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Improving the peer review of narrative literature reviews

• Jennifer A. Byrne 1 , 2  

Research Integrity and Peer Review volume  1 , Article number:  12 ( 2016 ) Cite this article

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As the size of the published scientific literature has increased exponentially over the past 30 years, review articles play an increasingly important role in helping researchers to make sense of original research results. Literature reviews can be broadly classified as either “systematic” or “narrative”. Narrative reviews may be broader in scope than systematic reviews, but have been criticised for lacking synthesis and rigour. The submission of more scientific manuscripts requires more researchers acting as peer reviewers, which requires adding greater numbers of new reviewers to the reviewing population over time. However, whereas there are many easily accessible guides for reviewers of primary research manuscripts, there are few similar resources to assist reviewers of narrative reviews. Here, I summarise why literature reviews are valued by their diverse readership and how peer reviewers with different levels of content expertise can improve the reliability and accessibility of narrative review articles. I then provide a number of recommendations for peer reviewers of narrative literature reviews, to improve the integrity of the scientific literature, while also ensuring that narrative review articles meet the needs of both expert and non-expert readers.

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Over the past 30 years, the size of the published scientific literature has expanded exponentially [ 1 ]. While it has been argued that this rate of expansion is unsustainable [ 2 ], underlying factors such as greater numbers of scientists and scientific journals [ 3 ] are unlikely to change in the short term. The submission of more manuscripts for publication requires more peer reviewers, yet the current demand for capable, available manuscript reviewers is not being met [ 3 ]. This has serious adverse consequences for the validity of published research and overall trust in science [ 3 ].

Review articles help both experts and non-experts to make sense of the increasing volume of original publications [ 4 , 5 ]. Busy clinicians have a particular reliance upon review articles, because of their constant need for reliable, up-to-date information, yet limited available time [ 6 ]. Literature reviews can also help other content experts such as researchers and policymakers to identify gaps in their own reading and knowledge. However, literature reviews are also sought by readers with little or no prior understanding of the reviewed topic, such as researchers seeking to rapidly triage results from high-throughput analyses and students for whom literature reviews can represent entry points into a new field. For the benefit of both expert and non-expert readers, it is essential that review articles accurately synthesise the relevant literature in a comprehensive, transparent and objective manner [ 7 , 8 ].

Numbers of review articles are increasing in fields where this has been measured [ 4 ], as is the diversity of review types published [ 9 , 10 ]. Although there are now many review sub-types that can be distinguished based upon the literature search, appraisal, synthesis and analysis methods used [ 9 , 10 ], review articles can be broadly classified as either “systematic” or “narrative” [ 5 , 11 ]. Systematic reviews take defined approaches to the identification and synthesis of study findings and include other review sub-types such as evidence maps [ 12 ]. The systematic review is considered to be the gold standard of evidence synthesis, but also carries the potential disadvantages of narrow scope [ 11 ], and requiring more time and resources to prepare and update [ 7 ]. Narrative reviews, also referred to as “traditional reviews” [ 5 ] and “literature reviews” [ 9 ], constitute the majority of review articles published in some fields [ 7 ]. Other review sub-types, such as rapid and scoping reviews also present information in a narrative format [ 9 ]. Narrative reviews have been criticised for rarely employing peer-reviewed methodologies, or duplicate curation of evidence [ 5 ], and for often failing to disclose study inclusion criteria [ 11 ]. Despite these limitations, narrative reviews remain frequent within the literature, as they offer breadth of literature coverage and flexibility to deal with evolving knowledge and concepts [ 11 ]. In this article, I will provide advice regarding the peer review of narrative reviews, and the advice presented aims to be broadly applicable. I will not attempt to provide advice regarding the peer review of systematic reviews [ 13 , 14 ].

Given the broad readership of literature reviews, content and methodology experts as well as reviewers with less directly relevant expertise can play important roles in the peer-review process [ 15 ]. Peer reviewers with related content expertise are best placed to assess the reliability of the information presented, while other reviewers can ensure that this information remains accessible to readers with different levels of prior knowledge. However, whereas there are easily accessible guides for reviewers of primary research manuscripts [ 16 , 17 ], there are few similar resources available for reviewers of literature reviews [ 15 , 18 ]. This article therefore proposes a number of recommendations for peer reviewers (Table  1 ) to ensure that narrative literature review articles make the best possible contributions to their fields, while also meeting their readers’ often diverse needs.

