Framework Section D 2.0

Section D. Constant monitoring of the evidence (guide and report)
This section seeks to support the evidence surveillance and monitoring process regardless of how often it is planned to be carried out. A series of questions are presented that will guide the user in applying the appropriate criteria to determine when to incorporate the identified evidence into the existing synthesis ("baseline synthesis") and the knowledge transfer product that it supports.
The format allows collecting the necessary information to generate a report of results each time this step is carried out for the identification of new evidence.
Organization name*
Email
ejemplo@ejemplo.com
Write the question for which you will conduct the evidence monitoring
This is monitoring (Nº) done for this question.
Date of monitoring

MesDíaAño

Step 1. Results of the follow-up and monitoring process

This step will allow you to document the process of monitoring and evaluating the evidence each time you do it. Completing it will allow you to have the information to update the PRISMA flowchart and other aspects of your living evidence synthesis report.

Fill out the following items for this evidence monitoring:

Rows	Number of records
Records retrieved by searches (from last monitoring)
Records accessed for eligibility
Records excluded

How many new eligible studies were identified from this evidence monitoring?

Rows	SR	RTC	NRS	Register(s)
Number of eligible studies identified

Step 2. Is it justified to incorporate the new evidence into the existing synthesis?

The following flowchart allows you to apply the criteria that will determine to update existing evidence synthesis when new eligible studies emerge.

How many studies were incorporated into the existing evidence synthesis?

Rows	SR	RCT	NRS	Registers	References (Author/Year)
Number of eligible studies reporting on critical and important outcomes
Number of studies incorporated to the evidence synthesis
Number of eligible studies awaiting incorporation (postponed)

Step 3. Revisit the PICO and the LE parameters.

This step will allow you to define if the PICO question is still relevant or if it warrants any modification according to the results of the last evidence monitoring and update.
YesNo
Write the new question for which you will continue the evidence monitoring
Note. If you have changed the PICO it is desirable that you take time to revisit the search strategy to ensure the searches will capture the relevant evidence for the new question. At this point you should update Section A of the Framework.
NoYes (specify and justify)
The new evidence allows the generation of valid conclusions about the outcomes of interest (e.g., moderate or high certainty evidence - GRADE)The question is no longer relevant for decision making (e.g., obsolete technology, recall, risk of harm)The pre-established period of time for monitoring the evidence is completedLogistical feasibilities (e.g., lack of funding)Other (specify)

Step 4. Integration into transfer products

This step seeks to help you determine whether the new evidence has the potential to impact the current conclusions of the product it supports (i.e., recommendation in a CPG, HTA report or Policy Brief). Consequently, it can lead to their immediate integration or an extraordinary change in the regular/planned update processes.
NoYes
Briefly describe the main changes
NoYes
Briefly describe the main changes
NoYes
Briefly describe the main changes
If you answered yes to any of the questions above, consider incorporating immediately the new evidence into the transfer product it supports.

Note: Relevant changes in the conclusions that imply changes in current clinical practice should be promptly reported to the reader and the main stakeholders involved. Regarding the publication, it will be necessary to define the actions to achieve greater speed in the editorial process.
Next, press "submit". A PDF document will be generated. Keep that document among the documents that support the process of this evidence synthesis.
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Section D. Constant monitoring of the evidence (guide and report)