Background styles in systematic
review articles: a cross-sectional study
protocol
Authors:
Yuki Kataoka, MD, MPH, DrPH 1),2),3),4), Shunsuke Taito, PT PhD 3),5), Sachiko Yamamoto-Kataoka,
MD, MPH, PhD ,6), Yasushi Tsujimoto, MD, MPH 3),6),7), Hajime Yamazaki, MD, PhD 2), Toshi A.
Furukawa, MD, PhD8)
Affiliations:
1 Hospital Care Research Unit, Hyogo Prefectural Amagasaki General Medical Center,
Higashinaniwa-cho 2-17-77, Amagasaki 660-8550 JAPAN
2 Department of Community Medicine in the Graduate School of Medicine, Kyoto University ,
Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501, JAPAN
3 Systematic Review Workshop Peer Support Group (SRWS-PSG), Japan
4 Department of Respiratory Medicine, Hyogo Prefectural Amagasaki General Medical Center,
Higashinaniwa-cho 2-17-77, Amagasaki 660-8550 JAPAN
5 Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima
University Hospital, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551 Japan
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NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.
6 Department of Healthcare Epidemiology, Graduate School of Medicine and Public Health,
Kyoto University, Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501, JAPAN
7 Department of Nephrology and Dialysis, Kyoritsu Hospital, 16-5 Chuo-cho, Kawanishi,
Hyogo 666-0016, Japan
8 Department of Health Promotion and Human Behavior, School of Public Health in the
Graduate School of Medicine, Kyoto University, Yoshida Konoe-cho, Sakyo-ku, Kyoto
606-8501, Japan
Corresponding author:
Toshi A Furukawa
Department of Health Promotion and Human Behavior, School of Public Health in the Graduate
School of Medicine, Kyoto University, Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501, Japan
Phone: +81-75-753-9491
Fax: +81-75-753-4641
Email:
[email protected]
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Abstr a ct
Ba c k gr oun d: Th e b ack grou nd s e ction of a m edical jou r n al article has t he i mportan t
fu nc t ion to c om mun icat e re ad ers t he va l u e of t he r ese arc h qu estion. H o w e v er , little is
kn o w n a bo ut ho w auth ors d esc ri be th eir " niche" to em phasize th e imp ortan ce of t heir
resear c h q u estion. Thi s study aims to ex amin e the m etho ds the auth ors us e in ord er to
delin eat e t heir nich e in sys tem at ic re v i ews (SR).
M e t ho ds : W e will cond uc t a c ros s-sectional stud y . W e w i ll inc l ude Origin al SR ar t ic les
pu blis h ed in t op 5 0 jour nals in ME D I C I NE , G E N E RAL & INT ERN AL cat e g o ry in
Jo urn al C i tation R e p orts 201 8. W e will c ond u c t cont ent an alysis o f b ack gro und s ec t io n s .
T he pr imar y ou tc om e will be wh e t h er th e article w as pu blishe d in top 1 0 jo ur n al or n ot.
W e will use c h i-s q uar e d tes t and lo gist ic reg res si on an alysis . T he primar y a nalys is will
be l ogistic reg r ess i on pred ic ti ng pu blic at ion in high im pact jour nals, wit h c o variat es .
T w o-tail e d p valu es will be c o ns i d e r ed s tat is tica lly s ignif ic ant if les s than 0.05.
Disc u s sio n: This is t he f ir st s tudy to inv estigate th e infl uence of w h a t to pres e n t an d n ot
prese nt i n the bac k gr ou nds s ec t ion to be a cc e pte d in t he h ighly c it e d journ al s a m o n g S R
articles .
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Back gro un ds:
T he b ack grou nd s ec t io n of a me dic al journ al ar t ic le has the impor t an t function to
comm unicate re ad er s th e valu e of the re s ear c h qu es t ion. Th ere a re m a n y te xtbo o ks an d
re view articles o n h ow to w r i te it based on exp ert opini ons (1 –3). In addition, t he r e ar e
se ve r al an alyses th at exa mine d its structure in medic al re s e ar ch a rticl es. Th e bas i c
structure of t he back groun d s ection m ay b e cha r acterized as follo w s: “ es t ablis hi ng a
t e rritor y” , “es t ablis hi ng a nic h e” , an d “oc cup yin g the nich e” (4,5).
Ho w eve r , little is known ab o ut how auth o rs d esc rib e th e ir " niche" t o e mph asize the
im po rtan ce of their resea r ch q ues ti on. Thi s s t udy aim s to ex amin e the m e t ho ds the
aut ho r s use in orde r t o d elin eat e th e i r nich e in syste matic re vie w s (SR). W e h av e
focus e d o n S Rs b ec ause SRs ar e t he m o st imp ortant res e arch d esig n, in terms of
prac t ic i ng e vid e nc e - base d me dic i n e (6) .
M e sh ods:
P r otoc o l :
W e f o llo w ed th e r e p orting g uid eline of meta-e pid emiol o gic al study t o pre p ar e thi s
prot ocol (7). W e will publ is h t his pr otoc o l in medR xiv ( ht tps ://ww w .m edr xi v .or g/
).
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S tudy d es i gn:
W e will con duct a c r os s-se ction al stud y .
Eligibilit y criter ia:
Origin al SR articles pu blished in t o p 5 0 jo urn als in M EDICINE, G E N E RAL &
I NTERN A L cat e g ory i n J o u rnal Citation Re p or t s 20 18 (8). W e sh o w the lists in table 1.
W e will in c lud e article s p ublish ed in 20 18. W e w i ll inc l ud e al l SR articles irr es pe c ti v e of
in c lude d prima ry s t ud y des i gn s . T h e definition o f SR is “a sc ient i fic invest igation t hat
focus e s o n a s p ecific qu e sti o n an d u s es explicit, pres p ecified s ci entif ic meth ods to
ident ify , sel ec t , asses s, a nd sum mar iz e the findin g s of similar bu t s e par ate s t udies .” (9).
W e w i ll e xc lud e Coc h ran e R evie ws o r the U.S. P rev e ntive S er vices T ask Force r e view
be cause t h eir backgr oun ds s tyles ar e presp e cified b y the r e sp ec t iv e o rg an izations an d
dif fer ent from us ual or igin al articles (10, 1 1).
I nfor mat ion S our c es :
P ubM ed, W eb o f Sc ie nc e
Se a r c h:
W e will search Pu bM e d. T h e det ails o f sear ch f or mu la ar e s h ow n in T abl e 2 A, an d 2 B .
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S tudy s e lection:
On e revi ew auth or (YK) will co n fir m wh ether th e artic l e s are S R or n ot.
E x p o su r e s:
F o u r as p ec t s t hat one can emp hasiz e a bo ut on e’ s re s e ar ch q u estion in the back grou nd
sec t ion m ay b e s umma riz e d as follo ws: “nov elty”, “ s cop e ” , “qualit y”, and “u pd at e”.
“ No velt y ” me ans a c om pletel y n e w r esear c h q uestio n.
“ Sco pe” me ans th at t her e are re p orts related t o th e r es ear c h qu estion, but au thor s
ex pa n ded or l i m i te d t h e P IC O .
“ Quality” means that there are r e p or ts r elated t o th e r ese ar ch qu es t ion, bu t there w ere
met hod olo gical flaws .
“ Update” me ans that t her e w e r e s a me r e p orts, but th e se ar ch date was n e w .
W e w i ll co n du c t c ont ent anal ysis of the firs t 10 articles inde p e n d ent ly by four revi e w
aut ho r s (YK, ST , Y T , o r HY). W e will d evel op a d e t ailed guid e f rom th e init ial r evi e w . W e
will res olv e dis ag re e m e nt s t hr oug h t he dis cuss i on, aft e r that two of four rev iew a uthor s
will c ond u c t c ont en t an al ys is of the r es t . W e will resolv e disa gre em ents t hr ou gh the
discus sion. If ne c es s ar y , an other thir d revi ew e r will ac t as an a r biter . W e will ad d o t h er
categ or i es th r o ug h t he revie w if necess a r y . W e will asse ss th e a gre em e n t wi t h kapp a
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valu es.
P r imary outc o m e:
T he pr imar y ou tc om e will be wh e t h er th e article w as pu blishe d in top 1 0 jo ur n al o r n ot.
Data it ems :
Details ar e sh o w n in T abl e 3. C ons i derin g t hat p ap ers pu blishe d in top journ als will
ha v e ma ny c i t a t io n s , w e de f in e d c o n f o und i ng s f o l l o w i ng p re v io u s s t u di e s wh i c h
in vestigated t h e pr og n o stic factor s for incre as e d c it ations ( 12–15) . W e will r etr i e v e som e
dat a fro m W e b of Scie nce a pplication pro gr a mmi ng interf ace u s ing P ytho n 3.7. 4
software pr o g ra m (Pyt ho n S oftware Fou n d ation, De, US A).
S tatis tical analysis :
W e will use d e scr i pt ive stati s ti c s to s u m mar ize. W e will u s e chi -s quar e d tes t an d logistic
re gres sion a nal ys is. The p r imar y anal ysis will be logistic reg res si o n pr e dicting
pu blic at ion i n high impa ct journ als , with cov ar iat e s as lis t e d ab ov e. T wo -t ailed p valu e s
will be consid e r e d statist ically significant i f les s t han 0. 05. W e will u s e St ata v er . 16. 0
(S tataCorp L L C, Colle g e Station, T ex as, United St ates of Am er ic a). W e d etermin ed th e
sampl e s i z e as bel ow: w e will us e 4 e x po s ur e s a nd 5 conf oun di n gs . W e n e ed 90 e v ents for
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t he vali dity of th e l og i s t ic mo del (1 6). W e w il l rand oml y select 90 ar t ic les fr o m th e t op 10
journ als an d 9 0 ar ti c les fr om th e 1 1 th to 5 0 th jo ur na l a s c o n tr o l .
Disc u s sion:
T his is t he fir s t s tu dy to inv es t iga t e the influe nc e of wh a t to pr e s ent an d n ot pr es ent in
t he back gr o un ds se c ti o n t o be acce pte d in t he highl y c it ed journ als am on g S R articles .
T here ar e se v e ral l imitati o n s . W e w ill not as ses s t he meth o d ol ogical qu alit y of e ac h
articles du e to t he difficulty to sc ore t he qu alit y in single me asurem ent. For e x ampl e,
AMST AR 2 ( 17), which is t he m ost famous ass e ssm ent t oo l, only account s for
in ter v ention S R s. W e w il l not t ake into acc o un t t he c lin ic al s ignif ic ance of th e r e vie w ,
which is a confo un din g f ac t or , b ut it i s difficul t to e v alu at e o n o n e sc ale.
T he r esu lts o f t his stu dy will be a goo d h elp f or s ys t e m atic r evi e w aut h o rs n o t o n ly wh e n
t hey write the b ack grou nd s ec tion, b u t als o wh en the y thi nk a b o u t r es earch qu es ti o ns.
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T abl e 1. T o p 50 j ourn als i n ME D I C I NE, G E N E RAL & INTE R N AL c ate g o ry c at e g orized
in Journ al Citation R e ports 201 8
NEW EN G L A N D J O U R N A L OF M EDICINE
LA NCE T
JAM A-J OUR N A L O F T H E AM E R I CAN M EDIC AL AS S OC I ATI O N
Nat ure Re vie ws Dis e as e Prim er s
BMJ- Br i tish Medic al J o urn al
JAM A Int e rn al Me dicine
AN N A LS OF INTE R N AL M E DICIN E
P LOS M EDICIN E
Jo urn al of Cach e xia S ar c op en ia an d Musc le
BM C Me dic i ne
C oc hr an e D at a base of System atic R e vie w s
M A Y O CLI NIC P R O C EE D I NG S
C A N A DIAN M EDIC A L ASS O CI ATI O N J O URN AL
JO U R N AL O F I N T ERN A L M EDICINE
Jo urn al of C li nic al M edi c in e
M E DI CAL J O U RN A L OF AUST R A L IA
PA LL I A T I V E ME D IC IN E
AMY LOID- JO U R N AL OF P R O T E I N FOLDIN G D I SO RD ERS
T r anslation al R ese arc h
AM E R I CAN J OUR NAL OF M EDICINE
J OUR NA L OF GE NER A L IN T E RNA L ME D I C I NE
De utsche s Ar zte blatt In ternation al
AM E R I CAN J OUR NAL OF P RE VEN TIVE M E DICIN E
BR IT IS H J O URNA L O F GE NE RA L PR AC TI CE
A NNA L S O F F A M I LY M ED I C I NE
J OUR NA L OF T RAV E L ME D IC INE
Eur op ean J our nal of Intern al Medici ne
JO U R N AL O F TH E ROY A L S OCIET Y O F MEDI C I N E
AM E R I CAN J OUR NAL OF CHIN ES E M E DICIN E
P RE VENTIV E M E DI CINE
J OUR NA L OF P A I N A ND SY M PTOM M A NA G E M E N T
Fr o n ti e r s i n Me d i c ine
AN N A LS OF MEDI C I NE
P o l is h Archiv es of I nternal Me dic i ne- Pols k ie Ar c hiwu m Me dyc yn y W ewn e t r znej
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JO U R N AL O F TH E FO RM OS A N M E DIC A L A SSO CIA TION
BR IT IS H M E D IC A L BU LLE T I N
EU ROP E A N JO U R N AL O F CLINI CAL INV EST IGATIO N
PA IN ME D I C I NE
U PSA L A JO UR NA L O F ME D IC A L SC I E NC ES
M E DI CAL C L INICS OF N O R TH AM E R I CA
KO RE A N JO U R N AL OF INT ER NAL M E DICIN E
Q J M -A N I N TE RN A T IO NA L J OUR NA L OF M ED IC IN E
I NTERN A T ION A L JOU RNAL OF C LI N I C AL P RACT ICE
AM E R I CAN F A M ILY PHY SICIAN
Jo urn al of the Am e rican Boa r d of F a mily Medicin e
Dia gn ostics
MI N E RVA ME D IC A
BM C Family P ractice
Ar chi v es of M edi c al Sci ence
BMJ Op e n
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Ta b le 2A Se ar c h f o r mu l a o f t o p 10 j o ur n a l s
for mu la num ber of
re f e r e nces
#1 20 18[p dat] 13 29 62 3
