# UpToDate vs OpenEvidence

The clearest difference is review sentiment: OpenEvidence at 80% against UpToDate's 28%. OpenEvidence also leads on rating (4.9 vs 3.6) and monetization model (free vs subscription). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

OpenEvidence holds the better App Store score, 4.9 against 3.6. That said, the two scores are not equally well evidenced: OpenEvidence has 12K ratings behind it against 579, so its average is the more settled of the two. Written reviews point the same way: 28% of UpToDate's written reviews are positive against 80% of OpenEvidence's.

UpToDate ships an update every 5 weeks, OpenEvidence weekly. The most recent releases landed on September 22, 2026 and September 24, 2026 respectively.

## The numbers

| Metric | UpToDate | OpenEvidence |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.6 (579 ratings)](https://appshunter.io/ios/app/uptodate/id334265345/reviews) | **[4.9 (12K ratings)](https://appshunter.io/ios/app/openevidence/id6612007783/reviews)** |
| Number of ratings | 579 | **12K** |
| Positive reviews | 28.3% of reviews | **80.5% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 5 weeks | **Weekly** |
| Monetization | Subscription | **Free** |
| Best chart rank | #171 | **#31** |
| Size | 56 MB | 95 MB |
| Requires iOS | 18.0 | **15.1** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [UpToDate, Inc.](https://appshunter.io/developer/334265348) | [OpenEvidence Inc.](https://appshunter.io/developer/1761260627) |

## What reviewers say

### UpToDate

[App page](https://appshunter.io/ios/app/uptodate/id334265345)

**Currently charting:** #171 Top Free · Medical (US App Store)

This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.

**Highlights:** Expert AI conversational guidance, Gold standard clinical content, Practice-changing updates, Patient education materials, Drug reference and interactions, Clinical calculators, Kidney dosing guidance

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 💎 Invaluable medical resource
- 🚀 Quick and easy to use
- 🔍 Comprehensive and up-to-date content

**What reviewers complain about**

- 🐛 Frequent crashes and freezing issues
- 🔌 Unreliable offline functionality
- 💰 Expensive subscription cost

**Reported bugs**

- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates

**Requested features**

- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options


### OpenEvidence

[App page](https://appshunter.io/ios/app/openevidence/id6612007783)

**Currently charting:** #31 Top Free · Medical (US App Store)

This app provides healthcare professionals with evidence-based clinical decision support and medical information. It acts as a search engine, sourcing answers from peer-reviewed literature and leading medical organizations to aid in high-stakes medical decisions at the point of care.

**Highlights:** Clinical decision support, Medical search engine, Sourced from peer-reviewed literature, FDA and CDC data integration, Partnerships with leading medical journals, Verified healthcare professional access

**Features:** Siri integration

**In-app purchases:** none

**What reviewers like**

- 🚀 Accurate and concise answers
- 💡 Provides references and sources
- 👍 Helpful for clinical practice
- 🚀 Efficient search and retrieval
- 👍 Invaluable quick reference tool

**What reviewers complain about**

- 🐛 App not working in latest update
- ⚠️ Requires specific prompts for complete information

**Reported bugs**

- App not working in latest update

**Requested features**

- Availability on MacBook
- Integration with clinical workflows and EMRs


## Frequently asked questions

### Is UpToDate free?

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

### Is OpenEvidence free?

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

### Which has better reviews, UpToDate or OpenEvidence?

OpenEvidence is rated higher. UpToDate averages 3.6 out of 5 from 579 ratings, while OpenEvidence averages 4.9 from 12K ratings.

### Do UpToDate or OpenEvidence have ads?

Neither UpToDate nor OpenEvidence shows ads.

### Which is updated more often, UpToDate or OpenEvidence?

UpToDate ships an update every 5 weeks, and OpenEvidence weekly. Most recently, UpToDate was updated on September 22, 2026 and OpenEvidence on September 24, 2026.

### Which is more popular, UpToDate or OpenEvidence?

UpToDate currently peaks at #171 in the App Store charts, and OpenEvidence at #31. Chart position reflects recent download velocity rather than total install base.

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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.*