MétaCan
Menu
Back to cohort
Record W4407119832 · doi:10.1097/js9.0000000000002215

AI-driven evidence synthesis: data extraction of randomized controlled trials with large language models

2025· article· en· W4407119832 on OpenAlexaff
Jiayi Liu, Honghao Lai, Weilong Zhao, J. Huang, Danni Xia, Hui Liu, Xufei Luo, Bingyi Wang, Bei Pan, Liangying Hou, Yaolong Chen, Long Ge

Bibliographic record

VenueInternational Journal of Surgery · 2025
Typearticle
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsMcMaster UniversityImpact
FundersFundamental Research Funds for the Central UniversitiesChina Academy of Chinese Medical SciencesNational Natural Science Foundation of China
KeywordsData extractionRandomized controlled trialMedicineMeta-analysisSystematic reviewMEDLINEArtificial intelligenceData miningComputer scienceNatural language processingPathology

Abstract

fetched live from OpenAlex

The advancement of large language models (LLMs) presents promising opportunities to enhance evidence synthesis efficiency, particularly in data extraction processes, yet existing prompts for data extraction remain limited, focusing primarily on commonly used items without accommodating diverse extraction needs. This research letter developed structured prompts for LLMs and evaluated their feasibility in extracting data from randomized controlled trials (RCTs). Using Claude (Claude-2) as the platform, we designed comprehensive structured prompts comprising 58 items across six Cochrane Handbook domains and tested them on 10 randomly selected RCTs from published Cochrane reviews. The results demonstrated high accuracy with an overall correct rate of 94.77% (95% CI: 93.66% to 95.73%), with domain-specific performance ranging from 77.97% to 100%. The extraction process proved efficient, requiring only 88 seconds per RCT. These findings substantiate the feasibility and potential value of LLMs in evidence synthesis when guided by structured prompts, marking a significant advancement in systematic review methodology.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.013
metaresearch head score (Gemma)0.035
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.648
Threshold uncertainty score0.974

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0130.035
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.311
GPT teacher head0.508
Teacher spread0.197 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations6
Published2025
Admission routes1
Has abstractyes

Explore more

Same venueInternational Journal of SurgerySame topicArtificial Intelligence in Healthcare and EducationFrench-language works237,207