Evidence map›Paper›PMID 40849361›Full record

ArticleNPJ digital medicine2025

CARE-AD: a multi-agent large language model framework for Alzheimer's disease prediction using longitudinal clinical notes.

Rumeng Li, Xun Wang, Dan Berlowitz, Jesse Mez, Honghuang Lin, Hong Yu

Registry-linked trialAbstract 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. It is linked to trial NCT07318701 (Multi-agent Large Language Models for Multidisciplinary Decision Support in Cervical Cancer During Pregnancy), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT07318701 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Multi-agent Large Language Models for Multidisciplinary Decision Support in Cervical Cancer During Pregnancy

TypeinterventionalSponsorObstetrics & Gynecology Hospital of Fudan UniversityRan2026 to 2026Enrolled150ConditionsCervical CancerArmsmulti-disciplinary agents group, real MDT group, junor doctor group, junor doctor group with aid of MDT agents
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. MediHive: A Decentralized Agent Collective for Medical Reasoning.Journal of healthcare informatics research · 2026
    Article
  5. Review
  6. Article
  7. A comprehensive survey of AI agents in healthcare.Journal of biomedical informatics · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
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.

Rumeng LiManning College of Information & Computer Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Xun WangMicrosoft Corporation, Redmond, WA, USA.
Dan BerlowitzCenter for Health Organization & Implementation Research, VA Bedford Health Care System, Bedford, MA, USA.
Jesse MezChobanian & