Background styles in systematic review articles: a cross-sectional study protocol

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This study proposes a cross-sectional analysis of background sections in systematic reviews to understand how authors delineate their research niche and whether this impacts publication in high-impact journals.

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This paper describes a cross-sectional study protocol to examine how authors characterize the “niche” of their research question in the background sections of systematic review (SR) articles, using content analysis as the main method. The study will include original SR articles published in 2018 across the top 50 MEDICINE and GENERAL & INTERNAL category journals listed in Journal Citation Reports, sampling 90 articles from the top 10 journals and 90 from journals ranked 11–50, with the primary outcome defined as whether an SR was published in a top 10 journal. Authors plan to categorize background aspects as novelty, scope, quality, and update, and to analyze associations with publication in high-impact journals using chi-squared tests and logistic regression. A major limitation stated is that the methodological quality of each included article will not be assessed due to the difficulty of scoring quality with a single measure. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Background The background section of a medical journal article has the important function to communicate readers the value of the research question. However, little is known about how authors describe their “niche” to emphasize the importance of their research question. This study aims to examine the methods the authors use in order to delineate their niche in systematic reviews (SR). Methods We will conduct a cross-sectional study. We will include Original SR articles published in top 50 journals in MEDICINE, GENERAL & INTERNAL category in Journal Citation Reports 2018. We will conduct content analysis of background sections. The primary outcome will be whether the article was published in top 10 journal or not. We will use chi-squared test and logistic regression analysis. The primary analysis will be logistic regression predicting publication in high impact journals, with covariates. Two-tailed p values will be considered statistically significant if less than 0.05. Discussion: This is the first study to investigate the influence of what to present and not present in the backgrounds section to be accepted in the highly cited journals among SR articles.
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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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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] . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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/ ). . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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. . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint * 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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint 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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint /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 . CC-BY-ND 4.0 International licenseIt is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 24, 2020. ; https://doi.org/10.1101/2020.01.19.20018127doi: medRxiv preprint Re f e r e nc e s 1. Al be rt T . Winn ing th e Publ i cat i on s Gam e. 4t h ed . C RC P re s s; 2017. 2. Silv ia PJ . W r it e i t Up. 1 st ed. 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