality of learning. Overall, the learners negatively perceived the disruption at all levels and geographic regions.

The impact of local health professions education grants: is it worth the investment? by Susan Humphrey-Murto and co-authors 21 considered factors that lead to the publication of studies supported by local medical education grants. They identified several factors associated with publication success, including previous oral or poster presentations. They hope their results will be valuable for Canadian centres with local grant programs.

Exploring the impact of the COVID-19 pandemic on medical learner wellness: a needs assessment for the development of learner wellness interventions by Stephana Cherak and team 22 studied learner-wellness in various training environments disrupted by the pandemic. They reported a negative impact on learner wellness at all stages of training. Their results can benefit the development of future wellness interventions.

Program directors’ reflections on national policy change in medical education: insights on decision-making, accreditation, and the CanMEDS framework by Dore, Bogie, et al. 23 invited program directors to reflect on the introduction of the CanMEDS framework into Canadian postgraduate medical education programs. Their survey revealed that while program directors (PDs) recognized the necessity of the accreditation process, they did not feel they had a voice when the change occurred. The authors concluded that collaborations with PDs would lead to more successful outcomes.

Experiential learning, collaboration and reflection: key ingredients in longitudinal faculty development by Laura Farrell and team 24 stressed several elements for effective longitudinal faculty development (LFD) initiatives. They found that participants benefited from a supportive and collaborative environment while trying to learn a new skill or concept.

Brief Reports

The effect of COVID-19 on medical students’ education and wellbeing: a cross-sectional survey by Stephanie Thibaudeau and team 25 assessed the impact of COVID-19 on medical students. They reported an overall perceived negative impact, including increased depressive symptoms, increased anxiety, and reduced quality of education.

In Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum? Meshkat and co-authors 26 recorded the number of adult medical resuscitations and clinical procedures completed by PGY1 Fellow of the Royal College of Physicians in Emergency Medicine residents to compare them to the Competence by Design requirements. Their study underscored the importance of monitoring collection against pre-set targets. They concluded that residency program curricula should be regularly reviewed to allow for adequate clinical experiences.

Rehearsal simulation for antenatal consults by Anita Cheng and team 27 studied whether rehearsal simulation for antenatal consults helped residents prepare for difficult conversations with parents expecting complications with their baby before birth. They found that while rehearsal simulation improved residents’ confidence and communication techniques, it did not prepare them for unexpected parent responses.

Review Papers and Meta-Analyses

Peer support programs in the fields of medicine and nursing: a systematic search and narrative review by Haykal and co-authors 28 described and evaluated peer support programs in the medical field published in the literature. They found numerous diverse programs and concluded that including a variety of delivery methods to meet the needs of all participants is a key aspect for future peer-support initiatives.

Towards competency-based medical education in addictions psychiatry: a systematic review by Bahji et al. 6 identified addiction interventions to build competency for psychiatry residents and fellows. They found that current psychiatry entrustable professional activities need to be better identified and evaluated to ensure sustained competence in addictions.

Six ways to get a grip on leveraging the expertise of Instructional Design and Technology professionals by Chen and Kleinheksel 29 provided ways to improve technology implementation by clarifying the role that Instructional Design and Technology professionals can play in technology initiatives and technology-enhanced learning. They concluded that a strong collaboration is to the benefit of both the learners and their future patients.

In his article, Seven ways to get a grip on running a successful promotions process, 30 Simon Field provided guidelines for maximizing opportunities for successful promotion experiences. His seven tips included creating a rubric for both self-assessment of likeliness of success and adjudication by the committee.

Six ways to get a grip on your first health education leadership role by Stasiuk and Scott 31 provided tips for considering a health education leadership position. They advised readers to be intentional and methodical in accepting or rejecting positions.

Re-examining the value proposition for Competency-Based Medical Education by Dagnone and team 32 described the excitement and controversy surrounding the implementation of competency-based medical education (CBME) by Canadian postgraduate training programs. They proposed observing which elements of CBME had a positive impact on various outcomes.

You Should Try This

In their work, Interprofessional culinary education workshops at the University of Saskatchewan, Lieffers et al. 33 described the implementation of interprofessional culinary education workshops that were designed to provide health professions students with an experiential and cooperative learning experience while learning about important topics in nutrition. They reported an enthusiastic response and cooperation among students from different health professional programs.

In their article, Physiotherapist-led musculoskeletal education: an innovative approach to teach medical students musculoskeletal assessment techniques, Boulila and team 34 described the implementation of physiotherapist-led workshops, whether the workshops increased medical students’ musculoskeletal knowledge, and if they increased confidence in assessment techniques.

