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. 2025 May 23:10:100207.
doi: 10.1016/j.gloepi.2025.100207. eCollection 2025 Dec.

An AI assistant for critically assessing and synthesizing clusters of journal articles

Affiliations

An AI assistant for critically assessing and synthesizing clusters of journal articles

Louis Anthony Cox Jr. Glob Epidemiol. .

Abstract

Current large language models (LLMs) face significant challenges in attempting to synthesize and critically assess conflicting causal claims in scientific literature about exposure-associated health effects. This paper examines the design and performance of AIA2, an experimental AI system (freely available at http://cloud.cox-associates.com/) designed to help explore and illustrate potential applications of current AI in assisting analysis of clusters of related scientific articles, focusing on causal claims in complex domains such as epidemiology, toxicology, and risk analysis. Building on an earlier AI assistant, AIA1, which critically reviewed causal claims in individual papers, AIA2 advances the approach by systematically comparing multiple studies to identify areas of agreement and disagreement, suggest explanations for differences in conclusions, flag methodological gaps and inconsistencies, synthesize and summarize well-supported conclusions despite conflicts, and propose recommendations to help resolve knowledge gaps. We illustrate these capabilities with a case study of formaldehyde exposure and leukemia using a cluster of four papers that feature very different approaches and partly conflicting conclusions. AIA2 successfully identifies major points of agreement and contention, discusses the robustness of the evidence for causal claims, and recommends future research directions to address current uncertainties. AIA2's outputs suggest that current AI can offer a promising, practicable approach to AI-assisted review of clusters of papers, promoting methodological rigor, thoroughness, and transparency in review and synthesis, notwithstanding current limitations of LLMs. We discuss the implications of AI-assisted literature review systems for improving evidence-based decision-making, resolving conflicting scientific claims, and promoting rigor and reproducibility in causal research and health risk analysis.

Keywords: AI-assisted literature review; Causal inference; Formaldehyde; Health risk analysis; Leukemia; Systematic review.

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Conflict of interest statement

The author declares that he has no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
The AIA2 main screen allows a user to upload and select papers for analysis.

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References

    1. Cox L.A., Jr. An AI assistant to help review and improve causal reasoning in epidemiological documents. Glob Epidemiol. 2023 Dec 16;(7) doi: 10.1016/j.gloepi.2023.100130. PMID: 38188038; PMCID: PMC10767365. - DOI - PMC - PubMed
    1. Polit D.F. Blinding during the analysis of research data. Int J Nurs Stud. 2011 May;48(5):636–641. doi: 10.1016/j.ijnurstu.2011.02.010. [PMID: 21367415] - DOI - PubMed
    1. Perlmutter S., Campbell J., MacCoun R. Hachette Group; New York: 2024. Third millennium thinking: creating sense in a world of nonsense.
    1. Ganguly N., Fazlija D., Badar M., Fisichella M., Sikdar S., Schrader J., et al. arXiv [cs.AI] 2023 Feb 14. A review of the role of causality in developing trustworthy AI systems.https://arxiv.org/abs/2302.06975 2302.06975v1. Available from:
    1. Cox L.A., Jr. What constitutes valid evidence of causation? Gas stoves and childhood asthma revisited. Glob Epidemiol. 2024 Oct 21;(8) doi: 10.1016/j.gloepi.2024.100173. PMID: 39507816; PMCID: PMC11539242. - DOI - PMC - PubMed

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