Evidence map›Paper›PMID 39536966›Full record

ReviewValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research2025

Generative Artificial Intelligence for Health Technology Assessment: Opportunities, Challenges, and Policy Considerations: An ISPOR Working Group Report.

Rachael L Fleurence, Jiang Bian, Xiaoyan Wang, Hua Xu, Dalia Dawoud, Mitchell Higashi, Jagpreet Chhatwal, ISPOR Working Group on Generative AI

Abstract readReview
In one paragraph

Review in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Artificial intelligence in rehabilitation: a living systematic mapping review - first release.European journal of physical and rehabilitation medicine · 2025
    Pooled it
  4. Review
  5. Reporting the use of AI in horizon scanning: a brief communication on methodological standards.International journal of technology assessment in health care · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Competencies for health technology assessment professionals: a scoping review and content analysis.International journal of technology assessment in health care · 2026
    Article
  10. Article
  11. Beyond efficiency: reimagining health technology assessment in the age of artificial intelligence.International journal of technology assessment in health care · 2026
    Article
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rachael L FleurenceOffice of the Director, National Institutes of Health, National Institute of Biomedical Imaging and Bioengineering, Bethesda, MD, USA. Electronic address: rachael.fleurence@nih.gov.
Jiang BianHealth Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA; Biomedical Informatics, Clinical and Translational Science Institute, University of Florida, Gainesville, FL, USA; Office of Data Science and Research Implementation, University of Florida Health, Gainesville, FL, USA.
Xiaoyan WangTulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA; Intelligent Medical Objects, Rosemont, IL, USA.
Hua XuDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, CT, USA.
Dalia DawoudNational Institute for Health and Care Excellence, London, England, UK; Faculty of Pharmacy, Cairo University, Cairo, Egypt.
Mitchell HigashiISPOR-The Professional Society for Health Economics and Outcomes Research, Lawrenceville, NJ, USA.
Jagpreet ChhatwalInstitute for Technology Assessment, Massachusetts General Hospital, Harvard Medical School, Center for Health Decision Science, Harvard University, Boston, MA, USA.
ISPOR Working Group on Generative AI

Funding

Intramural NIH HHS Z99 OD999999
6 · The paper itself

Abstract

objectivesTo provide an introduction to the uses of generative artificial intelligence (AI) and foundation models, including large language models, in the field of health technology assessment (HTA).

methodsWe reviewed applications of generative AI in 3 areas: systematic literature reviews, real-world evidence, and health economic modeling.

results(1) Literature reviews: generative AI has the potential to assist in automating aspects of systematic literature reviews by proposing search terms, screening abstracts, extracting data, and generating code for meta-analyses; (2) real-world evidence: generative AI can facilitate automating processes and analyze large collections of real-world data, including unstructured clinical notes and imaging; (3) health economic modeling: generative AI can aid in the development of health economic models, from conceptualization to validation. Limitations in the use of foundation models and large language models include challenges surrounding their scientific rigor and reliability, the potential for bias, implications for equity, as well as nontrivial concerns regarding adherence to regulatory and ethical standards, particularly in terms of data privacy and security. Additionally, we survey the current policy landscape and provide suggestions for HTA agencies on responsibly integrating generative AI into their workflows, emphasizing the importance of human oversight and the fast-evolving nature of these tools.

conclusionsAlthough generative AI technology holds promise with respect to HTA applications, it is still undergoing rapid developments and improvements. Continued careful evaluation of their applications to HTA is required. Both developers and users of research incorporating these tools, should familiarize themselves with their current capabilities and limitations.

Indexed as

Artificial IntelligenceHealth PolicyTechnology Assessment, BiomedicalGenerative Artificial IntelligenceHumansModels, Economicartificial intelligenceeconomic modeling methodsgenerative AIlarge language modelsreal world evidencesystematic reviews

Identifiers

PMID39536966
PMCPMC11786987

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.