Evidence map›Paper›PMID 40316710›Full record

ArticleNPJ digital medicine2025

Leveraging long context in retrieval augmented language models for medical question answering.

Gongbo Zhang, Zihan Xu, Qiao Jin, Fangyi Chen, Yilu Fang, Yi Liu, Justin F Rousseau, Ziyang Xu, Zhiyong Lu, Chunhua Weng and 1 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Improving Retrieval-Augmented Generation without Taxonomy-based Error Categorization.Proceedings of the conference. Association for Computational Linguistics. Meeting · 2026
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  9. FaithfulnessFindings of ACL. ACL · 2026
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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

11 authors.

Gongbo ZhangDepartment of Biomedical Informatics, Columbia University, New York, NY, USA.
Zihan XuDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Qiao JinDivision of Intramural Research, National Library of Medicine, National Institutes of Health, Bethesda, MD, USA.
Fangyi ChenDepartment of Biomedical Informatics, Columbia University, New York, NY, USA.
Yilu FangDepartment of Biomedical Informatics, Columbia University, New York, NY, USA.
Yi LiuDivision of Endocrinology, Department of Medicine, Diabetes and Metabolism, Weill Cornell Medical College, New York, NY, USA.
Justin F RousseauDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Ziyang XuDepartment of Dermatology, NYU Grossman School of Medicine, New York, NY, USA.
Zhiyong LuDivision of Intramural Research, National Library of Medicine, National Institutes of Health, Bethesda, MD, USA.
Chunhua WengDepartment of Biomedical Informatics, Columbia University, New York, NY, USA. cw2384@cumc.columbia.edu.
Yifan PengDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA. yip4002@med.cornell.edu.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Bridging the Semantic Gap Between Research Eligibility Criteria and Clinical DataR01LM009886 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WENG, CHUNHUA · 2009 to 2020
$5.3M
ClinEX - Clinical Evidence Extraction, Representation, and AppraisalR01LM014344 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Yong Chen, Yifan Peng · 2023 to 2026
$2.7M
Extraction and summarization of evidence-based medicineR01LM014573 · NLM · WEILL MEDICAL COLL OF CORNELL UNIV · PI Yifan Peng, CHUNHUA WENG · 2024 to 2026
$1.1M
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NLM NIH HHS R01 LM009886NLM NIH HHS R01 LM014344NLM NIH HHS R01 LM014573U.S. National Center for Advancing Clinical and Translational Science UL1TR001873U.S. National Center for Advancing Clinical and Translational Science UL1TR002384U.S. National Library of Medicine NIH Intramural Research ProgramU.S. National Library of Medicine R01LM009886U.S. National Library of Medicine R01LM014344
6 · The paper itself

Abstract

While holding great promise for improving and facilitating healthcare through applications of medical literature summarization, large language models (LLMs) struggle to produce up-to-date responses on evolving topics due to outdated knowledge or hallucination. Retrieval-augmented generation (RAG) is a pivotal innovation that improves the accuracy and relevance of LLM responses by integrating LLMs with a search engine and external sources of knowledge. However, the quality of RAG responses can be largely impacted by the rank and density of key information in the retrieval results, such as the "lost-in-the-middle" problem. In this work, we aim to improve the robustness and reliability of the RAG workflow in the medical domain. Specifically, we propose a map-reduce strategy, BriefContext, to combat the "lost-in-the-middle" issue without modifying the model weights. We demonstrated the advantage of the workflow with various LLM backbones and on multiple QA datasets. This method promises to improve the safety and reliability of LLMs deployed in healthcare domains by reducing the risk of misinformation, ensuring critical clinical content is retained in generated responses, and enabling more trustworthy use of LLMs in critical tasks such as medical question answering, clinical decision support, and patient-facing applications.

Identifiers

PMID40316710
PMCPMC12048518

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.