Ask whether the literature review justifies its place in the literature

Lower than expected ratios between numbers of original publications and review articles suggest excessive numbers of reviews in some fields, which may contribute to the very problem that review articles aim to solve [ 4 ]. With rapidly rising publication rates in many fields [ 2 ], even content-expert peer reviewers should check publication databases for similar and/or overlapping review articles as part of the peer-review process. Pre-empting such scrutiny, authors should clearly define the review’s scope and what it intends to achieve [ 8 ]. If there have been other recent reviews of the same or similar topics, the authors should explain how their manuscript is unique. This could be through combining literature from related fields, by updating existing reviews in light of new research evidence [ 8 ], or because published reviews may have been subject to bias. A clear definition of a review’s scope is a recognised tool to reduce evidence selection bias [ 19 ]. Review authors can also define their subject by referring to literature reviews of related topics that will not be explored in depth. These definitions and statements should form part of an overall narrative structure that helps readers to anticipate and understand the information presented [ 20 ].

Ask whether the literature searches conducted were clearly defined

A criticism frequently levelled at traditional or narrative reviews is that they do not always state or follow rules regarding literature searches [ 5 , 7 , 11 ]. Providing evidence that comprehensive literature searches have been conducted, preferably according to pre-defined eligibility criteria [ 19 ], increases confidence that the review’s findings and conclusions are reliable, and have not been subject to selection bias. Ideally, any literature search choices made by the authors should be clearly stated, transparent and reproducible [ 11 ].

Check for citation breadth and balance

Consider whether the authors have cited a comprehensive range of literature or whether they have tended to cite papers that support their own point of view. If there are important papers that have not been cited, suggest to the authors that these be added, and explain why. If only a limited number of articles can be cited due to the journal’s requirements, check that these studies are representative of those available.

Where possible, verify that information has been summarised correctly

Many different types of citation errors can be identified in the research literature [ 21 , 22 ], and these may occur regardless of the journal impact factor [ 22 ]. The increasing size and complexity of primary reports [ 3 ] also render data extraction and summary more challenging. Realistically, it is unlikely that individual peer reviewers will have detailed knowledge of any full review topic [ 19 ]. Nonetheless, if you are a content expert, take time to cross-reference at least some individual statements to citations, for the particular benefit of non-expert readers. If your level of expertise means that you are unable to verify the accuracy of particular sections of the review, you should indicate this to your editor. Peer reviewers can also ask about data extraction methods, if these were not described in the manuscript. Adopting systematic review practices, such as duplicate independent data extraction, or independent data extraction and validation, can reduce content errors and increase reliability [ 19 ].

Check that original references have been cited

Authors sometimes incorrectly cite original studies, both in original manuscripts and reviews [ 23 , 24 ]. While checking the content, ask whether descriptions of original findings were referenced accordingly, as opposed to being incorrectly attributed to reviews [ 23 ].

Consider how studies were critically evaluated

Beyond correct data summary, narrative literature reviews should include critical data appraisal and some level of data synthesis. How this should be done varies according to the review scope and methodology [ 9 , 10 , 19 ]. While some narrative reviews reasonably focus on breadth as opposed to depth of literature coverage [ 10 ], limited or poor data appraisal risks placing undue emphasis on poor quality research [ 9 ]. Evaluating at least some aspects of the methods used by individual studies can improve reliability [ 7 ]. Similarly, ask how the authors have interpreted conflicting findings or studies with apparently outlying results [ 9 , 11 ].

Evaluate whether tables/figures/diagrams support the text

While not all literature reviews need to include figures or tables, these can help to summarise findings and make key messages clearer. Some detailed information may be best presented in tables, with a shorter summary within the text. Tables can improve the availability of quantitative data for cross-checking, better demonstrate the results of qualitative or quantitative data synthesis, and reassure both peer reviewers and readers that comprehensive, objective analyses have been performed. If figures or tables are included, these need to be original; otherwise, the authors need to have obtained permission to reproduce these from an original source.

Consider whether the review will help someone entering the field

Literature reviews are not always read by subject experts, and it is important that the peer-review process considers this. Reviewers who are not direct content experts may valuably request clarification of nomenclature and/or historical issues that may have seemed too obvious for the authors to have explained. Summary diagrams suggested by peer reviewers may help make a literature review more accessible to a broader audience.