Instagram as a virtual art display for medical students by Karly Pippitt and team 35 used social media as a platform for showcasing artwork done by first-year medical students. They described this shift to online learning due to COVID-19. Using Instagram was cost-saving and widely accessible. They intend to continue with both online and in-person displays in the future.

Adapting clinical skills volunteer patient recruitment and retention during COVID-19 by Nazerali-Maitland et al. 36 proposed a SLIM-COVID framework as a solution to the problem of dwindling volunteer patients due to COVID-19. Their framework is intended to provide actionable solutions to recruit and engage volunteers in a challenging environment.

In Quick Response codes for virtual learner evaluation of teaching and attendance monitoring, Roxana Mo and co-authors 37 used Quick Response (QR) codes to monitor attendance and obtain evaluations for virtual teaching sessions. They found QR codes valuable for quick and simple feedback that could be used for many educational applications.

In Creation and implementation of the Ottawa Handbook of Emergency Medicine Kaitlin Endres and team 38 described the creation of a handbook they made as an academic resource for medical students as they shift to clerkship. It includes relevant content encountered in Emergency Medicine. While they intended it for medical students, they also see its value for nurses, paramedics, and other medical professionals.

Commentary and Opinions

The alarming situation of medical student mental health by D’Eon and team 39 appealed to medical education leaders to respond to the high numbers of mental health concerns among medical students. They urged leaders to address the underlying problems, such as the excessive demands of the curriculum.

In the shadows: medical student clinical observerships and career exploration in the face of COVID-19 by Law and co-authors 40 offered potential solutions to replace in-person shadowing that has been disrupted due to the COVID-19 pandemic. They hope the alternatives such as virtual shadowing will close the gap in learning caused by the pandemic.

Letters to the Editor

Canadian Federation of Medical Students' response to “ The alarming situation of medical student mental health” King et al. 41 on behalf of the Canadian Federation of Medical Students (CFMS) responded to the commentary by D’Eon and team 39 on medical students' mental health. King called upon the medical education community to join the CFMS in its commitment to improving medical student wellbeing.

Re: “Development of a medical education podcast in obstetrics and gynecology” 42 was written by Kirubarajan in response to the article by Development of a medical education podcast in obstetrics and gynecology by Black and team. 43 Kirubarajan applauded the development of the podcast to meet a need in medical education, and suggested potential future topics such as interventions to prevent learner burnout.

Response to “First year medical student experiences with a clinical skills seminar emphasizing sexual and gender minority population complexity” by Kumar and Hassan 44 acknowledged the previously published article by Biro et al. 45 that explored limitations in medical training for the LGBTQ2S community. However, Kumar and Hassen advocated for further progress and reform for medical training to address the health requirements for sexual and gender minorities.

In her letter, Journey to the unknown: road closed!, 46 Rosemary Pawliuk responded to the article, Journey into the unknown: considering the international medical graduate perspective on the road to Canadian residency during the COVID-19 pandemic, by Gutman et al. 47 Pawliuk agreed that international medical students (IMGs) do not have adequate formal representation when it comes to residency training decisions. Therefore, Pawliuk challenged health organizations to make changes to give a voice in decision-making to the organizations representing IMGs.

In Connections, 48 Sara Guzman created a digital painting to portray her approach to learning. Her image of a hand touching a neuron showed her desire to physically see and touch an active neuron in order to further understand the brain and its connections.

  • Introduction
  • Conclusions
  • Article Information

RCT indicates randomized clinical trial; RR, risk ratio. Diamonds indicate heterogeneity; different marker sizes, weights.

MD indicates mean difference; RCT, randomized clinical trial; RR, risk ratio; and USD, US dollars. Diamonds indicate heterogeneity; different marker sizes, weights.

eTable 1. Search Strategy and Result

eTable 2. Reasons for Excluding Full-Text Screening Studies

eTable 3. Inclusion and Exclusion Criteria and Care Bundle or Suggestions for Enrolled Studies

eTable 4. Trial Sequential Analysis With Only Enrolled Randomized Clinical Trials

eTable 5. Sensitivity Analysis

eTable 6. Summary of Certainty of Evidence Assessment

eFigure 1. PRISMA Flow Diagram

eFigure 2. Version 2 of the Cochrane Risk-of-Bias Tool for Randomized Trials (RoB 2.0) Assessment of Included Studies and Summary

eFigure 3. Risk of Bias in Nonrandomized Studies of Interventions (ROBINS-I) Assessment of Included Studies and Summary

eFigure 4. Forest Plot Illustrating the Association of Acute Kidney Injury (AKI) Electronic Alerts (e-Alerts) With Dialysis and Kidney Recovery after AKI

