Step-by-step · ~14 min
Quickstart: from research question to report
Use this guide to set up a review, add studies, retrieve full text, screen records, extract outcomes, run an analysis, and generate a first report. It is intentionally practical: enough to get moving, with links to the deeper methodology pages when you need them.
Step 1 of 6 · ~2 min
Configure your protocol
Start with the question and eligibility criteria that every downstream step should respect. Pick a framework, define the population and outcomes, and add inclusion or exclusion rules before launching search.
- Use PICO for intervention reviews and PEO for exposure, prevalence, and many qualitative questions.
- Use PECO, PICOC, or PO for ecology and evolution reviews when those frameworks fit the question better.
- Describe qualitative or mixed-methods questions in plain language so the review can use the right screening and synthesis path.
- Lock major protocol decisions before formal screening whenever your review needs audit-ready reproducibility.

Step 2 of 6 · ~2 min
Add studies and publications
Add records by identifier, import a reference-manager file, or let the search assistant draft and test a strategy from your protocol. Known relevant papers can be used as pearls to improve recall.
- Add individual trials or publications by NCT ID, PMID, DOI, or keyword search.
- Import RIS or BibTeX from EndNote, Zotero, Mendeley, PubMed, Embase, Web of Science, Ovid, or similar tools.
- Use the search assistant for PubMed and ClinicalTrials.gov, with optional extra source coverage where available.
- Use Discover for citation chasing once you have seed papers that should anchor the evidence base.
- Expect new records to enter screening first; inclusion is decided by screening, not by search alone.

Step 3 of 6 · ~2 min
Retrieve full text and supplements
Move to the Full Text tab to collect PDFs, supplements, and other source documents. Axelium tries open-access retrieval first; when a document is unavailable, upload your own copy or use the browser companion for articles you can legally access.
- Parsed documents are marked Parsed and become available for extraction or qualitative coding.
- Supplements such as appendices, spreadsheets, and Word documents can be attached to the same study.
- Publisher-blocked or paywalled records remain visible so you can upload the missing document manually.
- Use bulk upload when a folder of PDFs needs to be matched back to several studies.

Step 4 of 6 · ~2 min
Screen records and resolve uncertainty
Screening applies your eligibility criteria to titles, abstracts, and full text. AI suggestions can speed up triage, but formal inclusion and exclusion decisions should be reviewed according to your protocol.
- Capture exclusion reasons as you screen so PRISMA reporting is easier later.
- Use custom screening guidance when repeated edge cases appear.
- Use dual-review or two-human modes when your review requires independent decisions.
- Resolve conflicts before treating the included set as final.

Step 5 of 6 · ~3 min
Extract data and run analysis
Once studies have eligible documents, extract outcome data and inspect the evidence trail. Then run the appropriate synthesis for the review: pairwise meta-analysis, qualitative synthesis, network meta-analysis, or ecology/evolution models when enabled and appropriate.
- Review low-confidence values before pooling them.
- Check that the effect measure matches the endpoint and protocol.
- Use the analysis results, plots, and diagnostics as decision support, not a substitute for methodological review.
- For NMA and ecology/evolution reviews, read the current-scope notes before interpreting results.


Step 6 of 6 · ~3 min
Pin evidence and generate a report
Use the Evidence Board and Reports area to collect the plots, tables, decisions, and narrative notes that should support the final write-up. Choose the intended audience, generate a draft, then edit it like any scientific manuscript.
- Pin plots, tables, and important explanations before generating a draft.
- Check that the report reflects only reviewed evidence and approved decisions.
- Export to DOCX or XLSX for editing and downstream sharing.
- Use RevMan export for supported quantitative outcomes when handing off to Cochrane authoring tools.

Next: keep the review current
For living reviews, lock the protocol and search settings before enabling monitoring. New studies and evidence changes should flow back through screening, extraction, analysis, and reviewer approval rather than silently rewriting the review.
Read about living reviews