# ManageMR vs avoMD

The clearest difference is in-app purchases: ManageMR at none against avoMD's 4. avoMD's advantage is update cadence (every 9 days vs every 21 months) and ratings volume (15 vs 1). On price, rating, ads and device support there is nothing between them.

Both are free to download. avoMD sells 4 in-app purchases, starting at $9.99 per year. ManageMR asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 5.0 for ManageMR against 5.0 for avoMD. That said, the two scores are not equally well evidenced: avoMD has 15 ratings behind it against 1, so its average is the more settled of the two.

ManageMR ships an update every 21 months, avoMD every 9 days. The most recent releases landed on October 12, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | ManageMR | avoMD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (1 ratings)](https://appshunter.io/ios/app/managemr/id1294761656/reviews) | [5.0 (15 ratings)](https://appshunter.io/ios/app/avomd-preoperative-eval/id1550142027/reviews) |
| Number of ratings | 1 | **15** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 21 months | **Every 9 days** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 58 MB | 20 MB |
| Requires iOS | 13.0 | 13.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 12+ |
| Developer | [American College of Cardiology](https://appshunter.io/developer/502174543) | [avoMD, Inc](https://appshunter.io/developer/1504289347) |

## What reviewers say

### ManageMR

[App page](https://appshunter.io/ios/app/managemr/id1294761656)

This medical app offers personalized referral and treatment guidance for mitral regurgitation patients. It analyzes echo assessment parameters to determine MR severity, etiology, and recommend appropriate interventions like valve repair or replacement.

**Highlights:** Personalized referral advice, Treatment recommendations, MR severity and etiology analysis, Mitral valve repair vs. replacement feasibility, Echo assessment parameter entry

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### avoMD

[App page](https://appshunter.io/ios/app/avomd-preoperative-eval/id1550142027)

This app offers interactive guidance for clinicians evaluating adult patients for noncardiac surgery. It incorporates co-morbidities, medications, and medical calculators based on established guidelines and literature reviews. Enhance your learning with evidence-based references and detailed explanations.

**Highlights:** Interactive patient evaluation, Preoperative risk assessment, Medical calculators (RCRI, MICA, etc.), Evidence-based references, Literature review integration, Co-morbidity and medication tracking

**Features:** macOS Compatibility

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Year Assitance 1 month trial | $9.99 | per year |
| 1 year assistance 3 month free | $9.99 | per year |
| Institutional Plan | $14.99 | per year |
| 1 year assistance 6 month free | $19.99 | per year |


## Frequently asked questions

### Is ManageMR free?

ManageMR is free to download, with no in-app purchases.

### Is avoMD free?

avoMD is free to download, with in-app purchases available.

### Which has better reviews, ManageMR or avoMD?

ManageMR and avoMD are both rated 5.0 out of 5 on the App Store, from 1 and 15 ratings respectively.

### Do ManageMR or avoMD have ads?

Neither ManageMR nor avoMD shows ads.

### Which is updated more often, ManageMR or avoMD?

ManageMR ships an update every 21 months, and avoMD every 9 days. Most recently, ManageMR was updated on October 12, 2026 and avoMD on October 24, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*