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Living Review

Industry-first: Continuous automated evidence monitoring

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First: EvidAI pioneered automated living systematic reviews - continuously updated evidence synthesis that never goes out of date.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Traditional Reviews Become Outdated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 PublicationStill Current?
1 year80% current
2 years50% current
5 years20% current
10 yearsOften 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:

  1. Protocol development
  2. Comprehensive search
  3. Study selection
  4. Data extraction
  5. Quality assessment
  6. Synthesis
  7. 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
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