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Evaluation does not end with publication. Postpublication review includes letters to the editor that identify flaws or additional implications, rapid online responses to published articles, efforts to replicate the work, and the experience of clinicians in applying the information in practice. Such evaluations are at least as important as prepublication review. Electronic journals should link from articles to the letters related to them to facilitate retrieval. Editors should also perform a quality review of each published issue of their journal, looking for problems in content and format that can be corrected or improved in subsequent issues (see , Ethical and Less