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These inclusion criteria can be modified in the light of developments within the topic area with new interventions, new standards, and new approaches.

Updates will include a new search for potentially relevant studies and incorporate any eligible studies or data; and adjust the findings and conclusions as appropriate. Any group maintaining a portfolio of systematic reviews as part of their normative work, such as guidelines panels or Cochrane review groups, will need to prioritise which reviews to update.

Participants within these groups were selected on their expertise and experience in updating, in previous work developing methods to assess reviews, and because some were recognised for developing approaches within organisations to manage updating strategically.

We sought to identify general approaches in this area, and not be specific to Cochrane; although inevitably most of the panel were somehow engaged in Cochrane.

Systematic reviews synthesise relevant research around a particular question.

Preparing a systematic review is time and resource consuming, and provides a snapshot of knowledge at the time of incorporation of data from studies identified during the latest search.

The panel for updating guidance for systematic reviews (PUGs; comprising review authors, editors, statisticians, information specialists, related methodologists, and guideline developers) met to develop guidance for people considering updating systematic reviews.

The panel proposed the following: The panel also reflected on this guidance in the context of emerging technological advances in software, information retrieval, and electronic linkage and mining.

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This expands on a previous definition of a systematic review update.10 An update asks a similar question with regard to the participants, intervention, comparisons, and outcomes (PICO) and has similar objectives; thus it has similar inclusion criteria.

The organising committee selected the panel (web appendix 1).

The organising committee invited participants, put forward the agenda, collected background materials and literature, and drafted the structure of the report.

The purpose of the workshop was to develop a common approach to updating systematic reviews, drawing on existing strategies, research, and experience of people working in this area.

The selection of participants aimed on broad representation of different groups involved in producing systematic reviews (including authors, editors, statisticians, information specialists, and other methodologists), and those using the reviews (guideline developers and clinicians).

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