EvidenceFlow Documentation

Overview

EvidenceFlow is a platform for conducting systematic reviews and evidence synthesis. It combines literature import, screening, data extraction, meta-analysis, and reporting in a single workspace, with AI-assisted screening, extraction, and manuscript drafting available as a paid upgrade.

EvidenceFlow's core workflow is a free alternative to Rayyan (screening) and RevMan (meta-analysis), combining both in one connected tool — with optional paid AI assistance layered on top.

Core workflow

1

Create project

2

Import literature

3

Screen studies

4

Extract data

5

Meta-analysis

6

Export report

Projects

Each systematic review lives inside a Project. A project holds your research question, PICO criteria, inclusion/exclusion criteria, all imported studies, screening decisions, extraction records, and reports.

Creating a project

1

Go to Projects → New Project

Click Projects in the sidebar, then click New Review Project.
2

Fill in your review details

  • Name: Short title for the review
  • Research question: Your primary PICO question
  • Population, Intervention, Comparator, Outcome: Used by AI to screen studies
  • Inclusion / Exclusion criteria. Plain text, one criterion per line; AI uses these automatically
3

Save

Click Create Project. You'll land on the project dashboard.
Fill in PICO and criteria before importing literature. The AI screener uses them immediately without any extra setup.

Project dashboard

The project page shows a summary of study counts by screening stage, quick links to each workflow stage, and your team members.

Literature Import

Import references into your project from PubMed or by uploading a file.

Supported sources

PubMed searchRecommended

Enter a search query. EvidenceFlow fetches results directly via PubMed API

RIS file

Export from Endnote, Zotero, Mendeley, or Web of Science and upload here

BibTeX (.bib)

Standard bibliography format used by most reference managers

CSV

Spreadsheet with columns: title, abstract, authors, year, doi

Duplicate detection

After import, click Detect Duplicates. EvidenceFlow compares titles and DOIs to flag duplicates, which are excluded from screening counts automatically.

Full-text retrieval

EvidenceFlow can automatically download open-access PDFs via Unpaywall. On the Import page, click Auto-retrieve PDFs for included studies. PDFs that cannot be retrieved automatically must be uploaded manually.

Full-text PDFs are required for the full-text screening stage. Title/abstract screening works without them.

Screening

Screening happens in two stages: Title/Abstract and Full-text. Both stages use the same interface.

Screening interface

1

Open a project → Screening

Select your stage (Title/Abstract or Full-text) from the dropdown at the top.
2

Review the study

The study title, abstract (and full text if available) appear on the right. Read and make a decision.
3

Record your decision

Click one of three buttons:
  • Include: Meets all inclusion criteria
  • Exclude: Does not meet criteria
  • Maybe: Uncertain, review later

AI screening

Use the AI buttons to get a suggested decision based on your PICO and criteria:

✦ Ask AI Fast

Uses the fast AI model. Returns include/exclude/maybe with a confidence score and one-sentence reason. Responds in ~5 seconds.

✦ Deep AI Thorough

Uses the deep reasoning AI model with chain-of-thought analysis. More accurate for borderline cases. Takes ~20–40 seconds.

AI suggestions are a decision aid. Always review the reason given and make the final call yourself. AI screening requires Ollama to be running locally.

Progress tracking

The progress bar at the top shows how many studies have been reviewed vs. total eligible. The summary panel shows include / exclude / maybe counts for the current stage.

Data Extraction

Data extraction captures the quantitative and qualitative information needed for meta-analysis from each included study.

Required fields for meta-analysis

FieldDescriptionRequired for
Effect sizeSMD, OR, RR, HR, MD, etc.Clinical meta-analysis
Standard errorSE of the effect estimateClinical meta-analysis
BetaRegression coefficient from GWASOmics meta-analysis
p-valueStatistical significanceOmics meta-analysis
Sample sizeTotal N in the studyBoth
Study labelFirst author + yearBoth

AI extraction

Click AI Extract on any study with a full-text PDF. EvidenceFlow reads the PDF and pre-fills effect sizes, sample sizes, and other fields. Always verify AI-extracted values against the source paper.

Meta-analysis will not run until at least 3 studies have effect size + standard error (or beta + p-value) filled in.

Meta-Analysis

Meta-analysis pools quantitative data from included studies to produce a single summary effect estimate with confidence intervals and heterogeneity statistics.

Prerequisites

Meta-analysis requires at least 3 studies with effect size + standard error (clinical) or beta + p-value (omics) filled in the extraction form. The Run button will be disabled until this condition is met.