eFigure 5. Forest Plot Illustrating the Association of Acute Kidney Injury (AKI) Electronic Alerts (e-Alerts) With ACEI/ARB Prescription and Fluid Prescription After AKI

eFigure 6. Subgroup Analysis for AKI Progression

eFigure 7. Subgroup Analysis for Mortality

eFigure 8. Subgroup Analysis for Dialysis

eFigure 9. Subgroup Analysis for Kidney Recovery

eFigure 10. Subgroup Analysis for Nephrologist Consultation

eFigure 11. Subgroup Analysis for NSAID Exposure After AKI

eFigure 12. Subgroup Analysis for Hospital Length of Stay

eFigure 13. Subgroup Analysis for Medical Costs

eFigure 14. Subgroup Analysis for AKI Documentation

eFigure 15. Subgroup Analysis for Fluid prescription

eFigure 16. Subgroup Analysis for ACEI/ARB exposure

eFigure 17. Subgroup Analysis for Mortality With Different Follow-Up Period

eFigure 18. Trial Sequential Analysis for Mortality

eFigure 19. Trial Sequential Analysis for AKI Progression

eFigure 20. Trial Sequential Analysis for Dialysis

eFigure 21. Trial Sequential Analysis for Kidney Recovery

eFigure 22. Trial Sequential Analysis for Nephrologist Consultation

eFigure 23. Trial Sequential Analysis for NSAID Exposure After AKI

eFigure 24. Trial Sequential Analysis for AKI documentation

eFigure 25. Funnel Plots

eAppendix 1. Supplemental Method for Trial Sequential Analysis

eAppendix 2. Quality of Included Studies

eAppendix 3. Certainty of Evidence Assessment for AKI Progression

Data Sharing Statement

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Chen J , Lee T , Chan M, et al. Electronic Alert Systems for Patients With Acute Kidney Injury : A Systematic Review and Meta-Analysis . JAMA Netw Open. 2024;7(8):e2430401. doi:10.1001/jamanetworkopen.2024.30401

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Electronic Alert Systems for Patients With Acute Kidney Injury : A Systematic Review and Meta-Analysis

  • 1 Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan
  • 2 College of Medicine, Chang Gung University, Taoyuan, Taiwan
  • 3 Department of Nephrology, Chansn Hospital, Taoyuan City, Taiwan
  • 4 Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • 5 National Taiwan University Study Group on Acute Renal Failure, Taipei, Taiwan
  • 6 Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University

Question   Are electronic alerts (e-alerts) for acute kidney injury (AKI) in the electronic health record associated with patient outcomes or clinical practice patterns?

Findings   In this systematic review and meta-analysis of 13 unique studies with 41 837 unique patients, AKI e-alerts were not associated with a lower risk for mortality but were associated with a lower risk for AKI progression compared with standard care. There were associations between e-alerts and clinical practice patterns, including increased nephrologist consultations, dialysis, and AKI documentation and decreased post-AKI exposure to nonsteroidal anti-inflammatory drugs.

Meaning   These findings suggest that AKI e-alerts are associated with changes to clinical practice patterns and lower risk for AKI progression, although more research is needed to support this conclusion.

Importance   The acute kidney injury (AKI) electronic alert (e-alert) system was hypothesized to improve the outcomes of AKI. However, its association with different patient outcomes and clinical practice patterns remains systematically unexplored.

Objective   To assess the association of AKI e-alerts with patient outcomes (mortality, AKI progression, dialysis, and kidney recovery) and clinical practice patterns.

Data Sources   A search of Embase and PubMed on March 18, 2024, and a search of the Cochrane Library on March 20, 2024, to identify all relevant studies. There were no limitations on language or article types.

Study Selection   Studies evaluating the specified outcomes in adult patients with AKI comparing AKI e-alerts with standard care or no e-alerts were included. Studies were excluded if they were duplicate cohorts, had insufficient outcome data, or had no control group.

Data Extraction and Synthesis   Two investigators independently extracted data and assessed bias. The systematic review and meta-analysis followed the PRISMA guidelines. Random-effects model meta-analysis, with predefined subgroup analysis and trial sequential analyses, were conducted.

Main Outcomes and Measures   Primary outcomes included mortality, AKI progression, dialysis, and kidney recovery. Secondary outcomes were nephrologist consultations, post-AKI exposure to nonsteroidal anti-inflammatory drugs (NSAID), post-AKI angiotensin-converting enzyme inhibitor and/or angiotensin receptor blocker (ACEI/ARB) prescription, hospital length of stay, costs, and AKI documentation.

