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Updated: Sep 13, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
Published on: June 13, 2025
Use of Artificial Intelligence-Based Platforms to Support Searches in Evidence Synthesis Studies: A Study of the
Bernardo Sousa-Pinto1,2, Antonio Bognanni3,4, Paweł Jemioło5,6
1MEDCIDS - Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal.
Objective:
To demonstrate an evaluation of the use of artificial intelligence (AI) in supporting tasks in evidence synthesis (particularly search for primary studies) in the allergy or respirology fields.
Methods:
We queried three AI-based platforms specialised on identifying scientific publications using several strategies (i.e., prompting strategies and search approaches) in November 2024 to identify primary studies related to health-related case studies in the allergy or respirology field. We compared how many eligible primary studies we identified using AI-based platforms versus in a systematic search in multiple electronic bibliographic databases. We also compared meta-analytical results obtained with the primary studies identified by querying AI-based platforms versus in the context of a systematic review. Finally, we developed a structured methodological framework and a reporting checklist for using these AI-based platforms.
Results:
In our main case study, a systematic review of randomised controlled trials (RCTs) informing the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines, a strategy involving searching multiple AI-based platforms identified 85.7% of all full articles with DOI, but failed to identify unpublished trials registered in trial databases, resulting in an overall identification of 56.3% eligible RCTs. Meta-analytical estimates were similar when considering only the primary studies identified using AI-based strategies versus those identified by the systematic review. We observed a lower performance in the case study of systematic reviews of observational studies.
Conclusions:
We provide an example on how it is possible to evaluate AI-based platforms in the support of evidence synthesis, with a focus on the allergy and respirology fields.
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