Continuous updates of Cochrane reviews will represent a great challenge for the future. The new Cochrane software RevMan 5 and the information management system "Archie" stand for a formidable progress in the efficiency of editorial management. Furthermore, data extraction sheets should be a part of every Cochrane review in the appendices section. In doing so, Cochrane reviews need to be highly standardised, evaluate patient-oriented outcomes and also report these in the abstract and plain language summaries of the review. Alongside the Cochrane Centres, the Cochrane Review Groups are leading with responsibility for the quality of systematic reviews and meta-analyses. The German Cochrane Centre in Freiburg contributed substantially to both the initiation of the Cochrane movement in Germany and to the development of evidence-based medicine.
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