Configuration

Analysis type

Clinical: for interventional/observational studies with SMD/OR/RR. Omics: for GWAS/genetic association studies.

Model

Random Effects (DerSimonian-Laird) is the default and appropriate when studies differ in population or methods. Fixed Effects assumes a single true effect size.

Effect measure

Choose the measure that matches your extracted data: SMD, MD, OR, RR, RD, HR, or correlation.

Results

After running, EvidenceFlow displays:

  • Pooled effect with 95% confidence interval
  • I² statistic: 0-25% low, 25-75% moderate, >75% high heterogeneity
  • Cochran's Q: formal heterogeneity test
  • Forest plot: individual study effects with pooled diamond
  • Funnel plot: asymmetry suggests publication bias
📄

Reports & Export

Generate publication-ready outputs from the Reporting page inside any project.

Export formats

PDF

Full report with PRISMA diagram, study table, and meta-analysis results

Word (.docx)

Editable document with methods, PRISMA table, and included studies list

Excel

Multi-sheet workbook: PRISMA counts, screening decisions, extraction data

CSV

Flat file of all screening decisions, one row per decision

JSON

Machine-readable export of all project data for programmatic use

PRISMA 2020 diagram

The interactive PRISMA flow diagram lives on the PRISMA Workflow page (sidebar). It's generated automatically from your screening decisions — records identified, after deduplication, screened, excluded at each stage, and finally included — and every export format above includes the current PRISMA counts.

AI manuscript draft

Click Generate manuscript draft to have EvidenceFlow write Methods, Results, and Discussion sections based on your PRISMA counts and meta-analysis results. Requires Ollama to be running. The draft is a starting point. Always review and edit before submission.

AI Features

EvidenceFlow has AI built in and ready to use. No setup is required on your end — just open a project and start using the AI buttons directly from the interface.

AI Screening

While reviewing a study in the Screening page, you will see two AI buttons on the right panel:

✦ Ask AI — Fast

Click this button to get an instant include/exclude/maybe suggestion with a confidence score and a one-line reason. Best for quickly moving through large study lists.

✦ Deep AI — Thorough

Click this for a detailed chain-of-thought analysis. The AI reads the full abstract against your PICO criteria and explains its reasoning step by step. Best for borderline studies.

The AI automatically reads your project's PICO criteria and inclusion/exclusion rules — you do not need to re-enter them each time.

AI Data Extraction

On the Data Extraction page, click AI Extract next to any study that has a full-text PDF attached. EvidenceFlow will read the PDF and auto-fill effect sizes, sample sizes, and other quantitative fields for you. Review each value before saving.

AI Manuscript Draft

Once your meta-analysis is complete, go to the Reporting page and click Generate manuscript draft. EvidenceFlow will write a Methods, Results, and Discussion section based on your PRISMA counts and pooled results. Use this as a starting point and edit before submission.

AI suggestions are decision aids only. Always verify AI-extracted values and review screening suggestions before making your final decision. The researcher is responsible for all judgements.
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FAQ

Can I use EvidenceFlow without the AI features?+

Yes. All core features — import, manual screening, data extraction, meta-analysis, and reporting — work without using any AI. The AI buttons are optional and can be ignored if you prefer to work manually.

Where is my data stored?+

All project data is stored in a PostgreSQL database on the server running the EvidenceFlow backend. No data is sent to third-party AI services. PDFs are stored locally on the backend server.

How many studies can I import?+

There is no hard limit. Performance is good up to ~10,000 studies per project. For larger datasets, use PubMed filters to narrow your import before uploading.

Why is the Run Analysis button disabled?+

Meta-analysis requires at least 3 extraction records with effect size + standard error (for clinical) or beta + p-value (for omics). Go to Data Extraction and fill in these fields for your included studies.

What is the difference between clinical and omics analysis?+

Clinical meta-analysis pools effect sizes (SMD, OR, RR, etc.) from intervention or observational studies. Omics meta-analysis is designed for genetic association studies and uses beta + p-value from GWAS or candidate gene studies.

Can I collaborate with a team?+

Yes. Open your project settings and invite team members by email. Each member can make independent screening decisions, enabling dual-reviewer conflict resolution.

Is EvidenceFlow free?+

The core platform — import, screening, extraction, meta-analysis, PRISMA reporting, and export — is free with no subscription. AI-assisted screening, extraction auto-fill, and manuscript drafting are a paid upgrade. EvidenceFlow is proprietary software; the source code is not publicly available.