Evidence map›Paper›PMID 41484785›Full record

ArticleSystematic reviews2026

Detecting false exclusions in single-reviewer literature screening by using AI tools as secondary reviewers: a study protocol for an evaluation study.

Lisa Affengruber, Jos Kleijnen, Gerald Gartlehner

Abstract read
In one paragraph

Article in Systematic reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Lisa AffengruberDepartment for Evidence-based Medicine and Evaluation, Cochrane Austria, University of Continuing Education Krems, Dr. Karl Dorrek Strasse 30, 3500, Krems, Austria. lisa.affengruber@donau-uni.ac.at.ORCID 0000-0002-7721-8732
Jos KleijnenKleijnen Systematic Reviews Ltd, 6 Escrick Business Park, Escrick, York, YO19 6FD, UK.
Gerald GartlehnerDepartment for Evidence-based Medicine and Evaluation, Cochrane Austria, University of Continuing Education Krems, Dr. Karl Dorrek Strasse 30, 3500, Krems, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystematic reviews are fundamental to evidence-based medicine, but the process of screening studies is time-consuming and prone to errors, especially when conducted by a single reviewer. False exclusions of relevant studies can significantly impact the quality and reliability of reviews. Artificial intelligence (AI) tools have emerged as secondary reviewers in detecting these false exclusions, yet empirical evidence comparing their performance is limited.

methodsThis study protocol outlines a comprehensive evaluation of four AI tools (ASReview, DistillerSR Artificial Intelligence System [DAISY], Evidence for Policy and Practice Information [EPPI]-Reviewer, and Rayyan) in their capacity to act as secondary reviewers during single-reviewer title and abstract screening for systematic reviews. Utilizing a database of single-reviewer screening decisions from two published systematic reviews, we will assess how effective AI tools are at detecting false exclusions while assisting single-reviewer screening compared to the dual-reviewer reference standard. Additionally, we aim to determine the overall screening performance of AI tools in assisting single-reviewer screening. DISCUSSION: This research seeks to provide valuable insights into the potential of AI-assisted screening for detecting falsely excluded studies during single screening. By comparing the performance of multiple AI tools, we aim to guide researchers in selecting the most effective assistive technologies for their review processes. SYSTEMATIC REVIEW REGISTRATION: (Open Science Framework): https://osf.io/dky26.

Indexed as

Artificial IntelligenceSystematic Reviews as TopicHumansReproducibility of ResultsResearch DesignAI toolsFalsely excluded studiesRapid reviews

Identifiers

PMID41484785
PMCPMC12866299

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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.