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Comparing Artificial Intelligence and manual methods in systematic review processes: protocol for a systematic review

2025· review· en· W4407925758 on OpenAlexaff
Xuenan Pang, KM Saif‐Ur‐Rahman, Sarah Berhane, Xiaomei Yao, Kavita Kothari, Petek Eylül Taneri, James Thomas, Declan Devane

Bibliographic record

VenueJournal of Clinical Epidemiology · 2025
Typereview
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsMcMaster UniversityImpact
FundersCollege of Medicine, Nursing and Health Sciences, National University of Ireland, GalwayChina Scholarship CouncilUniversity of Galway
KeywordsSystematic reviewProtocol (science)Stage (stratigraphy)MedicineComputer scienceMEDLINEAlternative medicineBiologyPathology

Abstract

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Objectives This systematic review aims to evaluate the effectiveness of automated methods using artificial intelligence (AI) in conducting systematic reviews, with a focus on both performance and resource utilization compared to human reviewers. Study Design and Setting This systematic review and meta-analysis protocol follows the Cochrane Methodology protocol and review guidance. We searched five bibliographic databases to identify potential studies published in English from 2005. Two independent reviewers will screen the titles and abstracts, followed by a full-text review of the included articles. Any discrepancies will be resolved through discussion and, if necessary, referral to a third reviewer. The risk of bias (RoB) in included studies will be assessed at the outcome level using the revised Cochrane risk-of-bias tool for randomized trials and the RoB In Non-randomized Studies - of Interventions for non-randomized studies. Where appropriate, we plan to conduct meta-analysis using random-effects models to obtain pooled estimates. We will explore the sources of heterogeneity and conduct sensitivity analyses based on prespecified characteristics. Where meta-analysis is not feasible, a narrative synthesis will be performed. Results We will present the results of this review, focusing on performance and resource utilization metrics. Conclusion This systematic review will evaluate the effectiveness of automated methods, especially AI tools in systematic reviews, aiming to synthesize current evidence on their performance, resource utilization, and impact on review quality. The findings will inform evidence-based recommendations for systematic review authors and developers on implementing automation tools to optimize review efficiency while maintaining methodological rigor. In addition, we will identify key research gaps to guide future development of AI-assisted systematic review methods. Plain Language Summary A systematic review is a thorough and organized summary of all relevant studies on a specific topic. These reviews are important for gathering evidence to guide health care decisions, but they often take a lot of time and effort. Recently, tools using artificial intelligence (AI) have been developed to speed up this process. We will conduct a systematic review to see how well these AI tools perform compared to human reviewers. We will examine studies from 2005 that have used AI to conduct systematic reviews. We will assess how well AI tools find the right information, how much time and work they save, and how easy and reliable they are for users. This study aims to help researchers choose the best AI tools to make systematic reviews faster and more efficient without losing quality.

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 machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.143
metaresearch head score (Gemma)0.242
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Protocol · Consensus signal: Protocol
Teacher disagreement score0.857
Threshold uncertainty score0.757

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1430.242
Meta-epidemiology (narrow)0.0060.007
Meta-epidemiology (broad)0.0170.020
Bibliometrics0.0130.014
Science and technology studies0.0040.006
Scholarly communication0.0070.009
Open science0.0050.006
Research integrity0.0090.011
Insufficient payload (model declined to judge)0.0930.015

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 head0.855
GPT teacher head0.754
Teacher spread0.101 · 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 source (direct Gemma or distilled Codex), not a consensus.

Study designSystematic review
DomainMethods
GenreProtocol

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

Citations9
Published2025
Admission routes1
Has abstractyes

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