For clinicians & guideline committees
Recommendations that move when the evidence moves.
Living reviews flag the day a pooled estimate moves, so recommendations stay aligned with the evidence — and every effect estimate links back to the study it came from.
Living reviews · treatment networks · source-linked estimates
Random-effects pool · primary outcome6 studies
Smith 2024
0.62 [0.41, 0.94]
Chen 2023
0.71 [0.55, 0.92]
Patel 2024
0.83 [0.62, 1.11]
Garcia 2023
0.74 [0.58, 0.95]
Okafor 2024
0.88 [0.71, 1.09]
Müller 2022
1.05 [0.78, 1.41]
Pooled (RE)
0.78 [0.65, 0.93]
← favours interventionfavours control →
study estimate (size ∝ weight)pooled (RE)
RR, log scaleThe shift
From guidelines that age to evidence that keeps pace.
Same workflow, two states. Flip the switch to see what changes.
Reviewed once · then it ages Live · re-runs as trials are indexed
The evidence baseFrozen at publicationRe-runs as new trials are indexedfrozenliving
New RCTsNoticed at the next scheduled reviewFlagged the day they're indexed~yearsdays
The recommendationAges with the guidelineMoves when the evidence movesstaticcurrent
Static — the evidence moves on without itTracking the pooled estimate as it changes
How it works
The evidence base, kept current for you.
Build the review once, let it re-run as new trials are indexed, and inspect every estimate back to its source.
Build
Build the comparison once
- A systematic review and a network meta-analysis
- Anchored against every relevant comparator
- Defensible from the first submission
Keep live
Re-runs on a schedule
- The whole pipeline re-runs on a cadence
- Flags when a new trial moves the result
- A signed record of what changed, each cycle
Inspect
No black box
- Deterministic statistics — same inputs, same result
- Every estimate traces to its source study
- Change an assumption and re-run
Why trust it
Conclusions that hold up in peer review.
Validation
We reproduced a published forest plot — exactly.
In our reproduction case study, Axelium rebuilt a published meta-analysis end to end and matched its pooled estimate. Same inputs, same numbers — because the statistical engine is deterministic.
Comparisons a committee will accept
Pairwise and network meta-analysis, plus population-adjusted indirect comparisons, with certainty grading — every step inspectable.
Network meta-analysisMAICSTCML-NMRGRADE certainty
Questions