Cochrane Style Manual
Figures

In this section: Image size | Automatic renumbering and positioning of figures in the review | Types of figures

RevMan allows for the inclusion of additional figures in the main content of a Cochrane review: these may be items produced in RevMan or be graphs or images from other sources (e.g. photographs). See the Handbook for information about figures and graphs in Cochrane reviews.

Use the guidance provided in the RevMan Knowledge Base to ensure the published figures are appropriate. Please ensure that any figures you insert in the review are legible and clear and have an appropriate and accurate title.

Image size

Images added in RevMan must have a minimum width of 500 pixels. You will see a validation warning if your image does not meet this requirement. There is no set maximum size in pixels. Wiley (Cochrane's publisher) suggest that a maximum width of 2000 pixels will result in a good-quality image when published.

Wiley advise that images should be less than 1650 mm wide. Images wider than this will be resized in the published PDF.

Please note that large images affect the size of submission files, which can cause problems, such as difficulty comparing versions and generating submission files. Large images may also cause problems with publishing the review.

There is no set limit to the number of figures. Around 10 figures should be sufficient for most intervention reviews, although more may be required for complex reviews, network meta-analyses (NMAs) and other review types. If there are multiple figures to import and the size of the review will be very big, please consider using an open online repository instead of adding them to the review (see Author guidelines: External data and files).

Automatic renumbering and positioning of figures in the review

In the read-only views generated using 'View' [a version] and 'Submission preview' (focused review format only), and in the PDF article, figures are renumbered to reflect the position in which they are linked in the review.

In the published review PDF, figures are placed at the end of the paragraph in which the link appears. if a figure is linked more than once in the text, the second and subsequent links will point to the figure at its first appearance in the text. Readers need to use the browser's back button to return to the section they were navigating before being redirected.

The positioning of figures cannot be previewed in RevMan.

Figure types

RevMan gives the option to add the following types of figures.

  • Flow diagram
  • Forest plot
  • Funnel plot
  • Risk of bias graph
  • Risk of bias summary
  • Other figure
Figure typeDescriptionHow to add/edit in RevMan (Default view)Style guidance

Flow diagram

 

Mandatory visual representation of the flow of studies in the review

 

PRISMA 2009 version
Create and edit in RevMan.
Figures > Add Figure > PRISMA

PRISMA 2020 version
Download template from PRISMA and create diagram in Word. Upload to RevMan: Figures > Add Figure > Other figure. 
Edit in Word and upload amended diagram.

PRISMA-type diagram
Create outside RevMan and upload to RevMan: Figures > Add Figure > Other figure. 
Edit outside RevMan (in program in which diagram was created) and upload amended diagram.

Text in Results of the search must match PRISMA diagram.

Numbers within the PRISMA diagram must 'flow'.

Use:

  • 'records' or 'articles' not 'studies' or 'trials' throughout but give total number of studies at the end (note: 1 record may not equal 1 study);
  • 'ineligible' not 'wrong' for reasons for exclusion;
  • 'people' or 'participants' not 'patients';
  • lower-case letter after number (e.g. 25 studies included).

Complete the caption. For example, 'Study flow diagram' (no full stop at the end).

Forest plot

 

Visual representation of syntheses for an outcome

 

Forest plots are created in RevMan in the Analyses for each comparison. Select individual forest plots to display in the text for the review's main outcomes or comparisons (i.e. those in the summary of findings tables). For all other comparisons, link from the text to the Analyses supplementary material, which includes forest plots for all syntheses.

See Revman Knowledge Base

Edit in Analyses in RevMan. Forest plots will update automatically.

When you create your analyses, consider how this information will be displayed in the forest plot.

  • Start each individual outcome with a capital letter, including subcategories
  • Write outcomes in sentence case, for example ‘Intranasal spray’, not ‘Intranasal Spray’
  • Relabel axes; the default labelling, ‘Favours [experimental], ‘Favours [control]’ is not acceptable. Use the name of the intervention and control
  • Use sentence case for axes labels and remove square brackets, for example, ‘Favours intranasal spray’ not ‘Favours [Intranasal Spray]’ 
  • Check spelling is consistent with the review text (UK/US English).

Show risk of bias judgements in the forest plot.

Consider switching off totals if there is only one study.

Funnel plot

 

Scatter plot for evaluation of publication bias or heterogeneity (subgroups)

 

Created in Revman Analyses section (study names optional)

See RevMan Knowledge Base for how to add.

As above

 

Risk of bias graph

 

Graph of review authors' risk of bias judgements

 

RoB 1 only
Created by RevMan from authors' risk of bias judgements in the risk of bias table (Characteristics of included studies)

Figures > Add Figure > Figure type: Risk of bias graph

Add a caption (no full stop at the end), e.g. Review authors' judgements about each risk of bias item presented as percentages across all included studies

 

Risk of bias summary

 

'Traffic light' display of review authors' risk of bias judgements for each study and each domain.

 

RoB 1 only
Created by RevMan from authors' risk of bias judgements in the risk of bias tables (Characteristics of included studies).

Figures > Add Figure > Figure type: Risk of bias summary

Add a caption (no full stop at the end), e.g. Review authors' judgements about each risk of bias item for each included study

 

Other figure

 

Any figure not shown above, e.g. process diagram, illustration, photo

 

Figures > Add Figure > Figure type: Other figure

 

Make sure any text (graph labels, dates, annotations etc.) follow Cochrane style.

Add a caption (no full stop at the end).

Section info
Contact
Elizabeth Roylel (production@cochrane.org)
Describe change
Changed link to https://community.cochrane.org/sites/default/files/uploads/inline-files/Graph_recommendations9.pdf from https://community.cochrane.org/style-manual/tables-and-figures/figures, to link to this document via the Handbook.
Change date
19 June 2024