Evidence map›Paper›PMID 41265422›Full record

ArticleHealthcare informatics research2025

Towards Efficient Patient Recruitment for Clinical Trials: Application of a Prompt-Based Learning Model.

Mojdeh Rahmanian, Seyed Mostafa Fakhrahmad, Seyedeh Zahra Mousavi

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Article in Healthcare informatics research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Mojdeh RahmanianDepartment of Computer Science and Engineering and IT, Shiraz University, Shiraz, Iran.
Seyed Mostafa FakhrahmadDepartment of Computer Science and Engineering and IT, Shiraz University, Shiraz, Iran.
Seyedeh Zahra MousaviDepartment of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAll clinical trials face a significant bottleneck in identifying eligible participants, particularly due to the complexity of unstructured medical texts. Recent advances in natural language processing, especially the advent of transformer-based models, have shown promise in this domain. In this study, we evaluated the performance of a prompt-based large language model (LLM) for cohort selection from unstructured medical notes.

methodsMedical records were annotated with Med- CAT using the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) ontology. For each trial eligibility criterion, we extracted sentences containing relevant annotated concepts through an ontology-driven summarization process. These summaries were then input into a prompt-based LLM (GPT-3.5-turbo), tasked with classifying eligibility criteria in a zero-shot setting. Model performance was assessed using the 2018 National Natural Language Processing Clinical Challenges (n2c2) dataset, which required the classification of 288 patients' medical records according to 13 eligibility criteria.

resultsThe proposed prompt-based model achieved overall micro and macro F-measures of 0.9061 and 0.8060, respectively-among the highest scores reported for this dataset.

conclusionsOur results demonstrate that integrating ontology-based extractive summarization with prompt-based LLMs can substantially improve eligibility classification. The summarization step enhanced model focus and interpretability, particularly for long or ambiguous narratives. This pipeline offers a scalable and adaptable framework for clinical trial automation and has the potential for real-world integration with electronic medical record matching systems.

Indexed as

Electronic Medical RecordsLarge Language ModelsNatural Language ProcessingPatient RecruitmentSNOMED CT Ontology

Identifiers

PMID41265422
PMCPMC12640732

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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.