Results   Thirteen unique studies with 41 837 unique patients were included (mean age range, 60.5-79.0 years]; 29.3%-48.5% female). The risk ratios (RRs) for the AKI e-alerts group compared with standard care were 0.96 for mortality (95% CI, 0.89-1.03), 0.91 for AKI stage progression (95% CI, 0.84-0.99), 1.16 for dialysis (95% CI, 1.05-1.28), and 1.13 for kidney recovery (95% CI, 0.86-1.49). The AKI e-alerts group had RRs of 1.45 (95% CI, 1.04-2.02) for nephrologist consultation, 0.75 (95% CI, 0.59-0.95) for post-AKI NSAID exposure. The pooled RR for post-AKI ACEI/ARB exposure in the AKI e-alerts group compared with the control group was 0.91 (95% CI, 0.78-1.06) and 1.28 (95% CI, 1.04-1.58) for AKI documentation. Use of AKI e-alerts was not associated with lower hospital length of stay (mean difference, −0.09 [95% CI, −0.47 to 0.30] days) or lower cost (mean difference, US $655.26 [95% CI, −$656.98 to $1967.5]) but was associated with greater AKI documentation (RR, 1.28 [95% CI, 1.04-1.58]). Trial sequential analysis confirmed true-positive results of AKI e-alerts on increased nephrologist consultations and reduced post-AKI NSAID exposure and its lack of association with mortality.

Conclusions and Relevance   In this systematic review and meta-analysis, AKI e-alerts were not associated with a lower risk for mortality but were associated with changes in clinical practices. They were associated with lower risk for AKI progression. Further research is needed to confirm these results and integrate early AKI markers or prediction models to improve outcomes.

Acute kidney injury (AKI) is a common complication in hospitalized patients, leading to increased comorbidities, health care costs, and both short- and long-term mortality. 1 - 3 The introduction of electronic health record systems has enabled early detection of AKI through electronic alerts (e-alerts), considered potential interventions to reduce AKI-related complications and improve outcomes. Consequently, the AKI e-alert system was initially launched in the US and the United Kingdom, later expanding globally. 4 - 7

A 2012 study by Colpaert et al 8 using RIFLE (risk, injury, failure, loss of kidney function, and end-stage kidney disease) criteria showed that AKI e-alerts could enhance short-term renal outcomes and timely interventions. The 27th Acute Disease Quality Initiative consensus also highlighted that “AKI alerts driven by concrete criteria improve early detection and prompt AKI management.” 9 Nevertheless, a 2017 published meta-analysis 6 and subsequent randomized clinical trials (RCTs) and non-RCTs, including Electronic Alerting for Acute Kidney Injury Amelioration (ELAIA)–1 10 and ELAIA-2, 11 questioned their impact on mortality. Despite assumptions about their efficacy in improving AKI outcomes and care, it remains uncertain whether AKI e-alerts, alone or with care bundles, are associated with lower mortality, AKI severity, or the need for kidney replacement or whether they impact clinical practices.

Given the lack of systematic analysis for several associated outcomes, an updated meta-analysis including recently published studies 10 - 12 is warranted. In the present study, we performed a systematic review and meta-analysis, incorporating subgroup analysis and trial sequential analysis using evidence-based medicine methods to assess the association between AKI e-alerts and patient survival, kidney outcomes, clinical practice patterns, and associated outcomes such as medical costs and hospital length of stay (LOS).

This systematic review and meta-analysis was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses ( PRISMA ) statement and checklist. We registered the protocol in PROSPERO ( CRD42024527189 ). Two investigators (J.-J.C. and T.-H.L.) systematically and independently conducted a review of published data on outcomes in patients with AKI e-alerts. A search of PubMed and Embase was performed on March 18, 2024, and the Cochrane Library was searched on March 20, 2024, to identify all relevant studies. Detailed search strategies, including search terms specific to each source, are provided in eTable 1 in Supplement 1 . There were no limitations on language or article types.

After removing duplicates, titles and abstracts were screened by 2 reviewers (J.-J.C. and T.-H.L.) for relevance. Full texts of potentially relevant articles were then reviewed for eligibility. Inclusion criteria required studies to involve adults, compare AKI e-alert groups with non–e-alert groups, and report on any of the primary or secondary outcomes. For eligibility disagreements, a third reviewer (C.-H.C.) was consulted for consensus. Exclusions were made for duplicate cohorts, insufficient outcome data, or absence of a control group.

The 2 investigators (J.-J.C. and T.-H.L.) independently extracted data (author[s], publication year, design, location, AKI care bundle presence, sample size, AKI criteria, mean age, proportion of population that was female) and outcomes from each study. For binary outcomes, participant and event numbers were noted; for continuous outcomes, mean and SD were extracted or calculated from median (IQR). Discrepancies were resolved through discussion with a third investigator (P.-C.F.).

