Evidence map›Paper›PMID 40295957›Full record

ArticleBMC medical research methodology2025

Utilizing Large language models to select literature for meta-analysis shows workload reduction while maintaining a similar recall level as manual curation.

Xiangming Cai, Yuanming Geng, Yiming Du, Bart Westerman, Duolao Wang, Chiyuan Ma, Juan J Garcia Vallejo

Abstract read
In one paragraph

Article in BMC medical research methodology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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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

7 authors.

Xiangming Cai *Department of Molecular Cell Biology & Immunology, Amsterdam Infection & Immunity Institute and Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. x.cai@amsterdamumc.nl.
Yuanming Geng *Department of Neurosurgery, Jinling Hospital, Nanjing, China.
Yiming Du *Department of System Engineering and Engineering Management, The Chinese University of Hong Kong, Hong Kong, China.
Bart WestermanDepartment of Neurosurgery, Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Duolao WangDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK. duolao.wang@lstmed.ac.uk.
Chiyuan MaDepartment of Neurosurgery, Jinling Hospital, Nanjing, China. machiyuan_nju@126.com.
Juan J Garcia VallejoDepartment of Molecular Cell Biology & Immunology, Amsterdam Infection & Immunity Institute and Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Funding

China Scholarship Council 202206090022
6 · The paper itself

Abstract

backgroundLarge language models (LLMs) like ChatGPT showed great potential in aiding medical research. A heavy workload in filtering records is needed during the research process of evidence-based medicine, especially meta-analysis. However, few studies tried to use LLMs to help screen records in meta-analysis.

objectiveIn this research, we aimed to explore the possibility of incorporating multiple LLMs to facilitate the screening step based on the title and abstract of records during meta-analysis.

methodsVarious LLMs were evaluated, which includes GPT-3.5, GPT-4, Deepseek-R1-Distill, Qwen-2.5, Phi-4, Llama-3.1, Gemma-2 and Claude-2. To assess our strategy, we selected three meta-analyses from the literature, together with a glioma meta-analysis embedded in the study, as additional validation. For the automatic selection of records from curated meta-analyses, a four-step strategy called LARS-GPT was developed, consisting of (1) criteria selection and single-prompt (prompt with one criterion) creation, (2) best combination identification, (3) combined-prompt (prompt with one or more criteria) creation, and (4) request sending and answer summary. Recall, workload reduction, precision, and F1 score were calculated to assess the performance of LARS-GPT.

resultsA variable performance was found between different single-prompts, with a mean recall of 0.800. Based on these single-prompts, we were able to find combinations with better performance than the pre-set threshold. Finally, with a best combination of criteria identified, LARS-GPT showed a 40.1% workload reduction on average with a recall greater than 0.9.

conclusionsWe show here the groundbreaking finding that automatic selection of literature for meta-analysis is possible with LLMs. We provide it here as a pipeline, LARS-GPT, which showed a great workload reduction while maintaining a pre-set recall.

Indexed as

Biomedical ResearchData CurationMeta-Analysis as TopicWorkloadEvidence-Based MedicineHumansLarge Language ModelsChatGPTDeepseekLarge language modelMeta-analysisPhi

Identifiers

PMID40295957
PMCPMC12036192

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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.