Ask whether the review expands the body of knowledge

Ultimately, the goal of a literature review should be to further the body of knowledge [ 18 ]. Extending or developing ideas is clearly a difficult task, and is often the weakest section of a review [ 25 ]. Consider therefore whether the authors have derived and clearly presented new ideas and/or new research directions from any identified knowledge gaps. Having read the manuscript with fresh eyes, peer reviewers may have valuable ideas to contribute.

Do not forget the rules for reviewing manuscripts in general

The review of literature reviews has some particular considerations, but all the usual manuscript review rules also apply, such as managing conflicts of interest and allocating appropriate time [ 16 , 17 ]. Try to separate the assessment of language and grammar from the more important assessment of scientific quality and remain aware that expert reviewers risk bringing their own biases to the peer-review process [ 15 ].

Conclusions

More quality peer reviewers are needed within the scientific community [ 3 ], including those with the capacity and confidence to review narrative literature reviews. Although it has been difficult to identify predictors of peer-reviewer performance and effective training methods, younger reviewer age has been reproducibly associated with better quality manuscript reviews [ 26 , 27 ]. This association suggests that peer reviewers should be recruited relatively early in their careers, and encouraged to participate widely in manuscript review. Associations between younger peer-reviewer age and better manuscript reviews may also highlight the need for regular training, to ensure that the peer-review community remains up-to-date regarding new approaches to editing or reviewing manuscripts. Indeed, a recent industry survey reported that over three quarters of researchers were interested in further reviewer training [ 28 ]. I therefore hope that this article will add to existing resources [ 29 ] to encourage less experienced peer reviewers to extend their efforts towards narrative literature reviews.

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Acknowledgements

I thank Dr Mona Shehata (Princess Margaret Cancer Centre, Toronto, Canada) for discussions, Ms Sarah Frost for critical reading, reviewers of this manuscript for many constructive comments, and reviewers of past publications for feedback which also contributed towards the development of this manuscript.

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JAB drafted, wrote and approved the final manuscript.

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Molecular Oncology Laboratory, Children’s Cancer Research Unit, Kids Research Institute, The Children’s Hospital at Westmead, Locked Bag 4001, Westmead, 2145, NSW, Australia

Jennifer A. Byrne

The University of Sydney Discipline of Child and Adolescent Health, The Children’s Hospital at Westmead, Locked Bag 4001, Westmead, 2145, NSW, Australia

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Correspondence to Jennifer A. Byrne .

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Byrne, J.A. Improving the peer review of narrative literature reviews. Res Integr Peer Rev 1 , 12 (2016). https://doi.org/10.1186/s41073-016-0019-2

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Received : 17 June 2016

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DOI : https://doi.org/10.1186/s41073-016-0019-2

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• Peer review
• Narrative literature review

Research Integrity and Peer Review

ISSN: 2058-8615

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Writing narrative literature reviews for peer-reviewed journals: secrets of the trade

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• 1 Associate Editor, National University of Health Sciences.
• PMID: 19674681
• PMCID: PMC2647067
• DOI: 10.1016/S0899-3467(07)60142-6

Objective: To describe and discuss the process used to write a narrative review of the literature for publication in a peer-reviewed journal. Publication of narrative overviews of the literature should be standardized to increase their objectivity.

Background: In the past decade numerous changes in research methodology pertaining to reviews of the literature have occurred. These changes necessitate authors of review articles to be familiar with current standards in the publication process.

Methods: Narrative overview of the literature synthesizing the findings of literature retrieved from searches of computerized databases, hand searches, and authoritative texts.

Discussion: An overview of the use of three types of reviews of the literature is presented. Step by step instructions for how to conduct and write a narrative overview utilizing a 'best-evidence synthesis' approach are discussed, starting with appropriate preparatory work and ending with how to create proper illustrations. Several resources for creating reviews of the literature are presented and a narrative overview critical appraisal worksheet is included. A bibliography of other useful reading is presented in an appendix.

Conclusion: Narrative overviews can be a valuable contribution to the literature if prepared properly. New and experienced authors wishing to write a narrative overview should find this article useful in constructing such a paper and carrying out the research process. It is hoped that this article will stimulate scholarly dialog amongst colleagues about this research design and other complex literature review methods.

