Understanding LLMs in Title-Abstract Screening: From Disagreements to Recommendations
Authors: Mika Mäntylä, Patricia Matsubara, Katia Romero Felizardo, Miikka Kuutila, Marco Gerosa, Savio de Sousa Sampaio, Tayana Conte, Igor Steinmacher
Organizations: University of Helsinki, Finland · UFMS, Brazil · UTFPR – Federal University of Technology - Paraná, Brazil · LUT University, Finland · Northern Arizona University, United States · UFAM, Brazil
Abstract
Several studies have examined the use of large language models (LLMs) for title-abstract screening in systematic reviews (SRs), reporting mixed accuracy. However, questions of reliability remain largely unaddressed. In this study, we go beyond quantitative LLM-human agreement metrics and qualitatively investigate how and why LLMs fail. We also propose actionable recommendations. We analyzed disagreements between LLMs and researchers across six software engineering SRs and over 1,000 primary study papers. For each SR, papers were screened independently by human experts and LLMs in zero-shot mode, resulting in Kappa values ranging from 0.52 to 0.77. Qualitative analysis suggests that human-LLM disagreement results from recurring, identifiable causes, such as boundary ambiguity in key terms, keyword overemphasization, and incorrect topic inference. Based on these findings, we propose recommendations such as validating semantic understanding before deployment, running multiple LLMs, and focusing validation efforts on borderline cases. Future studies are needed to validate the impact of our recommendations, and community efforts are needed to develop normative guidelines on LLM usage in SRs.
Context: Study screening in systematic literature reviews is costly, inconsistency-prone, and risk-asymmetric, since false negatives can compromise validity. Despite rapid uptake of Large Language Models (LLMs), there is limited evidence on how such models behave during the study screening phase, particularly regarding the choice of specific LLMs and their comparison with classical models. Objective: To assess LLM performance and variability in screening, quantify the impact of input metadata (abstract, title, keywords), and compare LLMs with classical classifiers under a shared protocol. Methods: We analyzed 12 LLMs from 4 providers (OpenAI, Google Gemini, Anthropic, Llama) and 4 classical models (Logistic Regression, Support Vector Classification, Random Forest, and Naive Bayes) on 2 real Systematic Literature Reviews (SLRs), totaling 518 papers. The experimental design investigated 3 critical dimensions: (i) LLMs performance variability, (ii) the impact of input feature composition (abstract, title, and keywords) on LLM performance, and (iii) the real gain of using LLMs instead of more traditional classification models. Results: LLMs exhibited substantial heterogeneity and residual non-determinism even at temperature zero. Abstract availability was decisive: removing it consistently degraded performance, while adding title and/or keywords to the abstract yielded no robust gains. Compared to classical models, performance differences were not consistent enough to support generalizable LLM superiority. Discussion: LLM adoption should be justified by operational and governance constraints (reproducibility, cost, metadata availability), supported by pilot validation and explicit reporting of variability and input configuration.
Large language models (LLMs) and AI-enabled software increasingly participate in systematic-review decisions, yet the information needed to audit these workflows is reported inconsistently. We analyze SciLitBench, a corpus of 888 review-automation papers with 14,726 annotations, to characterize changes in methods, review-stage use, evaluation and reported limitations. Automation has shifted toward LLM- and software-facing workflows, including stages that can alter the evidence base. Since 2023, 38.0% of software/product papers reported no evaluation, compared with 9.3% of LLM papers. Reporting coverage increased with LLM workflow complexity, yet 52% of positive-only LLM evaluations still reported an unmet reliability or performance requirement. From these patterns, we introduce PRISMA-LLM, an empirically grounded framework separating implementation disclosure from consequence-sensitive evaluation and limitation reporting.
Large language models (LLMs) are increasingly used in academic peer review, yet their reliability, alignment with human judgment, and robustness to adversarial attacks remain poorly understood. We present a systematic benchmark of LLM-as-a-Reviewer on 898 papers stratified from NeurIPS and ICLR, evaluating 12 LLMs along three axes: rating calibration, divergence from human reviewers, and resistance to prompt injection embedded via an invisible font-mapping attack. We find that LLMs systematically overrate weaker submissions and diverge from humans in topical emphasis, under-flagging Clarity and over-flagging Reproducibility, while producing reviews two to three times longer with lower lexical diversity and a more standardized vocabulary. Prompt injection remains highly effective. Simple hidden instructions can promote low-scoring papers to acceptance-level ratings in a substantial fraction of cases, with effectiveness varying sharply across model families. While LLMs offer utility in structuring evaluations, their integration into peer review requires safeguards against both intrinsic biases and adversarial risks.