Living Systematic Reviews

Learning Objectives

By the end of this chapter, you will be able to:

  • Understand the concept and purpose of living systematic reviews (LSRs).
  • Implement strategies for maintaining and updating LSRs.
  • Communicate updates effectively to stakeholders.

Introduction

Living systematic reviews (LSRs) are continuously updated reviews that incorporate new evidence as it becomes available. This approach ensures that the review remains current and relevant, providing the latest evidence for decision-making.

This chapter will guide you through the process of conducting and maintaining a living systematic review efficiently and effectively.

Steps for Conducting a Living Systematic Review

Create a detailed protocol for your LSR:

  • Define Scope: Clearly outline the research questions and objectives.
  • Set Update Frequency: Decide how often the review will be updated (e.g., monthly, quarterly).
  • Register Protocol: Register your protocol on platforms like PROSPERO for transparency.

A robust protocol ensures consistency and clarity in the review process.

Implement a system for ongoing literature searches:

  • Automate Searches: Use automated search alerts from databases to capture new studies.
  • Screen Regularly: Set up a schedule to screen and assess new studies promptly.
  • Document Updates: Keep detailed records of each search and update cycle.

Regular searches ensure new evidence is integrated quickly.

Incorporate new findings into the review:

  • Update Data Synthesis: Revise meta-analyses and narrative summaries as new data is added.
  • Reassess Conclusions: Evaluate if new evidence changes the overall conclusions of the review.
  • Track Changes: Maintain a log of all changes made to the review over time.

Integration should be seamless to maintain the review's relevance.

Keep stakeholders informed of updates:

  • Regular Reports: Publish updates in a timely manner to relevant platforms and journals.
  • Clear Communication: Use plain language to ensure updates are accessible to all stakeholders.
  • Highlight Changes: Clearly indicate what has been updated and its impact on findings.

Transparent communication builds trust and engagement with the review.

Best Practices

Maintain Consistency
  • Standardize Procedures: Use consistent methods for data extraction and analysis.
  • Quality Control: Regularly review processes to maintain high standards.
Engage with Stakeholders
  • Collaborate Regularly: Involve stakeholders to ensure the review meets their needs.
  • Seek Feedback: Use feedback to refine methods and improve relevance.
Leverage Technology
  • Use Software Tools: Employ tools for automation and efficient data management.
  • Adopt New Methods: Stay updated with the latest technologies and methodologies in LSRs.

Conclusion

Living systematic reviews offer a dynamic approach to evidence synthesis, ensuring that reviews remain up-to-date and relevant. By following the steps and best practices outlined in this chapter, you can maintain an LSR that provides timely, high-quality evidence.

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