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In Search of Evidence

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Systematic Reviews and Meta-Analyses<br />

analyses and systematic reviews are also increasingly used in management.<br />

Meta-analyses and systematic reviews are strongly promoted by the evidencebased<br />

practice movement because they are regarded as the most trustworthy<br />

and authoritative form <strong>of</strong> evidence (Briner & Denyer, 2012; Rousseau, Manning,<br />

& Denyer, 2008). However, even the results <strong>of</strong> a meta-analysis or systematic<br />

review can provide an extremely biased view, if the way in which the study is<br />

conducted contains serious flaws. <strong>In</strong> light <strong>of</strong> the weight attached to metaanalyses<br />

and systematic reviews it is therefore important for managers to be<br />

capable <strong>of</strong> evaluating such studies critically and assessing their value for<br />

management practice.<br />

The aim <strong>of</strong> this paper is to provide managers with a framework for critically<br />

appraising meta-analyses and systematic reviews. We will discuss the key<br />

aspects <strong>of</strong> this type <strong>of</strong> research as described in the Cochrane Collaboration<br />

guidelines (Higgins & Green, 2006), the MOOSE Guidelines (Stroup et al., 2000)<br />

and the QUOROM Statement checklist (Moher et al., 1999). Although these<br />

principles were developed in the medical sector, the methodological starting<br />

points and principles are applicable in any field where scientific research is<br />

conducted, from astronomy to zoology (Petticrew, 2001). To illustrate this, a<br />

well-known systematic review in the field <strong>of</strong> management will be assessed.<br />

The concept <strong>of</strong> a systematic review and a meta-analysis<br />

Systematic review vs. literature review<br />

The intention behind a systematic review is to identify as fully as possible all<br />

the scientific studies <strong>of</strong> relevance to a particular subject and to assess the<br />

validity and authority <strong>of</strong> the evidence <strong>of</strong> each study separately. As the name<br />

indicates, a systematic review takes a systematic approach to identifying studies<br />

and has the methodological quality critically appraised by multiple researchers<br />

independently <strong>of</strong> each other, as a consequence <strong>of</strong> which the review is<br />

transparent and reproducible.<br />

Apart from the systematic review, other types <strong>of</strong> reviews are also used, such<br />

as the conventional literature review, also referred to as a descriptive or<br />

narrative review. <strong>In</strong> a conventional literature review, a summary <strong>of</strong> scientific<br />

studies is provided, but a systematic approach to identifying these studies is not<br />

used. Furthermore, studies are <strong>of</strong>ten selected on the basis <strong>of</strong> the reviewer’s<br />

standpoint. As a result <strong>of</strong> the subjective manner in which the studies are<br />

identified and selected, there is a substantial risk <strong>of</strong> bias in the outcome

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