Systematic reviews in hours,
not months.

otto-SR performs evidence synthesis from thousands of citations with better-than-human performance. Humans are in the loop at every step. Peer-reviewed in the Annals of Internal Medicine.

Trusted by researchers from leading institutions

University of TorontoMayo ClinicJohns Hopkins UniversityHarvard Medical SchoolStanford UniversityUniversity of OxfordNational Institutes of HealthWorld Health Organization

Powering guideline groups

Hypertension CanadaEuropean Commission

Peer-reviewed results

Better-than-human performance

otto-SR delivers state-of-the-art performance across abstract screening, full-text review, and data extraction, with peer-reviewed results benchmarked against both humans and competing systems.

Abstract screening performance
between otto-SR, humans, and competitors

What researchers say

David Moher, PhD
Healthcare providers, policymakers, and others often must wait 6 to 12 months for systematic reviews, which is not helpful when timely decisions are needed. otto-SR is the answer. I'm so glad I found it — I use it for all my systematic reviews. otto-SR provides reliable, robust evidence quickly. It's intuitive, easy to use, and I believe it will soon become the standard for conducting systematic reviews.

David Moher, PhD

Founder of PRISMA Guidelines

University of Ottawa

Andrea Tricco, PhD
Scoping reviews have exploded in popularity, but the volume of literature makes them increasingly difficult to do well. otto-SR is a promising tool for helping teams maintain comprehensiveness and methodological rigor while substantially reducing the time required to complete high-quality knowledge syntheses.

Andrea Tricco, PhD

PRISMA-ScR Lead

Unity Health Toronto

Martin Juhl, PhD
We were impressed with how otto-SR's platform streamlined the initial, quite time-consuming phase of this process. The system efficiently screened over 30,000 citations, saving our team many months of manual effort. Most importantly, the platform successfully surfaced a high number of relevant studies.

Martin Juhl, PhD

Chief Scientific Officer

Cessatech

Gregory Hundemer, MD, MPH
otto-SR allowed us to complete in roughly two weeks what would normally take months, while maintaining methodological rigor. It captured all previously included studies and maintained high agreement with our human reviewers. It also identified additional eligible studies we had missed. It would be difficult to go back to the traditional fully manual approach after using it.

Gregory Hundemer, MD, MPH

Clinician Scientist

University of Ottawa

Mairead Whelan, MPhil
It would have taken our small team months to complete, even with very streamlined extraction steps. otto-SR completed extraction in under a week. Ultimately, it let me spend a lot more time on interpreting analyses, writing, and thinking through the more complex parts of the paper with evidence-informed results to guide it.

Mairead Whelan, MPhil

Researcher

Oxford University

End-to-end system

Everything you need to write a systematic review

Simply give otto-SR your list of candidate papers and a simple PROSPERO-like protocol. otto-SR will take care of the entire systematic review process for you—from start to finish.

I.

Find relevant papers

Search through the metadata of over 250 million research articles.

Integration with Retraction Watch flags retracted studies before they enter your review.

II.

Screen titles, abstracts, and full-texts

otto-SR can screen thousands of studies in minutes, with better-than-human sensitivity.

Built-in multilingual support.

A Phase III trial to evaluate the effect of perioperative nutrition enriched with eicosapentaenoic acid on body weight loss after total gastrectomy for T2-T4a gastric cancer

2012
Yoshikawa, T +9
Yoshikawa 2012
10.1093/jjco/hys025
F

Modified enhanced recovery after surgery protocols are beneficial for postoperative recovery for patients undergoing emergency surgery for obstructive colorectal cancer: A propensity score matching analysis

2018
Shang Y. +2
Shang Y. 2018
10.1097/md.0000000000012348
F

Impact of perioperative enteral immunonutrition in patients with gastrointestinal cancer undergoing elective surgery: a randomized controlled trial

Excluded: Wrong population
2021
Yu, J +4
Yu 2021
10.1016/j.clnesp.2021.09.659
F

A Double-Blinded Randomized Clinical Study on the Therapeutic Effect of Gastrografin in Prolonged Postoperative Ileus After Elective Colorectal Surgery

