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Open Access Highly Accessed Methodology

Evidence summaries: the evolution of a rapid review approach

Sara Khangura1, Kristin Konnyu1, Rob Cushman2, Jeremy Grimshaw3 and David Moher13*

Author Affiliations

1 Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, Box 208, Ottawa, Ontario, K1H 8L6, Canada

2 Champlain Local Health Integration Network, 1900 City Park Drive, Suite 204, Ottawa, Ontario, K1J 1A3, Canada

3 Epidemiology and Community Medicine, University of Ottawa, 451 Smyth Road, Room 3105, Ottawa, Ontario, K1H 8M5, Canada

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Systematic Reviews 2012, 1:10  doi:10.1186/2046-4053-1-10

Published: 10 February 2012

Abstract

Background

Rapid reviews have emerged as a streamlined approach to synthesizing evidence - typically for informing emergent decisions faced by decision makers in health care settings. Although there is growing use of rapid review 'methods', and proliferation of rapid review products, there is a dearth of published literature on rapid review methodology. This paper outlines our experience with rapidly producing, publishing and disseminating evidence summaries in the context of our Knowledge to Action (KTA) research program.

Methods

The KTA research program is a two-year project designed to develop and assess the impact of a regional knowledge infrastructure that supports evidence-informed decision making by regional managers and stakeholders. As part of this program, we have developed evidence summaries - our form of rapid review - which have come to be a flagship component of this project. Our eight-step approach for producing evidence summaries has been developed iteratively, based on evidence (where available), experience and knowledge user feedback. The aim of our evidence summary approach is to deliver quality evidence that is both timely and user-friendly.

Results

From November 2009 to March 2011 we have produced 11 evidence summaries on a diverse range of questions identified by our knowledge users. Topic areas have included questions of clinical effectiveness to questions on health systems and/or health services. Knowledge users have reported evidence summaries to be of high value in informing their decisions and initiatives. We continue to experiment with incorporating more of the established methods of systematic reviews, while maintaining our capacity to deliver a final product in a timely manner.

Conclusions

The evolution of the KTA rapid review evidence summaries has been a positive one. We have developed an approach that appears to be addressing a need by knowledge users for timely, user-friendly, and trustworthy evidence and have transparently reported these methods here for the wider rapid review and scientific community.