title: Development of an evidence-based review with recommendations using an online iterative process.
abstract: BACKGROUND
  The practice of modern medicine is governed by evidence-based principles. Due to the plethora of medical literature, clinicians often rely on systematic reviews and clinical guidelines to summarize the evidence and provide best practices. Implementation of an evidence-based clinical approach can minimize variation in health care delivery and optimize the quality of patient care.
  
  
  METHODS
  This article reports a method for developing an "Evidence-based Review with Recommendations" using an online iterative process. The manuscript describes the following steps involved in this process: Clinical topic selection, Evidence-hased review assignment, Literature review and initial manuscript preparation, Iterative review process with author selection, and Manuscript finalization.
  
  
  RESULTS
  The goal of this article is to improve efficiency and increase the production of evidence-based reviews while maintaining the high quality and transparency associated with the rigorous methodology utilized for clinical guideline development.
  
  
  CONCLUSIONS
  With the rise of evidence-based medicine, most medical and surgical specialties have an abundance of clinical topics which would benefit from a formal evidence-based review. Although clinical guideline development is an important methodology, the associated challenges limit development to only the absolute highest priority clinical topics. As outlined in this article, the online iterative approach to the development of an Evidence-based Review with Recommendations may improve productivity without compromising the quality associated with formal guideline development methodology.
authors.affiliation: Oregon Sinus Center, Department of Otolaryngology-Head and Neck Surgery, Division of Rhinology and Sinus Surgery, Oregon Health and Science University, Portland, OR 97239, USA.
authors.forename: Luke
authors.initials: L
authors.lastname: Rudmik
authors.forename: Timothy L
authors.initials: TL
authors.lastname: Smith
mesh_terms: D019317:Evidence-Based Medicine / Q000379:methods*; D006801:Humans; D008373:Manuscripts as Topic; D012196:Review Literature as Topic; D014956:Writing