#2 "Systemati c R e vi ew"[P ublication T yp e] 11 72 16
#3 "N Engl J Med"[journal] OR "Lancet"[journal] OR "JAMA"[journal] OR
"Nat Rev Dis Primers"[journal] OR "BMJ"[journal] OR "JAMA Internal
Medicine"[journal] OR "Ann Intern Med"[journal] OR "PLoS
Med"[journal] OR "J Cachexia Sarcopenia Muscle"[journal] OR "BMC
Med"[journal]
412907
#4 # 1 AN D # 2 AN D # 3 13 1
T abl e 2 B S ea r ch form ula o f top 1 2 to 50 j o urn als*
for mu la numb er of
re f e r e n c e s
#1 20 18[p dat] 13 29 6 2 3
#2 "Systemati c R e vi ew"[P ublication T yp e] 11 72 1 6
#3 "Mayo Clin Proc"[journal] OR "Can Med Assoc J"[journal] OR "J Intern
Med"[journal] OR "J Clin Med"[journal] OR "Med J Aust"[journal] OR
"Palliat Med"[journal] OR Amyloid[journal] OR "Transl Res"[journal] OR
"Am J Med"[journal] OR "J Gen Intern Med"[journal] OR "Dtsch Arztebl
Int"[Journal][journal] OR "Am J Prev Med"[journal] OR "Br J Gen
Pract"[journal] OR "Ann Fam Med"[journal] OR "J Travel Med"[journal]
OR "Eur J Intern Med"[journal] OR "J R Soc Med"[journal] OR "Am J
Chin Med"[journal] OR "Prev Med"[journal] OR "J Pain Symptom
Manage"[journal] OR "Front Med (Lausanne)"[journal] OR "Ann
Med"[journal] OR "Pol Arch Intern Med"[journal] OR "J Formos Med
Assoc"[journal] OR "Br Med Bull"[journal] OR "Eur J Clin
Invest"[journal] OR "Pain Med"[journal] OR "Ups J Med Sci"[journal] OR
"Med Clin North Am"[journal] OR "Korean J Intern Med"[journal] OR
"QJM"[journal] OR "Int J Clin Pract"[journal] OR "Am Fam
Physician"[journal] OR "J Am Board Fam Med"[journal] OR "Diagnostics
(Basel)"[journal] OR "Minerva Med"[journal] OR "BMC Fam
Pract"[journal] OR "Arch Med Sci"[journal] OR "BMJ Open"[journal]
291774
#4 # 1 AN D # 2 AN D # 3 42 9
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* exc lu d e d C oc hr an e D at a base of Sys t em atic R e vie w s (11th r ankin g)
s e ar c h da t e 20 19 / 12 / 01
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T able 3 d ata it ems
Cat eg ory W hat? Ho w? Who? C u t-off
Description Num ber o f p ara grap hs of
bac kgro un d
S imple cou nt ing On e revi ew aut h or
Num ber o f c it e d articles i n
bac kgro un d
S imple cou nt ing On e revi ew aut h or
W o rd co unt s in backgr oun d S imple cou nt ing On e revi ew aut h or
S tudy typ e Ch eck visu ally On e revi ew aut h or interv e n tion
diag n os t ic t e st acc u r ac y o r
pr e diction
pr o g nostic f ac tor o r
p r eva l en c e
other
Area of re s e ar ch W OS API Pyt hon w it h w o s library
E xp os ur e S tr u c tu r e of b ac k gr ou nd C onte nt anal ysis T w o re vi ew aut ho r s
C onf oun d er s Num ber o f inc lu d e d articles in S R Ch eck visu ally On e revi ew aut h or Media n
Num ber o f tables an d fi g u res Ch eck visu ally On e revi ew aut h or Media n
P r es e n ce o f pr actice im plic at io n in
discus sion or bac kgro un d
Ch eck visu ally T w o re vi ew aut ho r s
Num ber o f auth or s P ubM ed A P I Pyt hon with bio p ytho n
librar y
Media n
P r es e n ce of ap p e n di x Ch eck visu ally Single r evie w a uthor
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/circle6 S R : sys t emat ic re v i ew
/circle6 API : Ap plication Pr o gr ammin g I nterface
/circle6 WO S: W eb o f Sc ie n ce
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8. InC it e s J o u r na l C ita ti on R ep or t s [ Int er net ] . [ cit e d 2019 O ct 3 ]. Avai labl e f r om :
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