Evidence map›Paper›PMID 40364850›Full record

ArticleFrontiers in digital health2025

Summarizing clinical evidence utilizing large language models for cancer treatments: a blinded comparative analysis.

Samuel Rubinstein, Aleenah Mohsin, Rahul Banerjee, Will Ma, Sanjay Mishra, Mary Kwok, Peter Yang, Jeremy L Warner, Andrew J Cowan

Abstract read
In one paragraph

Article in Frontiers in digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
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

9 authors.

Samuel Rubinstein *Division of Hematology, Department of Medicine, University of North Carolina, Chapel Hill, NC, United States.
Aleenah Mohsin *Brown University Health Cancer Institute, Rhode Island Hospital, Providence, RI, United States.
Rahul BanerjeeDivision of Hematology-Oncology, University of Washington, Seattle, WA, United States.
Will MaHope AI, Inc, Princeton, NJ, United States.
Sanjay MishraBrown University Health Cancer Institute, Rhode Island Hospital, Providence, RI, United States.
Mary KwokDivision of Hematology-Oncology, University of Washington, Seattle, WA, United States.
Peter YangDepartment of Medicine, Massachusetts General Hospital, Boston, MA, United States.
Jeremy L WarnerBrown University Health Cancer Institute, Rhode Island Hospital, Providence, RI, United States.
Andrew J CowanDivision of Hematology-Oncology, University of Washington, Seattle, WA, United States.

Funding

Enhancing the HemOnc Knowledgebase of Chemotherapy Drugs and RegimensU24CA265879 · NCI · RHODE ISLAND HOSPITAL · PI Jeremy L Warner · 2022 to 2026
$3.4M
NCI NIH HHS U24 CA265879
6 · The paper itself

Abstract

Background: Concise synopses of clinical evidence support treatment decision-making but are time-consuming to curate. Large language models (LLMs) offer potential but they may provide inaccurate information. We objectively assessed the abilities of four commercially available LLMs to generate synopses for six treatment regimens in multiple myeloma and amyloid light chain (AL) amyloidosis. Methods: We compared the performance of four LLMs: Claude 3.5, ChatGPT 4.0; Gemini 1.0 and Llama-3.1. Each LLM was prompted to write synopses for six regimens. Two hematologists independently assessed accuracy, completeness, relevance, clarity, coherence, and hallucinations using Likert scales. Mean scores with 95% confidence intervals (CI) were calculated across all domains and inter-rater reliability was evaluated using Cohen's quadratic weighted kappa. Results: Claude demonstrated the highest performance in all domains, outperforming the other LLMs in accuracy: mean Likert score 3.92 (95% CI 3.54-4.29); ChatGPT 3.25 (2.76-3.74); Gemini 3.17 (2.54-3.80); Llama 1.92 (1.41-2.43);completeness: mean Likert score 4.00 (3.66-4.34); GPT 2.58 (2.02-3.15); Gemini 2.58 (2.02-3.15); Llama 1.67 (1.39-1.95); and extentofhallucinations: mean Likert score 4.00 (4.00-4.00); ChatGPT 2.75 (2.06-3.44); Gemini 3.25 (2.65-3.85); Llama 1.92 (1.26-2.57). Llama performed considerably poorer across all the studied domains. ChatGPT and Gemini had intermediate performance. Notably, none of the LLMs registered perfect accuracy, completeness, or relevance. Conclusion: Claude performed at a consistently higher level than other LLMs, all tested LLMs required careful editing from a domain expert to become usable. More time will be needed to determine the suitability of LLMsto independently generate clinical synopses.

Indexed as

cancer treatment synopsesclinical evidence summarizationcomparative analysislarge language modelsmultiple myeloma

Identifiers

PMID40364850
PMCPMC12069342

What OpenQuestion holds

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Registered trials

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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.