This systematic review and meta-analysis evaluated the differences between AKI e-alerts vs standard care or no e-alerts for patient outcomes or clinical practice patterns. Primary outcomes included mortality and dialysis after AKI (prioritizing 28-day or 30-day, then 60-day, 90-day, and in-hospital mortality and dialysis), AKI stage progression, and kidney recovery after AKI. Secondary outcomes were nephrologist consultations, post-AKI exposure to nonsteroidal anti-inflammatory drugs (NSAIDs), post-AKI angiotensin-converting enzyme inhibitor and/or angiotensin receptor blocker (ACEI/ARB) prescription, AKI documentation, post-AKI intravenous fluid prescription, hospital LOS, and medical costs.

In the R meta package, the metabin and metacont functions were used for binary and continuous outcomes, respectively. 13 We applied a random-effects model using the inverse variance method. Between-study variance was estimated using the restricted maximum-likelihood estimator method, while the DerSimonian and Laird method estimated the 95% CI of the effect. We assessed the overall effect using pooled risk ratios (RRs) for binary outcomes and mean differences for continuous outcomes. Heterogeneity was evaluated with the I 2 statistic. Small study bias was examined using funnel plots and the Egger test via the metabias function. 14 Analyses were conducted in R, version 4.2.2 (R Program for Statistical Computing [October 31, 2022]), with 2-sided P  < .05 considered statistically significant.

In our analysis, we differentiated studies as RCTs vs non-RCTs. We hypothesized that AKI e-alerts, combined with care recommendations or bundles, might be associated with patient outcomes. To explore this, we performed a subgroup analysis, dividing studies into those using e-alerts with AKI care bundles or recommendations and those using e-alerts alone. For studies reporting mortality outcomes over different time periods, we additionally conducted a subgroup analysis based on the specific time period.

To determine whether the primary outcome conclusions of our meta-analysis were premature, we performed trial sequential analysis (TSA) using TSA software, version 0.9.5.10 beta. 15 A more detailed description is found in eAppendix 1 in Supplement 1 .

Considering that the traditional DerSimonian and Laird method might underestimate between-study heterogeneity and the relatively small number of enrolled studies, we performed sensitivity analyses for binary outcomes using the Hartung-Knapp method and beta-binomial bayesian meta-analysis. The beta-binomial bayesian meta-analysis was conducted using R software and the JAGS (Just Another Gibbs Sampler) program, version 4.3.2 (GNU General Public License). Additionally, we conducted further TSA including only RCTs for both primary and secondary outcomes that showed associations in the conventional meta-analysis.

We assessed the risk of bias using RoB 2.0 (a revised tool to assess risk of bias in randomized trials) 16 and ROBINS-I tool (Risk of Bias in Nonrandomized Studies of Interventions) 17 for included RCTs and non-RCTs, respectively. Two independent reviewers (J.-J.C. and T.-H.L.) assessed the bias according to each domain, and the disagreements between the reviewers were resolved by discussion with another author (P.-C.F.). The quality of evidence was evaluated based on the guidelines of the GRADE (Grades of Recommendation, Assessment, Development, and Evaluation) Working Group. 18 , 19

A flowchart of the literature search is provided in eFigure 1 in Supplement 1 ). The electronic database search identified 189 potentially eligible studies from PubMed, 98 from Embase, and 42 from the Cochrane Library. After removing duplicate articles, the remaining 259 articles were screened. After screening the titles and abstracts, the full texts of 34 studies were reviewed to assess their eligibility. After excluding studies for various reasons (eTable 2 in Supplement 1 ), 13 unique studies including 41 837 unique patients 7 , 8 , 10 - 12 , 20 - 27 were included for analysis.

Table 1 summarizes the characteristics of the included studies. Patients’ mean ages varied from 60.5 to 79.0 years, with female representation between 29.3% and 48.5% and male representation between 51.5% and 70.7%. Among the 13 studies, 6 were RCTs, 10 - 12 , 23 , 26 , 27 4 were prospective cohort studies, 7 , 8 , 22 , 25 and 3 were retrospective cohort studies. 20 , 21 , 24 All but 1 study 8 adhered to Kidney Disease: Improving Global Outcomes (KDIGO) criteria for AKI, with the exception using RIFLE criteria. Additionally, 8 studies 7 , 11 , 12 , 20 - 23 , 25 provided AKI management recommendations or care bundles alongside AKI e-alerts. Further details on inclusion and exclusion criteria and AKI care recommendations are available in eTable 3 in Supplement 1 .

