Benjamin Birene, Benjamin Popoff, Olivier Graesslin, Vincent Vuiblet, Olivier Morel
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引用次数: 0
Abstract
Objective: Systematic reviews are a cornerstone of evidence-based medicine but remain time-consuming and prone to human error. Large Language Models (LLMs), such as ChatGPT or Claude, offer new opportunities for partial automation of these tasks. This articles aims to provide a critical synthesis of the current uses of LLMs across the key stages of systematic reviews and meta-analyses in healthcare.
Methods: We conducted a narrative review based on a literature search in PubMed and Scopus (2019-2025), including empirical studies, scoping reviews, preprints, and technical reports discussing the use of LLMs in any stage of the systematic review process.
Results: LLMs can support research question formulation, search strategy development, reference screening, data extraction, meta-analysis scripting, and result synthesis. Reported performances are often high, especially for screening and quantitative data extraction, with sensitivities of 95-98%. However, significant limitations persist: hallucinations, bias, misinterpretations, and variability across models. Independent validation remains scarce.
Conclusion: LLMs show promising potential to accelerate several stages of systematic reviews, provided their use is methodologically controlled. A semi-automated approach, combining AI capabilities with human expertise, currently appears the safest. Prompt structuring, result validation, and transparent reporting of AI involvement are essential to ensure the quality and reliability of the synthesized evidence.
期刊介绍:
Gynécologie Obstétrique Fertilité & Sénologie est un mensuel scientifique d''information et de formation destiné aux gynécologues, aux obstétriciens, aux sénologues et aux biologistes de la reproduction. La revue, dans ses éditoriaux, articles originaux, mises au point, lettres à la rédaction et autres rubriques, donne une information actualisée ayant trait à l''obstétrique et à la gynécologie et aux différentes spécialités développées à partir de ces deux pôles : médecine de la reproduction, médecine maternelle et fœtale, périnatalité, endocrinologie, chirurgie gynécologique, cancérologie pelvienne, sénologie, sexualité, psychosomatique…