2016
Biondo, S +8
Biondo 2016
10.1007/s00268-015-3260-9

The clinical value and usage of inflammatory and nutritional markers in survival prediction for gastric cancer patients with neoadjuvant chemotherapy and D2 lymphadenectomy

Excluded: Not a primary study
2020
Li Z. +6
Li Z. 2020
10.1007/s10120-019-01027-6

Effects of preoperative and postoperative enteral nutrition on postoperative nutritional status and immune function of gastric cancer patients

2015
Ding, D +4
Ding 2015
10.5152/tjg.2015.3993
F

Operative Management of Crohn's Disease of the Colon Including Anorectal Disease

2007
Steele S.R.
Steele S.R. 2007
10.1016/j.suc.2007.03.006

Case reports of obese endometrial cancer patients with levonorgestrel IUS to reduce the risk of laparoscopic surgery

Excluded: Duplicate cohort
2023
Roze I. +9
Roze I. 2023
10.1111/jog.15530
F

Perioperative nutritional support in patients undergoing hepatectomy for hepatocellular carcinoma

1994
Fan, ST +5
Fan 1994
10.1056/nejm199412083312303

Impact of malnutrition on gastrointestinal surgical patients

2016
Mosquera C. +6
Mosquera C. 2016
10.1016/j.jss.2016.05.030

A Phase III trial to evaluate the effect of perioperative nutrition enriched with eicosapentaenoic acid on body weight loss after total gastrectomy for T2-T4a gastric cancer

2012
Yoshikawa, T +9
Yoshikawa 2012
10.1093/jjco/hys025
F

Modified enhanced recovery after surgery protocols are beneficial for postoperative recovery for patients undergoing emergency surgery for obstructive colorectal cancer: A propensity score matching analysis

2018
Shang Y. +2
Shang Y. 2018
10.1097/md.0000000000012348
F

Impact of perioperative enteral immunonutrition in patients with gastrointestinal cancer undergoing elective surgery: a randomized controlled trial

Excluded: Wrong population
2021
Yu, J +4
Yu 2021
10.1016/j.clnesp.2021.09.659
F

A Double-Blinded Randomized Clinical Study on the Therapeutic Effect of Gastrografin in Prolonged Postoperative Ileus After Elective Colorectal Surgery

2016
Biondo, S +8
Biondo 2016
10.1007/s00268-015-3260-9

The clinical value and usage of inflammatory and nutritional markers in survival prediction for gastric cancer patients with neoadjuvant chemotherapy and D2 lymphadenectomy

Excluded: Not a primary study
2020
Li Z. +6
Li Z. 2020
10.1007/s10120-019-01027-6

Effects of preoperative and postoperative enteral nutrition on postoperative nutritional status and immune function of gastric cancer patients

2015
Ding, D +4
Ding 2015
10.5152/tjg.2015.3993
F

Operative Management of Crohn's Disease of the Colon Including Anorectal Disease

2007
Steele S.R.
Steele S.R. 2007
10.1016/j.suc.2007.03.006

Case reports of obese endometrial cancer patients with levonorgestrel IUS to reduce the risk of laparoscopic surgery

Excluded: Duplicate cohort
2023
Roze I. +9
Roze I. 2023
10.1111/jog.15530
F

Perioperative nutritional support in patients undergoing hepatectomy for hepatocellular carcinoma

1994
Fan, ST +5
Fan 1994
10.1056/nejm199412083312303

Impact of malnutrition on gastrointestinal surgical patients

2016
Mosquera C. +6
Mosquera C. 2016
10.1016/j.jss.2016.05.030

A Phase III trial to evaluate the effect of perioperative nutrition enriched with eicosapentaenoic acid on body weight loss after total gastrectomy for T2-T4a gastric cancer

2012
Yoshikawa, T +9
Yoshikawa 2012
10.1093/jjco/hys025
F

Modified enhanced recovery after surgery protocols are beneficial for postoperative recovery for patients undergoing emergency surgery for obstructive colorectal cancer: A propensity score matching analysis

2018
Shang Y. +2
Shang Y. 2018
10.1097/md.0000000000012348
F

Impact of perioperative enteral immunonutrition in patients with gastrointestinal cancer undergoing elective surgery: a randomized controlled trial

