Evidence mapPaperPMID 33262102Full record

SynthesisJournal of medical Internet research2020

Deep Neural Network for Reducing the Screening Workload in Systematic Reviews for Clinical Guidelines: Algorithm Validation Study.

Tomohide Yamada, Daisuke Yoneoka, Yuta Hiraike, Kimihiro Hino, Hiroyoshi Toyoshiba, Akira Shishido, Hisashi Noma, Nobuhiro Shojima, Toshimasa Yamauchi

Abstract readSystematic ReviewValidation Study
In one paragraph

Synthesis in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Applications of artificial intelligence in dementia.Geriatrics & gerontology international · 2024
    Review
  4. Article
  5. Machine learning for accelerating screening in evidence reviews.Cochrane evidence synthesis and methods · 2023
    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

9 authors.

Tomohide Yamada *University Institute for Population Health, King's College London, London, United Kingdom.ORCID 0000-0001-6043-8547
Daisuke Yoneoka *Graduate School of Public Health, St Luke's International University, Tokyo, Japan.ORCID 0000-0002-3525-5092
Yuta HiraikeDepartment of Cell Biology, Harvard Medical School, Boston, MA, United States.ORCID 0000-0001-9799-7975
Kimihiro HinoFRONTEO Healthcare Inc, Tokyo, Japan.ORCID 0000-0003-0617-8232
Hiroyoshi ToyoshibaFRONTEO Healthcare Inc, Tokyo, Japan.ORCID 0000-0001-7907-1255
Akira ShishidoFRONTEO Healthcare Inc, Tokyo, Japan.ORCID 0000-0002-2649-4139
Hisashi NomaDepartment of Data Science, The Institute of Statistical Mathematics, Tokyo, Japan.ORCID 0000-0002-2520-9949
Nobuhiro ShojimaDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.ORCID 0000-0002-4078-3308
Toshimasa YamauchiDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.ORCID 0000-0003-4827-6404

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerforming systematic reviews is a time-consuming and resource-intensive process.

objectiveWe investigated whether a machine learning system could perform systematic reviews more efficiently.

methodsAll systematic reviews and meta-analyses of interventional randomized controlled trials cited in recent clinical guidelines from the American Diabetes Association, American College of Cardiology, American Heart Association (2 guidelines), and American Stroke Association were assessed. After reproducing the primary screening data set according to the published search strategy of each, we extracted correct articles (those actually reviewed) and incorrect articles (those not reviewed) from the data set. These 2 sets of articles were used to train a neural network-based artificial intelligence engine (Concept Encoder, Fronteo Inc). The primary endpoint was work saved over sampling at 95% recall (WSS@95%).

resultsAmong 145 candidate reviews of randomized controlled trials, 8 reviews fulfilled the inclusion criteria. For these 8 reviews, the machine learning system significantly reduced the literature screening workload by at least 6-fold versus that of manual screening based on WSS@95%. When machine learning was initiated using 2 correct articles that were randomly selected by a researcher, a 10-fold reduction in workload was achieved versus that of manual screening based on the WSS@95% value, with high sensitivity for eligible studies. The area under the receiver operating characteristic curve increased dramatically every time the algorithm learned a correct article.

conclusionsConcept Encoder achieved a 10-fold reduction of the screening workload for systematic review after learning from 2 randomly selected studies on the target topic. However, few meta-analyses of randomized controlled trials were included. Concept Encoder could facilitate the acquisition of evidence for clinical guidelines.

Indexed as

Neural Networks, ComputerAlgorithmsGuidelines as TopicHumansMachine LearningMass ScreeningWorkloadclinical guidelinedeep learningevidence-based medicinemachine learningmeta-analysisneural networksystematic review

Identifiers

PMID33262102
PMCPMC7806440

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.