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Dear all, As ESHRE, the European Society for Human Reproduction and Embryology, and I are new in writing evidence-based clinical guidelines, some issues have raised from the start of evaluating the evidence. Here are some issues on which I would like to ask your opinion. 1. narrative reviews. Would you exclude all narrative reviews or could you include them at an evidence level similar to an expert opinion in case of limited evidence on a particular topic? 2. In case an RCT is already included in a "high quality" systematic (Cochrane) review, do you automatically exclude this RCT from your list of papers to evaluate, or do you check for additional information in the RCT, with the risk of mentioning the same results twice in your evidence table (separately and as part of the meta-analysis). 3. How do you deal with a "report on a consensus meeting"? Exclude or include at the evidence level of expert opinion? Thank you in advance for your assistance! Best wishes, Nathalie Dr. Nathalie Vermeulen Research specialist E.S.H.R.E. Meerstraat 60 1852 Grimbergen Belgium Tel (general): + 32 (0)2 269 09 69 Tel (direct): +32 (0)2 263 64 61 Fax: + 32 (0)2 269 56 00 E-mail [log in to unmask]