Excluded: Wrong population
2021
Yu, J +4
Yu 2021
10.1016/j.clnesp.2021.09.659
F

A Double-Blinded Randomized Clinical Study on the Therapeutic Effect of Gastrografin in Prolonged Postoperative Ileus After Elective Colorectal Surgery

2016
Biondo, S +8
Biondo 2016
10.1007/s00268-015-3260-9

The clinical value and usage of inflammatory and nutritional markers in survival prediction for gastric cancer patients with neoadjuvant chemotherapy and D2 lymphadenectomy

Excluded: Not a primary study
2020
Li Z. +6
Li Z. 2020
10.1007/s10120-019-01027-6

Effects of preoperative and postoperative enteral nutrition on postoperative nutritional status and immune function of gastric cancer patients

2015
Ding, D +4
Ding 2015
10.5152/tjg.2015.3993
F

Operative Management of Crohn's Disease of the Colon Including Anorectal Disease

2007
Steele S.R.
Steele S.R. 2007
10.1016/j.suc.2007.03.006

Case reports of obese endometrial cancer patients with levonorgestrel IUS to reduce the risk of laparoscopic surgery

Excluded: Duplicate cohort
2023
Roze I. +9
Roze I. 2023
10.1111/jog.15530
F

Perioperative nutritional support in patients undergoing hepatectomy for hepatocellular carcinoma

1994
Fan, ST +5
Fan 1994
10.1056/nejm199412083312303

Impact of malnutrition on gastrointestinal surgical patients

2016
Mosquera C. +6
Mosquera C. 2016
10.1016/j.jss.2016.05.030
III.

Retrieve full-texts

Automatically get open-access full-texts. Easily bulk upload your own full-text PDFs. All stored privately and securely.

IV.

Extract data

Perform data extraction on hundreds of studies at once with verifiable citations direct from the full-text.

Extract hundreds of estimates from a single article, stratify papers by subgroups, pull data from supplementary materials, and automatically integrate information from clinical trial registries.

V.

Risk of Bias assessment

Automatically assess risk of bias using validated tools like RoB 2, ROBINS-I, Newcastle-Ottawa, and QUADAS-2. otto-SR evaluates each domain with supporting justifications drawn directly from the full text.

Generate publication-ready traffic-light plots and summary figures instantly.

Randomization
Pending
Deviations from intervention
Pending
Missing outcome data
Pending
Outcome measurement
Pending
Selection of reported result
Pending
Overall
Pending
VI.

Automated study grouping

Multiple publications often report on the same study—counting them separately can bias your meta-analysis. otto-SR automatically detects and groups related publications using author overlap, trial registrations, and semantic similarity.

No more double-counting. No more missed links between papers.

Read the blog post
Zhang 2024a
Zhang 2024b
NCT04512345
Kim 2024
Kim 2023
Patel 2024
Patel 2023
Patel 2022
Li 2023
Ahmed 2024
Garcia 2024
Garcia 2023
ISRCTN98765
Müller 2024
Müller 2023a
Müller 2023b
Tanaka 2025
Tanaka 2024
Chen 2024
Chen 2023
Russo 2024
Russo 2023
Russo 2022
Nakamura 2024
NCT09876543
VII.

Rapidly iterate and update

Change your protocol, refine your PICO, or update your database search. Re-screen and re-extract at the click of a button, instead of taking months of manual rework.

A new paradigm for truly ‘living’ reviews.

Protocol 1v1
PopulationAdults 18+
InterventionCBT therapy
ComparatorUsual care
OutcomeDepression score

Clinical-Grade Results

Feel confident in your conclusions

Cochrane Reproduction Study

otto-SR greatly increases the relevance and impact of systematic reviews. When otto-SR reproduced 12 reviews from the April 2024 Cochrane issue, it uncovered new studies and altered their conclusions.

+78%

increase in relevant studies compared to human screening

2 / 12

studies gained statistical significance

1 / 12

studies lost statistical significance

8000+

hours saved for one review

Number of relevant studies included in the April 2024 Cochrane Issue

Security

Enterprise-grade security and controls

otto-SR meets the highest industry standards for security and compliance.

ISO 27001

International standard for information security management systems.

Details
Zero Data Retention

Your data is never stored on or used to train AI models. All data can be purged on demand.

Complete a review today.