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. 2008 Jan 23;2008(1):MR000023. doi: 10.1002/14651858.MR000023.pub3

1. Strength and limitations of strategies and methods for updating systematic reviews.

Strategy Domains† Strengths Limitations
Maintaining an updated review (Cochrane Handbook for Systematic Reviews of Interventions, periodically updated, Higgins 2005). Search strategy. 
 Administrative issues. 
 Clinical. 
 Updating format. a) Periodic updating ensures validity at some time. 
 b) Timing of updating is known (e.g. every two years). a) 2‐year updating cycle may lead to out‐datedness in rapidly developing fields, or wasted resources in slowly developing fields.
Strategies for updating a review (Weller 1998). Clinical. 
 Public health. 
 Economic. 
 Updating format. a) Applicable to systematic reviews, clinical practice guidelines, and health technology assessments. a) General description of actions. 
 b) Low practical utility.
Steps in maintaining an updated review (Chalmers 1993). Search strategy. 
 Administrative issues. a) Minimizes publication bias by obtaining grey literature and contacting authors for further information or clarifications. a) Inefficient. 
 b) Cumbersome to implement.
Assessment of the need to update (Lutje 2005). Search strategy. 
 Administrative issues. 
 Clinical. 
 Public health. a) Assesses the need to update. 
 b) Prioritizes reviews requiring updating. 
 c) Efficient. 
 d) Uses evidence‐based editorial consensus on whether or not to update. 
 e) Algorithm of administrative actions. a) Unclear how to determine if a review is out‐of‐date. 
 b) Unclear how to determine the importance of the topic in order to reach editorial consensus.