Exercise 1: Why Published Criteria Resist Cherry-Picking — Possible Solution =============================================================================== Both review types could, in principle, be built from the exact same pool of available studies - the real difference is not what's available, but how visibly and accountably the selection happens. In a narrative review, the author decides which studies to include as they write, with no requirement to state the selection rule in advance. If a study contradicts the author's own expected conclusion, it can simply be left out with no one else able to detect that omission - the selection process is invisible to the reader. In a systematic review, the inclusion and exclusion criteria (date range, study design, population, outcome measures) are defined and published before the search results are even reviewed for content. Once published, a chosen study either does or doesn't meet the stated criteria - there's no room to quietly drop a study that meets the criteria but produced an inconvenient result, because the criteria themselves, not the author's own preference, determine inclusion. A reader can also independently check whether the review actually followed its own stated criteria, which a narrative review's own undocumented process doesn't allow. The key mechanism: pre-registering the selection rule removes the author's own opportunity to selectively apply it after already seeing which results support or contradict their expectations. ANSWER: A systematic review's inclusion/exclusion criteria are set and published before the studies are evaluated for their results, so a study can't be quietly dropped just because its finding is inconvenient - the criteria, not the author's own preference, decide inclusion. A narrative review sets no such rule in advance, so the selection process is invisible and unaccountable, even if it covers the same underlying pool of studies. WHY THIS WORKS AS AN ANSWER ------------------------------ This explains the actual mechanism (pre-registration removing after-the-fact discretion) rather than just restating that one process is "more structured," directly answering what the exercise asked.