Evaluation of a rule-based method for epidemiological document classification towards the automation of systematic reviews
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Introduction Most data extraction efforts in epidemiology are focused on obtaining targeted information from clinical trials. In contrast, limited research has been conducted on the identification of information from observational studies, a major source for human evidence in many fields, including environmental health. The recognition of key epidemiological information (e.g., exposures) through text mining techniques can assist in the automation of systematic reviews and other evidence summaries. Method We designed and applied a knowledge-driven, rule-based approach to identify targeted information (study design, participant population, exposure, outcome, confounding factors, and the country where the study was conducted) from abstracts of epidemiological studies included in several systematic reviews of environmental health exposures. The rules were based on common syntactical patterns observed in text and are thus not specific to any systematic review. To validate the general applicability of our approach, we compared the data extracted using our approach versus hand curation for 35 epidemiological study abstracts manually selected for inclusion in two systematic reviews. Results The returned F-score, precision, and recall ranged from 70% to 98%, 81% to 100%, and 54% to 97%, respectively. The highest precision was observed for exposure, outcome and population (100%) while recall was best for exposure and study design with 97% and 89%, respectively. The lowest recall was observed for the population (54%), which also had the lowest F-score (70%). Conclusion The generated performance of our text-mining approach demonstrated encouraging results for the identification of targeted information from observational epidemiological study abstracts related to environmental exposures. We have demonstrated that rules based on generic syntactic patterns in one corpus can be applied to other observational study design by simple interchanging the dictionaries aiming to identify certain characteristics (i.e., outcomes, exposures). At the document level, the recognised information can assist in the selection and categorization of studies included in a systematic review.
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The 'Other' category includes some more detailed drug annotations or information such as confounders and other entity types.
“The ‘Other’ category includes some more detailed drug annotations 65 or information such as confounders 49 and other entity types (see the full dataset in Underlying data for more information 127 ).”
From Data extraction methods for systematic review (semi)automation: a living systematic review (2021) · cites this paper as [49]
Scores might not be similar between different datasets, especially for rule-based classifiers, when datasets are small, when structure and distribution of class of interest varies, or when annotation guidelines vary.
“Therefore, scores might not be similar between different datasets, especially for rule-based classifiers, 80 when datasets are small, 35 , 49 when structure and distribution of class of interest varies, 40 or when the annotation guidelines vary. 85”
From Data extraction methods for systematic review (semi)automation: a living systematic review (2021) · cites this paper as [49]
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Data extraction methods for systematic review (semi)automation: a living systematic review
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Self-citationData extraction methods for systematic review (semi)automation: Update of a living systematic review
Schmidt, L., Finnerty Mutlu, A. N., Elmore, R., Olorisade, B. K., Thomas, J., & Higgins, J. P. T. (2025) · F1000Research · doi:10.12688/f1000research.51117.3 · Cited by 27 · see citing works
- Authors
- Karystianis, G., Thayer, K., Wolfe, M., & Tsafnat, G.
- Affiliations
- Macquarie University (AU)
- National Institute of Environmental Health Sciences (US)
- Corresponding author
- Karystianis, George
- Venue
- Journal of Biomedical Informatics
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 70
- Pages
- 27-34
- ISSN
- 1532-0464 (ISSN-L)
- OpenAlex
- W2609740230
- Cited by
- 31
- References
- 5
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 10 · 2023: 4 · 2022: 3 · 2021: 3 · 2019: 4 · 2018: 2
- FWCI
- 0.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Biomedical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Health Informatics › Biomedical Text Mining and Ontologies
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Physical Sciences › Computer Science › Artificial Intelligence › Advanced Text Analysis Techniques
- Keywords
- document classification, data extraction, systematic reviews, observational studies, outcome identification, syntactic patterns
- MeSH terms
- Automation, Review Literature as Topic, Data Mining
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