Cited by 77Artificial Intelligence in Healthcare and EducationEthics in Clinical ResearchAI and HR Technologies

Artificial Intelligence for Optimizing Recruitment and Retention in Clinical Trials: A Scoping Review

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Lu, Xiaoran, Yang, Chen, Liang, Lu, Hu, Guanyu, Zhong, Ziyi, Jiang, Zihao·2024·Journal of the American Medical Informatics Association

Abstract

OBJECTIVE: The objective of our research is to conduct a comprehensive review that aims to systematically map, describe, and summarize the current utilization of artificial intelligence (AI) in the recruitment and retention of participants in clinical trials. MATERIALS AND METHODS: A comprehensive electronic search was conducted using the search strategy developed by the authors. The search encompassed research published in English, without any time limitations, which utilizes AI in the recruitment process of clinical trials. Data extraction was performed using a data charting table, which included publication details, study design, and specific outcomes/results. RESULTS: The search yielded 5731 articles, of which 51 were included. All the studies were designed specifically for optimizing recruitment in clinical trials and were published between 2004 and 2023. Oncology was the most covered clinical area. Applying AI to recruitment in clinical trials has demonstrated several positive outcomes, such as increasing efficiency, cost savings, improving recruitment, accuracy, patient satisfaction, and creating user-friendly interfaces. It also raises various technical and ethical issues, such as limited quantity and quality of sample size, privacy, data security, transparency, discrimination, and selection bias. DISCUSSION AND CONCLUSION: While AI holds promise for optimizing recruitment in clinical trials, its effectiveness requires further validation. Future research should focus on using valid and standardized outcome measures, methodologically improving the rigor of the research carried out.

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  • AI systems for clinical trial operations can parse biomarker requirements, prior therapies, and performance status from EHRs, identify potentially eligible patients, and flag candidates for screening.

    “Systems parse biomarker requirements, prior therapies, and performance status from EHRs, identify potentially eligible patients, and flag candidates for screening [56,57,58,59,60,61,62].”

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  1. [7]Miao ZQ, Zhang QH, Qian YH, et al From human intelligence to its implementation model-granular computing theory and method. J Intell Syst. 2016; 11: 743- 757.

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Authors
Lu, X., Yang, C., Liang, L., Hu, G., Zhong, Z., & Jiang, Z.
Affiliations
  • University of Liverpool (GB)
  • Department of Philosophy, School of Humanities, Central South University , Changsha, Hunan 410075,
  • Central South University (CN)
  • Queen Mary University of London (GB)
  • Shenzhen Polytechnic University (CN)
Corresponding author
Jiang, Zihao
Venue
Journal of the American Medical Informatics Association
Published
2024-09-11
Volume
31
Issue
11
Pages
2749-2759
ISSN
  • 1067-5027 (ISSN-L)
  • 1527-974X
OpenAlex
W4402499684
Cited by
77
References
82
Citations by year
2026: 47 · 2025: 29 · 2024: 1
FWCI
1.76
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Medical Informatics Association (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Funders
Central South University Graduate Independent Innovation (2022ZZTS0333)
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › AI and HR Technologies
Keywords
artificial intelligence, clinical trial recruitment, participant retention, clinical trials, cancer clinical trials, ethical issues of AI, data privacy, algorithmic discrimination, selection bias, patient satisfaction
MeSH terms
Artificial Intelligence, Clinical Trials as Topic, Humans, Patient Selection

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