Evidence map›Paper›PMID 40846793›Full record

ReviewNature reviews. Gastroenterology & hepatology2025

Large language models for clinical decision support in gastroenterology and hepatology.

Isabella Catharina Wiest, Mamatha Bhat, Jan Clusmann, Carolin V Schneider, Xiaofeng Jiang, Jakob Nikolas Kather

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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

6 authors.

Isabella Catharina WiestElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Mamatha BhatAjmera Transplant Centre, University Health Network, Toronto, Ontario, Canada.
Jan ClusmannElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.ORCID http://orcid.org/0000-0003-2925-8438
Carolin V SchneiderElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.ORCID http://orcid.org/0000-0002-6728-9246
Xiaofeng JiangDepartment of Thoracic Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China (UESTC), Chengdu, China.
Jakob Nikolas KatherElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany. kather.jn@tu-dresden.de.ORCID http://orcid.org/0000-0002-3730-5348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical decision making in gastroenterology and hepatology has become increasingly complex and challenging for physicians. This growing complexity can be addressed by computational tools that support clinical decisions. Although numerous clinical decision support systems (CDSS) have emerged, they have faced difficulties with real-world performance and generalizability, resulting in limited clinical adoption. Generative artificial intelligence (AI), particularly large language models (LLMs), are introducing new possibilities for CDSS by offering more flexible and adaptable support that better reflects complex clinical scenarios. LLMs can process unstructured text, including patient data and medical guidelines, and integrate various information sources with high accuracy, especially when augmented with retrieval-augmented generation. Thus, LLMs can provide dynamic, context-specific support by generating personalized treatment recommendations, identifying potential complications based on patient history, and enabling natural language interactions with health-care providers. However, important challenges persist, particularly regarding biases, hallucinations, interoperability barriers, and proper training of health-care providers. We examine the parallel evolution of the complexity in clinical management in gastroenterology and hepatology, and the technical developments leading to current generative AI models. We discuss how these advances are converging to create effective CDSS, providing a conceptual basis for further development and clinical adoption of these systems.

Indexed as

Clinical Decision-MakingDecision Support Systems, ClinicalGastroenterologyArtificial IntelligenceHumansLarge Language ModelsNatural Language Processing

Identifiers

What OpenQuestion holds

Textmetadata
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.