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Table 3 Next steps by systematic review framework step

From: Towards a framework for systematic reviews of the prevalence of exposure to environmental and occupational risk factors

Framework step

Next steps (final products: handbook and reporting guidelines)

Specify research question

• Improvement of research question formulation

Protocol

• Template for protocols for systematic reviews of studies of prevalence of exposure

• Publication of protocols in a peer-reviewed journal

Systematic search

• Development of standard search strings and specialized search filters

• Identification and development of specific academic and grey literature databases to search

• Guidance on including modelling versus empirical data

• Automated updating of searches

Defining eligibility criteria and screening studies

• Guidance to help reviewers produce eligibility criteria that are sufficiently detailed on exposure measurements and methods

Data extraction

• Template for extracting data from studies of prevalence of exposure

• Guidance to include information on specific types of bias for which to extract data (e.g., numerator-denominator bias)

Risk of bias assessment

• Testing and further development of RoB-SPEO (more details in [10])

Synthesis

• Guidance on what evidence should be pooled and what should not (quantitative meta-analysis versus narrative synthesis)

• Guidance on how to pool skewed data, with ceiling and floor (0 and 100% exposed), including which software to use

• Guidance on interpreting pooled prevalence estimates, including model heterogeneity and skewed pooled confidence intervals

Certainty of body of evidence assessment

• Testing and further development of QoE-SPEO (more details in [8])