Abstract

Background

The importance of systematic reviews in collating and summarising available research output on a particular topic cannot be over-emphasized. However, initial screening of retrieved literature is significantly time and labour intensive. Attempts at automating parts of the systematic review process have been made with varying degree of success partly due to being domain-specific, requiring vendor-specific software or manually labelled training data.

Our primary objective was to develop statistical methodology for performing automated title and abstract screening for systematic reviews. Secondary objectives included (1) to retrospectively apply the automated screening methodology to previously manually screened systematic reviews and (2) to characterize the performance of the automated screening methodology scoring algorithm in a simulation study.

Methods

We implemented a Latent Dirichlet Allocation-based topic model to derive representative topics from the retrieved documents’ title and abstract. The second step involves defining a score threshold for classifying the documents as relevant for full-text review or not. The score is derived based on a set of search keywords (often the database retrieval search terms). Two systematic review studies were retrospectively used to illustrate the methodology.

Results

In one case study (helminth dataset),

$$69.83\%$$

69.83

%

sensitivity compared to manual title and abstract screening was achieved. This is against a false positive rate of

$$22.63\%$$

22.63

%

. For the second case study (Wilson disease dataset), a sensitivity of

$$54.02\%$$

54.02

%

and specificity of

$$67.03\%$$

67.03

%

were achieved.

Conclusions

Unsupervised title and abstract screening has the potential to reduce the workload involved in conducting systematic review. While sensitivity of the methodology on the tested data is low, approximately

$$70\%$$

70

%

specificity was achieved. Users ought to keep in mind that potentially low sensitivity might occur. One approach to mitigate this might be to incorporate additional targeted search keywords such as the indexing databases terms into the search term copora. Moreover, automated screening can be used as an additional screener to the manual screeners.