Evidence map›Paper›PMID 41183336›Full record

ArticleAnnals of internal medicine2025

Artificial Intelligence-Assisted Data Extraction With a Large Language Model: A Study Within Reviews.

Gerald Gartlehner, Shannon Kugley, Karen Crotty, Meera Viswanathan, Andreea Dobrescu, Barbara Nussbaumer-Streit, Graham Booth, Jonathan R Treadwell, Jung Min Han, Jesse Wagner and 8 more

Abstract readComparative Study
In one paragraph

Article in Annals of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Pooled it
  3. Association of diffuse idiopathic skeletal hyperostosis with postoperative outcomes following surgery for degenerative lumbar spine disease.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  11. Evidence-Based Medicine Meets Artificial Intelligence: Reframing Critical Appraisal in Emergency Medicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
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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

18 authors.

Gerald GartlehnerSocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, and Department for Evidence-based Medicine and Evaluation, University for Continuing Education Krems, Krems, Austria (G.G.).
Shannon KugleySocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0003-4574-7100
Karen CrottySocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0002-5633-5040
Meera ViswanathanSocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0003-3486-8126
Andreea DobrescuDepartment for Evidence-based Medicine and Evaluation, University for Continuing Education Krems, Krems, Austria (A.D., B.N.-S.).
Barbara Nussbaumer-StreitDepartment for Evidence-based Medicine and Evaluation, University for Continuing Education Krems, Krems, Austria (A.D., B.N.-S.).ORCID 0000-0001-7622-843X
Graham BoothSocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0001-8167-707X
Jonathan R TreadwellECRI-Penn Medicine Evidence-based Practice Center, Plymouth Meeting, Pennsylvania (J.R.T., J.M.H., J.W.).
Jung Min HanECRI-Penn Medicine Evidence-based Practice Center, Plymouth Meeting, Pennsylvania (J.R.T., J.M.H., J.W.).ORCID 0009-0002-2207-2796
Jesse WagnerECRI-Penn Medicine Evidence-based Practice Center, Plymouth Meeting, Pennsylvania (J.R.T., J.M.H., J.W.).ORCID 0009-0002-3967-6350
Eric A ApaydinDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, and VA Greater Los Angeles Healthcare System, Los Angeles, California (E.A.A.).ORCID 0000-0002-3044-9090
Erin L CoppolaKaiser Permanente Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon (E.L.C.).
Margaret MaglioneSouthern California Evidence Review Center, Keck School of Medicine, University of Southern California, Los Angeles, California (M.M., B.S.).ORCID 0000-0001-9290-4119
Rainer HilscherSocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0002-5004-4584
Robert ChewSocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0002-6979-1766
Meagan PilarSocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0003-2671-3327
Bryan SwantonSouthern California Evidence Review Center, Keck School of Medicine, University of Southern California, Los Angeles, California (M.M., B.S.).
Leila C KahwatiSocial, Statistical, and Environmental Sciences, RTI International, Research Triangle Park, North Carolina (S.K., K.C., M.V., G.B., R.H., R.C., M.P., L.C.K.).ORCID 0000-0001-6963-2848

Funding

HSRD VA IK2 HX003534
6 · The paper itself

Abstract

backgroundData extraction is a critical but error-prone and labor-intensive task in evidence synthesis. Unlike other artificial intelligence (AI) technologies, large language models (LLMs) do not require labeled training data for data extraction.

objectiveTo compare an AI-assisted versus a traditional, human-only data extraction process.

designStudy within reviews (SWAR) using a prospective, parallel-group comparison with blinded data adjudicators.

settingWorkflow validation within 6 ongoing systematic reviews of interventions under real-world conditions.

interventionInitial data extraction using an LLM (Claude, versions 2.1, 3.0 Opus, and 3.5 Sonnet) verified by a human reviewer. MEASUREMENTS: Concordance, time on task, accuracy, sensitivity, positive predictive value, and error analysis.

resultsThe 6 systematic reviews in the SWAR yielded 9341 data elements from 63 studies. Concordance between the 2 methods was 77.2% (95% CI, 76.3% to 78.0%). Compared with the reference standard, the AI-assisted approach had an accuracy of 91.0% (CI, 90.4% to 91.6%) and the human-only approach an accuracy of 89.0% (CI, 88.3% to 89.6%). Sensitivities were 89.4% (CI, 88.6% to 90.1%) and 86.5% (CI, 85.7% to 87.3%), respectively, with positive predictive values of 99.2% (CI, 99.0% to 99.4%) and 98.9% (CI, 98.6% to 99.1%). Incorrect data were extracted in 9.0% (CI, 8.4% to 9.6%) of AI-assisted cases and 11.0% (CI, 10.4% to 11.7%) of human-only cases, with corresponding proportions of major errors of 2.5% (CI, 2.2% to 2.8%) versus 2.7% (CI, 2.4% to 3.1%). Missed data items were the most frequent error type in both approaches. The AI-assisted method reduced data extraction time by a median of 41 minutes per study. LIMITATIONS: Assessing concordance and classifying errors required subjective judgment. Consistently tracking time on task was challenging.

conclusionData extraction assisted by AI may offer a viable, more efficient alternative to human-only methods. PRIMARY FUNDING SOURCE: Agency for Healthcare Research and Quality and RTI International.

Indexed as

Artificial IntelligenceInformation Storage and RetrievalSystematic Reviews as TopicHumansLanguageLarge Language ModelsProspective StudiesWorkflow

Identifiers

PMID41183336
PMCPMC13091441

What OpenQuestion holds

Textmetadata
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.