Living Review
Industry First: EvidAI pioneered automated living systematic reviews - continuously updated evidence synthesis that never goes out of date.
What is a Living Review?
A living systematic review:
- Maintains continuous evidence currency
- Incorporates new studies as published
- Updates conclusions when evidence changes
- Provides always-current recommendations
The Currency Problem
Traditional Reviews Become Outdated
| Time Since Publication | Still Current? |
|---|---|
| 1 year | 80% current |
| 2 years | 50% current |
| 5 years | 20% current |
| 10 years | Often obsolete |
Consequences
- Clinical decisions based on old evidence
- New effective treatments unknown
- Safety signals missed
- Research duplication
EvidAI's Living Review Solution
Automated Monitoring
The system continuously:
- Executes your original search
- Screens new publications
- Identifies potentially relevant studies
- Assesses impact on conclusions
Intelligent Updating
Not every new study triggers update:
- Low impact: Logged for quarterly review
- Moderate impact: Minor version update
- High impact: Immediate full update
Impact Assessment
The AI evaluates:
- Sample size contribution
- Effect direction
- Clinical significance
- Methodological quality
Living Review Workflow
Initial Review
Complete standard systematic review:
- Protocol development
- Comprehensive search
- Study selection
- Data extraction
- Quality assessment
- Synthesis
- Report generation
Monitoring Activation
Configure ongoing surveillance:
- Search frequency (daily/weekly/monthly)
- Database selection
- Alert thresholds
- Update triggers
Continuous Operations
Daily/Weekly:
- Automated searches run
- New citations screened
- Potential includes flagged
When Threshold Met:
- Impact assessment triggered
- Update workflow initiates
- Stakeholders notified
Quarterly:
- Comprehensive review
- Minor updates compiled
- Version increment
Version Management
Semantic versioning:
- v1.0: Initial publication
- v1.1, v1.2: Minor updates (new studies, no conclusion change)
- v2.0: Major update (conclusion changed)
Stakeholder Notifications
Alert Types
- New evidence available: Studies to review
- Minor update published: New version ready
- Major finding change: Conclusions updated
- No changes: Periodic confirmation
Notification Channels
- Email alerts
- Dashboard notifications
- API webhooks (Enterprise)
- Team messaging integration
Use Cases
Clinical Guidelines
Guideline panels receive:
- Real-time evidence updates
- Change impact assessments
- Revision recommendations
Regulatory Monitoring
Pharmaceutical companies track:
- Competitor evidence
- Safety signals
- Efficacy updates
Policy Support
Government agencies maintain:
- Current evidence base
- Policy-relevant updates
- Decision-ready summaries
Deliverables
Living review includes:
- ✅ Initial systematic review
- ✅ Monitoring protocol
- ✅ Automated surveillance
- ✅ Update reports
- ✅ Version history
- ✅ Stakeholder notifications
- ✅ Evidence currency guarantee
Best Practices
Setting Up
- Choose appropriate update frequency
- Define meaningful thresholds
- Identify key stakeholders
- Plan communication strategy
Maintaining
- Review flagged studies promptly
- Document update decisions
- Communicate changes clearly
- Archive version history