Evidence map›Paper›PMID 40399509›Full record

ArticleScientific reports2025

Large language model evaluation in autoimmune disease clinical questions comparing ChatGPT 4o, Claude 3.5 Sonnet and Gemini 1.5 pro.

Juntao Ma, Jie Yu, Anran Xie, Taihong Huang, Wenjing Liu, Mengyin Ma, Yue Tao, Fuyu Zang, Qisi Zheng, Wenbo Zhu and 3 more

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 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. Capacity of Understanding the Future Approaches in Cancer Treatment by Multiple Models of Artificial Intelligence.Journal of cancer education : the official journal of the American Association for Cancer Education · 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

13 authors.

Juntao Ma *Department of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Jie Yu *Department of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Anran Xie *Department of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Taihong HuangDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Wenjing LiuDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Mengyin MaDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Yue TaoDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Fuyu ZangDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Qisi ZhengDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Wenbo ZhuDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Yuxin Chen *Department of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China. yuxin.chen@nju.edu.cn.
Mingzhe Ning *Department of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China. ningmz@njglyy.com.
Yijia Zhu *Department of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China. zyj900626@outlook.com.

Funding

Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University 2021-LCYJ-PY-10National Key Research and Development Program of China 2023YFC2309100National Natural Science Foundation of China 92269118,92269205,92369117Project of Chinese Hospital Reform and Development Institute, Nanjing University, Aid project of Nanjing Drum Tower Hospital Health, Education &Research Foundation NDYG2022003Scientific Research Project of Jiangsu Health Commission M2022013
6 · The paper itself

Abstract

Large language models (LLMs) have established a presence in providing medical services to patients and supporting clinical practice for doctors. To explore the ability of LLMs in answering clinical questions related to autoimmune diseases, this study was designed with 65 questions related to autoimmune diseases, covering five domains: concepts, report interpretation, diagnosis, prevention and treatment, and prognosis. Types of diseases include Sjögren's syndrome, systemic lupus erythematosus, rheumatoid arthritis, systemic sclerosis, and others. These questions were answered by three LLMs: ChatGPT 4o, Claude 3.5 Sonnet, and Gemini 1.5 Pro. The responses were then evaluated by 8 clinicians based on criteria including relevance, completeness, accuracy, safety, readability, and simplicity. We analyzed the scores of the three LLMs across five domains and six dimensions and compared their accuracy in answering the report interpretation section with that of two senior doctors and two junior doctors. The results showed that the performance of the three LLMs in the evaluation of autoimmune diseases significantly surpassed that of both junior and senior doctors. Notably, Claude 3.5 Sonnet excelled in providing comprehensive and accurate responses to clinical questions on autoimmune diseases, demonstrating the great potential of LLMs in assisting doctors with the diagnosis, treatment, and management of autoimmune diseases.

Indexed as

Autoimmune DiseasesGenerative Artificial IntelligenceHumansLarge Language ModelsSjogren's SyndromeSurveys and QuestionnairesAutoimmune diseasesLarge Language modelsPerformance evaluation

Identifiers

PMID40399509
PMCPMC12095533

What OpenQuestion holds

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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.