The RoB 2.0 and ROBINS-I assessments indicated varied risk of bias across the studies, with 8 of 13 studies presenting low to moderate risk. For RCTs, overall quality was ranked as low risk for 4 studies (66.7%), 10 - 12 , 26 of some concern for 1 study (16.7%), 27 and of high concern for 1 study (16.7%) 23 (eFigure 2 in Supplement 1 ). For non-RCTs, the overall quality was low risk for 1 study (14.3%), 20 of moderate concern for 3 studies (42.9%), 7 , 8 , 25 and of high concern for 3 studies (42.9%) 21 , 22 , 24 (eFigure 3 in Supplement 1 ) (see details in eAppendix 2 in Supplement 1 ).

In 12 studies with 38 644 participants, 7 , 8 , 10 - 12 , 20 - 23 , 25 - 27 the pooled mortality rate in the e-alert group was 15.7% (3041 of 19 409) and the pooled mortality rate in the control group was 16.7% (3220 of 19 235). Use of AKI e-alerts was not associated with a significant difference in mortality compared with the no use of AKI e-alerts, with substantial heterogeneity (RR, 0.96 [95% CI, 0.89-1.03]; I 2  = 47% [95% CI, 0%-73%]) ( Figure 1 A). There was no significant subgroup difference of pooled effects between RCTs and non-RCTs.

In 5 studies, 10 - 12 , 20 , 25 use of AKI e-alerts was associated with AKI stage progression (RR, 0.91 [95% CI, 0.84-0.99]), with substantial heterogeneity ( I 2  = 70% [95% CI, 23%-88%]). There was a significant subgroup difference of pooled effects between RCTs and non-RCTs ( Figure 1 B). All 5 studies reported AKI progression based on KDIGO criteria. Four studies defined AKI progression as advancing to a higher stage, except for Li et al. 12 Three studies 10 - 12 defined the period as in hospital, while 1 study 20 defined it within 7 days.

Use of AKI e-alerts was associated with dialysis (RR, 1.16 [95% CI, 1.05-1.28]), with substantial heterogeneity ( I 2  = 50% [95% CI, 1%-75%]) and without significant subgroup differences (eFigure 4 in Supplement 1 ). Use of AKI e-alerts was associated with kidney recovery (RR, 1.13 [95% CI, 0.86-1.49]), with high heterogeneity ( I 2  = 98% [95% CI, 97%-99%]) and without significant subgroup difference (eFigure 4 in Supplement 1 ).

Use of AKI e-alerts was associated with nephrologist consultation (RR, 1.45 [95% CI, 1.04-2.02]), with substantial heterogeneity ( I 2  = 95% [95% CI, 93%-97%]) and without significant subgroup difference ( Figure 2 A). Use of AKI e-alerts was associated with lower post-AKI NSAID exposure (RR, 0.75 [95% CI, 0.59-0.95]), with substantial heterogeneity ( I 2  = 69% [95% CI, 11%-89%]) ( Figure 2 B). The pooled RR for post-AKI ACEI/ARB exposure in the AKI e-alerts group compared with the control group was 0.91 (95% CI, 0.78-1.06), with substantial heterogeneity ( I 2  = 72% [95% CI, 19%-90%]) (eFigure 5 in Supplement 1 ). The pooled RR for post-AKI intravenous fluid prescription in the AKI e-alert group compared with the control group was 1.47 (95% CI, 0.86-2.54), with substantial heterogeneity ( I 2  = 97% [95% CI, 95%-98%]) and subgroup difference (eFigure 5 in Supplement 1 ).,

Use of AKI e-alerts was not associated with lower hospital LOS compared with the control group, with a mean difference of −0.09 (95% CI, −0.47 to 0.30) days and substantial heterogeneity ( I 2  = 62% [95% CI, 21%-81%]), without significant subgroup difference ( Figure 3 A). Use of AKI e-alerts was not associated with lower cost compared with the control group, with a mean difference of US $655.26 (95% CI, −$656.98 to $1967.5) and low heterogeneity ( I 2  = 45% [95% CI, 0%-84%]) ( Figure 3 B). Use of AKI e-alerts was associated with greater AKI documentation (RR, 1.28 [95% CI, 1.04-1.58]), with substantial heterogeneity ( I 2  = 94% [95% CI, 90%-96%]) ( Figure 3 C).

Subgroup analysis was performed by dividing enrolled studies into e-alerts in combination with an AKI care bundle or recommendation and those studies without. For AKI progression, studies with AKI e-alerts combined with AKI care bundle or recommendation had a lower RR compared with the non–e-alert groups (RR, 0.85 [95% CI, 0.77-0.93]; P  = .03 for subgroup difference test) (eFigure 6 in Supplement 1 ). For the other 3 primary outcomes (mortality, dialysis, and kidney recovery) (eFigures 7-9 in Supplement 1 ) and most secondary outcomes (eFigures 10-15 in Supplement 1 ), there was no significant subgroup heterogeneity detected. Regarding post-AKI ACEI/ARB exposure, AKI e-alerts combined with an AKI care bundle were associated with lower RR (0.78 [95% CI, 0.70-0.88]; P  = .002 for subgroup difference test) (eFigure 16 in Supplement 1 ). For studies reporting mortality outcomes over different time periods, there was no significant subgroup difference (eFigure 17 in Supplement 1 ).

