Evidence map›Paper›PMID 40951516›Full record

ArticleThe archives of bone and joint surgery2025

Evaluation of a Popular Large Language Model in Orthopedic Literature Review: Comparison to Previously Published Reviews.

Jie J Yao, Ryan D Lopez, Adam A Rizk, Manan Aggarwal, Surena Namdari

Abstract read
In one paragraph

Article in The archives of bone and joint surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Jie J YaoRothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Ryan D LopezRothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Adam A RizkRothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Manan AggarwalGoogle Search AI, Google, Mountain View, CA, USA.
Surena NamdariRothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Large language models (LLMs) may improve the process of conducting systematic literature reviews. Our aim was to evaluate the utility of one popular LLM chatbot, Chat Generative Pre-trained Transformer (ChatGPT), in systematic literature reviews when compared to traditionally conducted reviews. Methods: We identified five systematic reviews published in the Journal of Bone and Joint Surgery from 2021 to 2022. We retrieved the clinical questions, methodologies, and included studies for each review. We evaluated ChatGPT's performance on three tasks. (1) For each published systematic review's core clinical question, ChatGPT designed a relevant database search strategy. (2) ChatGPT screened the abstracts of those articles identified by that search strategy for inclusion in a review. (3) For one systematic review, ChatGPT reviewed each individual manuscript identified after screening to identify those that fit inclusion criteria. We compared the performance of ChatGPT on each of these three tasks to the previously published systematic reviews. Results: ChatGPT captured a median of 91% (interquartile range, IQR 84%, 94%) of articles in the published systematic reviews. After screening of these abstracts, ChatGPT was able to capture a median of 75% (IQR 70%, 79%) of articles included in the published systematic reviews. On in-depth screening of manuscripts, ChatGPT captured only 55% of target publications; however, this improved to 100% on review of the manuscripts that ChatGPT identified on this step. Qualitative analysis of ChatGPT's performance highlighted the importance of prompt design and engineering. Conclusion: Using published reviews as a gold standard, ChatGPT demonstrated ability in replicating fundamental tasks for orthopedic systematic review. Cautious use and supervision of this general purpose LLM, ChatGPT, may aid in the process of systematic literature review. Further study and discussion regarding the role of LLMs in literature review is needed.

Indexed as

ChatGPTLarge language modelsOrthopedicsSystematic review

Identifiers

PMID40951516
PMCPMC12432827

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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.