Build a PRISMA 2020 flow diagram for your systematic review: clear stages from identification to inclusion, with counts that add up—so readers can follow your screening.
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Authored by Sumalatha Gangadhar | Published on 25 July, 2026
PRISMA is a reporting guideline for systematic reviews—not a journal and not a place that accepts manuscripts. Use this template to build a clear PRISMA flow diagram that shows how records moved from identification to inclusion. Place the finished diagram in your review article or supplement according to your target journal's rules.
It is a diagram shell aligned to the PRISMA 2020 flow diagram. It covers the identification, screening, eligibility, and included stages, with space for database counts, duplicates removed, reports sought/assessed, and reasons for exclusion. Confirm details in the PRISMA 2020 statement before you finalize numbers.
Show how many records were identified (per database/register and other sources), how many remained after duplicates, how many titles/abstracts and full texts were screened, how many were excluded at each stage (with reasons at full text), and how many studies/reports were included in the review and in any synthesis.
Mismatched arithmetic (boxes that do not add up), missing exclusion reasons at full text, mixing “studies” and “reports,” and using an outdated PRISMA 2009 layout. Reconcile every number against your screening log and use PRISMA 2020 labels.
Boxes and labels for the PRISMA 2020 flow, so you can fill counts from your screening tool (Covidence, Rayyan, spreadsheets, etc.). Pair it with the PRISMA checklist when you submit the review to a journal.
| Element | PRISMA 2020 expectation |
|---|---|
| Identification | Records from databases/registers + other sources |
| Deduplication | Records after duplicates removed |
| Screening | Titles/abstracts screened; reports sought |
| Eligibility | Full texts assessed; exclusions with reasons |
| Included | Studies/reports in review and in synthesis |
| Source of truth | prisma-statement.org (PRISMA 2020) |
Export counts directly from your screening tool. Write exclusion reasons at the full-text stage (not only “not relevant”). Keep “studies” vs “reports” language consistent with PRISMA 2020.
Update the diagram whenever screening numbers change. Have a second reviewer spot-check the arithmetic. Cite PRISMA 2020 in the methods section of the review.
Confirm every stage totals correctly, exclusion reasons are listed, and the figure matches the numbers reported in the text and checklist.