Evidence map›Paper›PMID 38697494›Full record

ArticleJournal of biomedical informatics2024

Criteria2Query 3.0: Leveraging generative large language models for clinical trial eligibility query generation.

Jimyung Park, Yilu Fang, Casey Ta, Gongbo Zhang, Betina Idnay, Fangyi Chen, David Feng, Rebecca Shyu, Emily R Gordon, Matthew Spotnitz and 1 more

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jimyung ParkDepartment of Biomedical Informatics, Columbia University, New York, United States.
Yilu FangDepartment of Biomedical Informatics, Columbia University, New York, United States.
Casey TaDepartment of Biomedical Informatics, Columbia University, New York, United States.
Gongbo ZhangDepartment of Biomedical Informatics, Columbia University, New York, United States.
Betina IdnayDepartment of Biomedical Informatics, Columbia University, New York, United States.
Fangyi ChenDepartment of Biomedical Informatics, Columbia University, New York, United States.
David FengDepartment of Biomedical Informatics, Columbia University, New York, United States.
Rebecca ShyuDepartment of Biomedical Informatics, Columbia University, New York, United States.
Emily R GordonColumbia University Vagelos College of Physicians and Surgeons, New York, United States.
Matthew SpotnitzDepartment of Biomedical Informatics, Columbia University, New York, United States.
Chunhua WengDepartment of Biomedical Informatics, Columbia University, New York, United States. Electronic address: cw2384@cumc.columbia.edu.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
Bridging the Semantic Gap Between Research Eligibility Criteria and Clinical DataR01LM009886 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WENG, CHUNHUA · 2009 to 2020
$5.3M
ClinEX - Clinical Evidence Extraction, Representation, and AppraisalR01LM014344 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Yong Chen, Yifan Peng · 2023 to 2026
$2.7M
NCATS NIH HHS UL1 TR001873NLM NIH HHS R01 LM009886NLM NIH HHS R01 LM014344NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

objectiveAutomated identification of eligible patients is a bottleneck of clinical research. We propose Criteria2Query (C2Q) 3.0, a system that leverages GPT-4 for the semi-automatic transformation of clinical trial eligibility criteria text into executable clinical database queries. MATERIALS AND

methodsC2Q 3.0 integrated three GPT-4 prompts for concept extraction, SQL query generation, and reasoning. Each prompt was designed and evaluated separately. The concept extraction prompt was benchmarked against manual annotations from 20 clinical trials by two evaluators, who later also measured SQL generation accuracy and identified errors in GPT-generated SQL queries from 5 clinical trials. The reasoning prompt was assessed by three evaluators on four metrics: readability, correctness, coherence, and usefulness, using corrected SQL queries and an open-ended feedback questionnaire.

resultsOut of 518 concepts from 20 clinical trials, GPT-4 achieved an F1-score of 0.891 in concept extraction. For SQL generation, 29 errors spanning seven categories were detected, with logic errors being the most common (n = 10; 34.48 %). Reasoning evaluations yielded a high coherence rating, with the mean score being 4.70 but relatively lower readability, with a mean of 3.95. Mean scores of correctness and usefulness were identified as 3.97 and 4.37, respectively.

conclusionGPT-4 significantly improves the accuracy of extracting clinical trial eligibility criteria concepts in C2Q 3.0. Continued research is warranted to ensure the reliability of large language models.

Indexed as

Clinical Trials as TopicHumansNatural Language ProcessingPatient SelectionSoftwareArtificial intelligenceChatGPTEligibility prescreeningHuman–computer collaborationLarge language models

Identifiers

PMID38697494
PMCPMC11129920

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.