ArticlePloS one2020
Error rates of human reviewers during abstract screening in systematic reviews.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 25 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
97 citing papers in PubMed, 25 syntheses or guidelines pooled it.
- Artificial Intelligence for Evidence Synthesis of Emerging Biologics to Improve Skeletal Health in Osteogenesis Imperfecta: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Characteristics of studies falsely excluded during single-reviewer abstract screening: a meta-epidemiological analysis.BMC medical research methodology · 2026Pooled it
- What do we know about the effectiveness of the application of hybrid SE-TGfU model in physical education on learning outcomes: a systematic review and meta-analysis.Frontiers in psychology · 2026Pooled it
- Effect of probiotic intake on athletic ability in healthy people: a systematic review and Bayesian meta-analysis.Frontiers in nutrition · 2026Pooled it
- A comparative study of screening performance between abstrackr and GPT models: Systematic review and contextual analysis.BMC medical informatics and decision making · 2025Pooled it
- Association Between 24-h Movement Behaviors and Mental Health in Children and Adolescents: A Systematic Review and Compositional Data Meta-Analysis.Scandinavian journal of medicine & science in sports · 2025Pooled it
- Association between child and youth physical activity and family functioning: a systematic review of observational studies.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Screen Time Among and Youth Children With Disabilities: A Systematic Review and Meta-Analysis.Child: care, health and development · 2025Pooled it
- Parents' experiences of family-based physical activity interventions: a systematic review and qualitative evidence synthesis.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Time to nursing home admission and death in people with dementia: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2025Pooled it
- The effects of biofeedback training on athletes' mental health and performance: a systematic review and Bayesian meta-analysis.Frontiers in psychology · 2025Pooled it
- Optimal dosage and effectiveness of imagery practice on athletes' mental health: a Bayesian multilevel meta-analysis.Frontiers in psychology · 2025Pooled it
- How much can we save by applying artificial intelligence in evidence synthesis? Results from a pragmatic review to quantify workload efficiencies and cost savings.Frontiers in pharmacology · 2025Pooled it
- Effects of cooperative learning on students' learning outcomes in physical education: a meta-analysis.Frontiers in psychology · 2025Pooled it
- Agreement Between Heart Rate Variability - Derived vs. Ventilatory and Lactate Thresholds: A Systematic Review with Meta-Analyses.Sports medicine - open · 2024Pooled it
- Pooled it
- An update on tests used for intraoperative monitoring of cognition during awake craniotomy.Acta neurochirurgica · 2024Pooled it
- Biosecurity measures reducingFrontiers in veterinary science · 2024Pooled it
- Title-plus-abstract versus title-only first-level screening approach: a case study using a systematic review of dietary patterns and sarcopenia risk to compare screening performance.Systematic reviews · 2023Pooled it
- Establishing a Health CASCADE-Curated Open-Access Database to Consolidate Knowledge About Co-Creation: Novel Artificial Intelligence-Assisted Methodology Based on Systematic Reviews.Journal of medical Internet research · 2023Pooled it
37 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAutomated approaches to improve the efficiency of systematic reviews are greatly needed. When testing any of these approaches, the criterion standard of comparison (gold standard) is usually human reviewers. Yet, human reviewers make errors in inclusion and exclusion of references.
objectivesTo determine citation false inclusion and false exclusion rates during abstract screening by pairs of independent reviewers. These rates can help in designing, testing and implementing automated approaches.
methodsWe identified all systematic reviews conducted between 2010 and 2017 by an evidence-based practice center in the United States. Eligible reviews had to follow standard systematic review procedures with dual independent screening of abstracts and full texts, in which citation inclusion by one reviewer prompted automatic inclusion through the next level of screening. Disagreements between reviewers during full text screening were reconciled via consensus or arbitration by a third reviewer. A false inclusion or exclusion was defined as a decision made by a single reviewer that was inconsistent with the final included list of studies.
resultsWe analyzed a total of 139,467 citations that underwent 329,332 inclusion and exclusion decisions from 86 unique reviewers. The final systematic reviews included 5.48% of the potential references identified through bibliographic database search (95% confidence interval (CI): 2.38% to 8.58%). After abstract screening, the total error rate (false inclusion and false exclusion) was 10.76% (95% CI: 7.43% to 14.09%).
conclusionsThis study suggests important false inclusion and exclusion rates by human reviewers. When deciding the validity of a future automated study selection algorithm, it is important to keep in mind that the gold standard is not perfect and that achieving error rates similar to humans may be adequate and can save resources and time.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.