Evidence map›Paper›PMID 40589599›Full record

ArticleCancer innovation2025

A Study Protocol for a Comprehensive Evaluation of Two Artificial Intelligence-Based Tools in Title and Abstract Screening for the Development of Evidence-Based Cancer Guidelines.

Xiaomei Yao, Ashirbani Saha, Sharan Saravanan, Ashley Low, Jonathan Sussman

Abstract read
In one paragraph

Article in Cancer innovation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

5 authors.

Xiaomei YaoDepartment of Health Research Methods, Evidence, and Impact McMaster University Hamilton Ontario Canada.ORCID https://orcid.org/0000-0002-1210-3758
Ashirbani SahaDepartment of Oncology McMaster University Hamilton Ontario Canada.
Sharan SaravananFaculty of Health Sciences McMaster University Hamilton Ontario Canada.
Ashley LowFaculty of Health Sciences McMaster University Hamilton Ontario Canada.
Jonathan SussmanDepartment of Oncology McMaster University Hamilton Ontario Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Conducting a systematic review (SR) is a time-intensive process and represents the first phase in developing a clinical practice guideline (CPG). Completing a CPG through the Program in Evidence-Based Care (PEBC), a globally acknowledged guideline program supported by Ontario Health (Cancer Care Ontario), typically takes about 2 years. Thus, expediting an SR can significantly reduce the overall time required to complete a CPG. Our recently published review identified two artificial intelligence (AI) tools, DistillerSR and EPPI-Reviewer that reduced time in the title and abstract screening in an SR process when developing a CPG. However, the consistency and generalizability of these tools remain unclear within or across different SRs related to cancer. This study protocol aims to evaluate and compare the performance of DistillerSR and EPPI-Reviewer against human reviewers for title and abstract screening (Stage I screening) in cancer CPG development. Methods: We will conduct a retrospective simulation study to evaluate and compare the performance of DistillerSR and EPPI-Reviewer across 10 previously published CPGs by PEBC. These CPGs include the five cancer types with the highest incidence (lung, breast, prostate, colorectal, and bladder). We will run 30 simulation trials for one CPG per AI tool. Primary outcomes are workload savings and time savings in Stage I screening. The secondary outcome is the percentage of missing articles among the final included articles. This informs the accuracy and comprehensiveness of the AI tools. Descriptive and inferential statistical analysis will be conducted to evaluate the outcomes. Results: This is a study protocol. The data presented in the tables are illustrative examples rather than actual study results, in accordance with the journal s standard structure. All data included in the final study will be thoroughly validated. Discussion: This will be the first study to investigate and compare the performance of DistillerSR and EPPI-Reviewer in Stage I screening of SRs in CPGs across different cancer types. These findings will inform the reliable use of AI tools in future cancer-related CPGs. The results from this retrospective study will need to be confirmed by prospective studies.

Indexed as

abstract screeningartificial intelligencecancer screeningclinical practice guidelinesDistillerSREPPI‐reviewersimulation studysystematic reviewworkload and time savings

Identifiers

PMID40589599
PMCPMC12206657

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Registered trials

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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.