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Cochrane permits adding joint first authors for when two or more authors may agreed to have contributed equally to a review and wish to share the position of first author in the byline.
This is displayed in the Cochrane Database of Systematic Reviews in the author information; such as shown in https://doi.org/10.1002/14651858.CD009593.pub4:
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For Editors: see Joint first authors: assigning in RevMan