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Table 1 Summary of the rapid review products included in the WCEC rapid evidence review process

From: A bespoke rapid evidence review process engaging stakeholders for supporting evolving and time-sensitive policy and clinical decision-making: reflection and lessons learned from the Wales COVID-19 Evidence Centre 2021–2023

 

Phase I: rapid evidence summary (preliminary search of the literature; topic exploration)

Phase III: rapid review

For broad policy questions, this may incorporate a two-staged process, where an initial descriptive map or scoping review is conducted to inform the focus of the rapid review

Product type

Rapid response

Inventory

Rapid review

Timeframe

 ~1 week

 ~1–2 months*

Output/format

Key messages and annotated bibliography (with links to full text)

Rapid evidence map

Using abbreviated systematic mapping or scoping methods

Rapid review based on abbreviated SR methods

Purpose

Provide early access to evidence; gauge potential size and type of existing research; inform the rapid review methods/protocol/search strategy; support stakeholder involvement

Provide a description of the available evidence; identify substantial focus; identify existing research and evidence gaps

Provide a summary and direction of effect and possibly strength of the evidence

 

NB If an up-to date, robust and directly relevant evidence review is identified during phase I further review work may not be required; a critical appraisal and summary of the evidence review will likely suffice (with, if necessary, a limited update). Where multiple SRs are identified, these will be reviewed as part of the subsequent rapid review

Methods

A preliminary search of key resources (prioritising COVID-19 resources and sources of robust evidence syntheses)

Protocol and full search strategy developed

Limitations on scope and comprehensiveness of review applied: limited number of sources searched; targeted grey literature; limited number of outcomes; study design restrictions (Limits vary by topic, timeframe and extent of available evidence)

Data type

Based on abstracts of best available secondary/tertiary evidence

Based primarily on abstracts with some full text as required

Based on full texts

Integration of evidence

Reference list + key messages

Narrative summary of study characteristic

Narrative summary of study characterises and evidence synthesis

Risk of bias assessment

Not applicable

Not included

Yes (using validated instrument where feasible)

Limitations/disclaimers

• Not all relevant evidence will have been identified

• Assessment based mainly on titles and abstracts

• Quality of the listed/included evidence not assessed

• Conclusions cannot be drawn

• Possible that not all relevant evidence identified

• Quality of the listed/included evidence not assessed

• No synthesis of results conducted; provide description of available evidence

• Conclusions cannot be drawn

• Possible that not all relevant evidence identified

• There may be potential biases in cutting corners (SR methods). (Transparency in reporting and following a methodology will highlight limitations)

  1. SRs systematic reviews
  2. * The length of time may need to be extended in some instances and will depend on the breadth and complexity of the research topic/question(s), extent of the evidence base and type of analysis required to synthesise the evidence