A trial sequential analysis on mortality indicated that e-alerts were unlikely to be associated with a 10% risk reduction (eFigure 18 in Supplement 1 ). For AKI stage progression, TSA indicated a premature conclusion (eFigure 19 in Supplement 1 ). For dialysis, TSA show a true-positive finding with sufficient sample size (eFigure 20 in Supplement 1 ) and an uncertain result regarding kidney recovery (eFigure 21 in Supplement 1 ). Trial sequential analysis also supported the results from conventional analysis regarding nephrologist consultations, AKI documentation, and reduced post-AKI NSAID exposure (eFigures 22-24 in Supplement 1 ).

Including only RCTs in the TSA, e-alerts showed a true-positive finding for dialysis, NSAID exposure, and consultation (eTable 4 in Supplement 1 ). Other outcomes were premature, inconclusive, or ineffective. Sensitivity analysis using the Hartung-Knapp method still showed a significantly increased the RR for dialysis. The beta-binomial bayesian meta-analysis also showed a significantly lower RR for NSAID exposure after AKI (eTable 5 in Supplement 1 ).

The funnel plot for all primary and secondary outcomes are provided (eFigure 25 in Supplement 1 ). There was no significant asymmetry observed in the funnel plots. The Egger tests were performed for outcomes with more than 10 studies and found no publication bias for mortality (Egger P  = .13), dialysis (Egger P  = .63), or nephrologist consultation (Egger P  = .26).

The overall certainty of evidence (CoE) varied from moderate to very low. We summarized the results of CoE assessment in eTable 6 in Supplement 1 . The detailed reasons for downgrading are provided in eTable 6 in Supplement 1 and eAppendix 3 in Supplement 1 . We also summarized the results and CoE assessment ( Table 2 ).

This systematic review and meta-analysis highlights 4 key findings. First, AKI e-alerts may be unlikely to be associated with a 10% reduction of risk for mortality in patients with AKI, a finding supported by TSA. Second, AKI e-alerts might be associated with lower RR of AKI progression, but more research is needed to support this conclusion. Third, AKI e-alerts were linked to increased dialysis events. Fourth, AKI e-alerts seem to be associated with different clinical practices (eg, more nephrologist consultations and AKI documentation and less post-AKI NSAID exposure).

Our analysis suggests AKI e-alerts may not be associated with lower RR of mortality but with lower RR of AKI progression, and the pooled effect was associated with heterogeneity. Most studies found AKI e-alerts have a neutral effect on mortality, with exceptions in 2 studies. 10 , 25 Tome et al 25 observed lower mortality with AKI e-alerts plus care recommendations in early-stage AKI, but not in stage 3. Conversely, the ELAIA-1 study 10 noted increased mortality in nonteaching hospitals. The increased primary composite outcome from AKI e-alerts group in nonteaching hospitals was driven by increased mortality, but the dialysis or AKI progression rates were similar across different hospitals. 10 In that study, 10 the authors considered the harm from e-alerts in nonteaching hospitals to be a true effect and postulated several possible mechanisms, including unnecessary intravenous fluid prescription and/or fluid overload, alarm fatigue, and the pressure on clinicians to take potentially harmful actions (which could be prevented by systems in teaching hospitals).

The apparent neutrality, yet underlying heterogeneity, of AKI e-alerts’ association with mortality may result from several factors. First, evaluated AKI e-alert systems use creatinine-based diagnoses, with unreported variations in testing frequency and timing affecting AKI detection. Creatinine level, a delayed and less predictive AKI marker than urine output in patients with critical illness, could affect outcomes. Bianchi et al 28 noted oliguria over 12 hours as a crucial outcome marker, independent of creatinine levels. Second, the AKI e-alert system’s success may depend more on alarm detection and management. The analysis by Shi et al 29 showed physician response to and detection rate of e-alerts might result in different 14-day mortality rates. Third, reducing post-AKI NSAID exposure might explain the lower RR for AKI progression. As previously mentioned, the current limitations of AKI e-alerts may arise from the delayed nature of serum creatinine levels in AKI diagnosis and the heterogeneous effects of AKI e-alerts (which might be raised from different AKI care bundles, different hospitals, or physicians’ responses). Therefore, we suggest that an e-alert system should be integrated with earlier risk stratification methods, such as the renal angina index, 30 , 31 artificial intelligence − based continuous AKI prediction, 32 and care bundle implementation within a clinical decision support system to enhance early diagnosis and management, potentially improving outcomes.

