%0 Journal Article %@ 2291-9694 %I JMIR Publications %V 9 %N 9 %P e30401 %T Machine Learning Approaches to Retrieve High-Quality, Clinically Relevant Evidence From the Biomedical Literature: Systematic Review %A Abdelkader,Wael %A Navarro,Tamara %A Parrish,Rick %A Cotoi,Chris %A Germini,Federico %A Iorio,Alfonso %A Haynes,R Brian %A Lokker,Cynthia %+ Health Information Research Unit, Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main St W, CRL Building, First Floor, Hamilton, ON, L8S 4K1, Canada, 1 647 563 5732, Abdelkaw@mcmaster.ca %K machine learning %K bioinformatics %K information retrieval %K evidence-based medicine %K literature databases %K systematic review %K accuracy %K medical literature %K clinical support %K clinical care %D 2021 %7 9.9.2021 %9 Review %J JMIR Med Inform %G English %X Background: The rapid growth of the biomedical literature makes identifying strong evidence a time-consuming task. Applying machine learning to the process could be a viable solution that limits effort while maintaining accuracy. Objective: The goal of the research was to summarize the nature and comparative performance of machine learning approaches that have been applied to retrieve high-quality evidence for clinical consideration from the biomedical literature. Methods: We conducted a systematic review of studies that applied machine learning techniques to identify high-quality clinical articles in the biomedical literature. Multiple databases were searched to July 2020. Extracted data focused on the applied machine learning model, steps in the development of the models, and model performance. Results: From 3918 retrieved studies, 10 met our inclusion criteria. All followed a supervised machine learning approach and applied, from a limited range of options, a high-quality standard for the training of their model. The results show that machine learning can achieve a sensitivity of 95% while maintaining a high precision of 86%. Conclusions: Machine learning approaches perform well in retrieving high-quality clinical studies. Performance may improve by applying more sophisticated approaches such as active learning and unsupervised machine learning approaches. %M 34499041 %R 10.2196/30401 %U https://medinform.jmir.org/2021/9/e30401 %U https://doi.org/10.2196/30401 %U http://www.ncbi.nlm.nih.gov/pubmed/34499041