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Cochrane Handbook for Systematic Reviews of Interventions

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About the Handbook

The Cochrane Handbook for Systematic Reviews of Interventions is the official guide that describes in detail the process of preparing and maintaining Cochrane systematic reviews on the effects of healthcare interventions. All authors should consult the Handbook for guidance on the methods used in Cochrane systematic reviews. The Handbook includes guidance on the standard methods applicable to every review (planning a review, searching and selecting studies, data collection, risk of bias assessment, statistical analysis, GRADE and interpreting results), as well as more specialised topics (non-randomized studies, adverse effects, complex interventions, equity, economics, patient-reported outcomes, individual patient data, prospective meta-analysis, and qualitative research).

Last updated: 22 August, 2024

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Methodological Expectations for Cochrane Intervention Reviews (MECIR)

Key aspects of Handbook guidance are collated as the Methodological Expectations for Cochrane Intervention Reviews (MECIR). These provide core standards that are generally expected of Cochrane reviews. Each MECIR item includes a link to a relevant Handbook chapter.

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Contact the Editors

For further information and for any Handbook enquiries please contact: support@cochrane.org.

The Handbook editorial team includes: Julian Higgins and James Thomas (Senior Scientific Editors); Jacqueline Chandler, Miranda Cumpston, Tianjing Li, Matthew Page and Vivian Welch (Associate Scientific Editors); Ella Flemyng (Managing Editor).

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How to cite the Handbook

To cite the full Handbook online, please use:

Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al, editor(s). Cochrane Handbook for Systematic Reviews of Interventions version 6.5 (updated August 2024). Cochrane, 2024. Available from www.cochrane.org/handbook.

To cite the print edition of the Handbook, please use:

Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al, editor(s). Cochrane Handbook for Systematic Reviews of Interventions. 2nd Edition. Chichester (UK): John Wiley & Sons, 2019.

Details of how to cite individual chapters in either of these versions are available in each chapter.

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Permission to re-use material from the Handbook

Academic or other non-commercial re-use of Handbook material
You do not need to request permission to use short quotations (though these must be appropriately cited), or to cite the Handbook as a source. See How to cite the Handbook.
If you intend to reproduce material from the Handbook using screenshots, including exact figures or tables from the Handbook or including lengthy direct quotations (more than 5 lines of text), then please fill in this form to request permission to re-use material from the Handbook. This will be sent to the Cochrane Support team who will notify Julian Higgins or James Thomas, the Handbook Senior Editors, as appropriate. If approved, these requests will be granted free of charge on condition that the source is acknowledged.

Commercial re-use of Handbook material
Commercial re-use includes any use of the Handbook that will be used in a product for which there is a monetary fee, and/or where it is associated in any way with any product or service. For all enquiries related to the commercial re-use of Handbook material please contact Wiley Global Permissions, John Wiley & Sons, Ltd.

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Previous versions

Details on how the Handbook has changed compared to previous versions can be found on the Versions and changes page. More information on the process for updating the Handbook can be found here.

Archived copies of the following previous versions of the Handbook are available:

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