Our analysis suggests that AKI e-alerts may increase post-AKI dialysis events, with more nephrologist consultations and reduced NSAID exposure. The higher dialysis rates in the e-alert group might result from the lack of standardized kidney replacement therapy initiation protocols and increased nephrologist involvement. Despite a lack of significant subgroup differences between RCTs and non-RCTs, 2 non-RCTs 20 , 21 noted higher dialysis rates with e-alerts. Atia et al 20 attributed this to more nephrologist consultations and earlier dialysis initiation. Our analysis found that the e-alert had lower RRs for post-AKI ACEI/ARB prescription. Only Wilson et al 11 reported the effect of e-alerts on post-AKI proton-pump inhibitor prescriptions. In that study, the e-alert group had a higher RR for proton-pump inhibitor therapy discontinuation (RR, 1.26 [95% CI, 1.10-1.45]).

Additionally, AKI e-alerts might reduce AKI stage progression, though with notable subgroup heterogeneity. Studies with AKI e-alerts plus care recommendations showed reduced AKI progression risk (eFigure 6 in Supplement 1 ). However, this finding, according to trial sequential analysis (eFigure 15 in Supplement 1 ), is premature, given the small number of studies reporting this outcome and the reliance on non-RCTs.

Our study has several strengths. It is an updated systematic review and meta-analysis on AKI e-alerts using contemporary evidence-based methods, includes trial sequential analysis, and evaluates the CoE across all outcomes using the GRADE framework. However, limitations exist. First, the scarcity of RCTs led us to combine findings from RCTs, prospective trials, and retrospective studies. Second, few studies examined the impact on hospital LOS, cost, AKI stage progression, post-AKI kidney recovery and ACEI/ARB prescription, limiting our ability to make conclusive statements on these aspects. Third, the evidence lacks exploration of urine output–based AKI e-alerts and early biomarkers for risk stratification, which could enhance early detection and intervention. Fourth, none of the enrolled studies reported major adverse kidney events at 28 and 90 days, which are crucial outcomes after AKI. This leaves the impact of AKI e-alerts and increased dialysis events on long-term outcomes uncertain. Further investigation in these areas is needed.

The current meta-analysis suggests that the implementation of AKI e-alerts might not be associated with a lower risk for mortality but may be associated with different practice patterns (including higher RRs for nephrologist consultations, dialysis, and AKI documentation and lower RRs for post-AKI NSAID exposure). Implementation was associated with a lower RR for AKI progression, but this result was heterogeneous and possibly premature. We recommend that each hospital establish its own AKI e-alert system and individualized AKI management protocol tailored to its specific needs. Additionally, future studies should focus on combining e-alert systems with AKI prediction or early biomarker risk stratification, along with clinical decision support systems or care bundles, which might be beneficial.

Accepted for Publication: July 2, 2024.

Published: August 27, 2024. doi:10.1001/jamanetworkopen.2024.30401

Open Access: This is an open access article distributed under the terms of the CC-BY License . © 2024 Chen JJ et al. JAMA Network Open .

Corresponding Author: Chih-Hsiang Chang, MD, PhD, Department of Nephrology, Linkou Chang Gung Memorial Hospital, No.5 Fusing St, Taoyuan 333, Taiwan ( [email protected] ).

Author Contributions: Drs Chen and Chang had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Chen, T.-H. Lee, Tsai, C.-C Lee, Chang.

Acquisition, analysis, or interpretation of data: Chen, T.-H. Lee, Chan, Fan, Wu, Tu, Chang.

Drafting of the manuscript: Chen, T.-H. Lee, Chang.

Critical review of the manuscript for important intellectual content: Chan, Tsai, Fan, C.-C. Lee, Wu, Tu, Chang.

Statistical analysis: Chen, Chan, Tsai, Tu, Chang.

Obtained funding: Chang.

Administrative, technical, or material support: T.-H. Lee, Fan, Tu.

Supervision: C.-C. Lee, Wu, Chang.

Conflict of Interest Disclosures: None reported.

Funding/Support: This study was supported by grants MOHW110-TDU-B-212-124005, MOHW111-TDU-B-212-134005, and MOHW112-TDU-B-212-144005 from the Taiwanese Ministry of Health and Welfare and grant CMRPG5M0181 from Linkou Chang Gung Memorial Hospital (Dr Chang).

Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Data Sharing Statement: See Supplement 2 .

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