Evidence map›Paper›PMID 40348936›Full record

ArticleNPJ digital medicine2025

Synthetic data distillation enables the extraction of clinical information at scale.

Elizabeth Geena Woo, Michael C Burkhart, Emily Alsentzer, Brett K Beaulieu-Jones

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. 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

4 authors.

Elizabeth Geena Woo *Department of Medicine, Biological Sciences Division, University of Chicago, Chicago, IL, USA.
Michael C Burkhart *Department of Medicine, Biological Sciences Division, University of Chicago, Chicago, IL, USA.
Emily AlsentzerDepartment of Biomedical Data Science, Stanford University, Palo Alto, CA, USA.
Brett K Beaulieu-JonesDepartment of Medicine, Biological Sciences Division, University of Chicago, Chicago, IL, USA. beaulieujones@uchicago.edu.

Funding

Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
Medical Scientist National Research Service AwardT32GM150375 · NIGMS · UNIVERSITY OF CHICAGO · PI Raghavendra G Mirmira · 2023 to 2026
$5.5M
Characterizing Population Differences between Clinical Trial and Real World PopulationsR00NS114850 · NINDS · UNIVERSITY OF CHICAGO · PI BEAULIEU-JONES, BRETT K · 2023 to 2025
$740k
NCATS NIH HHS UL1 TR000430NIGMS NIH HHS T32 GM150375NINDS NIH HHS R00 NS114850NINDS NIH HHS R00NS114850
6 · The paper itself

Abstract

Large-language models (LLMs) show promise for clinical note information extraction, but deployment challenges include high computational costs and privacy concerns. We used synthetic data distillation to fine-tune smaller, open-source LLMs to achieve performance comparable to larger models while enabling local hardware deployment or reduced cloud costs. Using Llama-3.1-70B-Instruct, we generated synthetic question-answer training pairs to fine-tune smaller Llama models. We evaluated performance across three tasks: synthetic clinical trial criteria, the i2b2 2018 Clinical Trial Eligibility Challenge, and apixaban trial criteria questions. The 8B-parameter model achieved high accuracy across all tasks and sometimes outperformed the 70B-Instruct teacher model. Fine-tuning with only the most challenging questions still improved performance, demonstrating the value of targeted training. Results from 3B- and 1B-parameter models showed a clear size-performance tradeoff. This work demonstrates synthetic data distillation's potential for enabling scalable clinical information extraction.

Identifiers

PMID40348936
PMCPMC12065832

What OpenQuestion holds

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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.