Published January 15, 2026 | Version v1
Preprint Open

The Systematic Engine: A conceptual model for critical appraisal as the diagnostic core of transparent evidence synthesis

  • 1. ROR icon Arab American University

Contributors

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  • 1. ROR icon Arab American University

Description

Mahfouz, Maen
*(Corresponding author, ORCID: 0000-0001-9669-9984)

*Alzaben, Eman
*(Co-author, ORCID: 0009-0000-2829-6833)*

Methods

The reproducibility crisis in evidence synthesis is partly attributable to inconsistent and opaque assessment of primary study trustworthiness. Traditional critical appraisal methods using composite quality scores lack transparency and diagnostic utility. We introduce the Systematic Engine, a novel conceptual model that reframes critical appraisal from a procedural checkpoint into the central, dynamic process powering transparent evidence synthesis. The model comprises four integrated functions: (1) Deconstruction & Profiling using domain-based tools (e.g., Cochrane RoB 2, ROBINS-I) to create structured bias profiles; (2) Stratification & Weighting to inform sensitivity analyses; (3) Certainty Calibration via the GRADE framework using bias patterns as input; and (4) Interpretive Guarding to ensure conclusion language matches evidence strength. The model's effectiveness depends on transparency as its essential fuel, requiring complete documentation of appraisal judgments and rationales. Applications span clinical medicine, preclinical research, and social sciences. This framework provides a pathway toward more reproducible, transparent, and credible evidence synthesis across scientific disciplines.

Keywords: Evidence Synthesis, Systematic Review, Risk of Bias, Critical Appraisal, GRADE, Reproducibility, Meta-Research, Diagnostic Reasoning, Research Transparency, Methodology

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Additional details

Dates

Created
2025
Conceptual development period

References

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