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Peer-reviewed journal articles have gone through an evaluation process in which journal editors and other expert scholars critically assess the quality and scientific merit of the article and its research. Articles that pass this process are published in the peer-reviewed literature. Peer-reviewed journals may include the research of scholars who have collected their own data using an experimental study design, survey, or various other study methodologies. They also present the work of researchers who have performed novel analyses of existing data sources, such as the ones described in this section.

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About Systematic Reviews

A Peer Review vs a Systematic Review

Automate every stage of your literature review to produce evidence-based research faster and more accurately.

Learn More In a sea of existing scientific literature, the rate at which new articles and reviews are being published is skyrocketing. So how does one know with all this available literature which studies are credible and relevant? This is where the different review types come into play. Each of the review types addresses scientific questions in its own unique manner. With evidence-based medicine gaining popularity, there is a need to produce high-quality scientific articles to guide clinical practice. This has led to the emergence of evidence synthesis which attempts to identify, collect and analyze results from multiple sources. Evidence synthesis is described as the interpretation of information contained in individual studies within the scope of the research topic. Systematic reviews are the most effective forms used to conduct evidence synthesis since they use rigorous, methodical, and reproducible processes. But there is a difference between evidence synthesis and a systematic review , so be sure you have a clear understanding of them. Evidence synthesis methods also comprise other types of reviews such as scoping reviews, narrative reviews, meta-analyses, and rapid reviews. If you’d like to know more about the differences between a rapid review vs systematic review , you can read on at the link.

In this article, we will look at what a systematic review is , and how it is different from a peer review.

What Is A Systematic Review?

A systematic review uses explicit methods to identify, select, and critically appraise relevant primary research. It attempts to review all the available evidence to answer a clearly formulated research question. Systematic reviews use inclusion or eligibility criteria to filter out studies irrelevant to the search topic. They are hallmarks of the evidence synthesis process in scientific research since they use all eligible existing research on a topic. Unlike research papers like RCTs that report primary data, systematic reviews report on the findings by combing primary information extracted from eligible studies. This makes systematic reviews a secondary report of data. The methodology involved is rigorous, transparent, and reproducible, this makes systematic reviews a high-quality source of information.

The Systematic review methodology involves the following steps.

• Formulating and stating a clear research question to answer (PICO approach)
• Developing a protocol (with strict inclusion and exclusion criteria for the selection of primary studies)
• Performing a detailed and broad literature search
• Critical appraisal of the selected studies
• Data extraction from the primary studies included in the review
• Data synthesis and analysis using qualitative or quantitative methods [1].

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What Is A Peer Review?

Peer review is a system to assess the quality of a manuscript submitted by the author before it is published. Independent researchers in the same discipline assess the manuscripts for originality, quality, validity, and significance to help editors determine if they can be published in their journal. Based on the quality score awarded by the reviewers, the manuscript may be forwarded to a more fitting journal. For example, high-quality manuscripts are forwarded to high-quality journals, this leads to categories called journal classes. These independent reviewers may or may not have competencies similar to the authors of the manuscript.

How Does A Peer Review Work?

When a manuscript or an article is submitted to a journal, it is assessed by the editor to see if it meets the criteria for submission. Once it is confirmed that it satisfies the criteria, the editorial team then selects potential peer reviewers within the same field to evaluate the manuscript.

Single-blind, double-blind, or open reviewing, are techniques used to assess the originality, quality, validity, and significance of the manuscript. A variation from these standard approaches is the transparent, collaborative, and post-publication peer reviews.

Different journals use any of these methods to evaluate the quality of the content they publish. You can find out which peer-review system is used by a particular journal on their “about” page.

Why Do We Need A Peer Review?

Peer reviews are designed to assess the validity, quality, and originality of scientific articles that are published. This helps in maintaining the integrity of scientific literature by filtering out poor articles. Peer reviewers are experts in a certain field who volunteer their time to help improve the quality of manuscripts that are published. They help point out gaps in articles that may require further explanation and suggest changes to make a paper easier to read, and more useful in the field.

Researchers mustn’t confuse these two types of reviews. A systematic review involves reviewing all the available eligible literature to find credible, and reliable evidence to answer a specific research question. A peer review, on the other hand, is done by other authors in the same discipline and evaluates the quality, validity, and originality of a single article before it is published. The process of peer review establishes confidence in the articles that are published in a journal. Systematic reviews then search for and collect studies that have been peer-reviewed, to synthesize evidence found in them. Systematic reviews, after their completion by the author, are also peer-reviewed before publication.

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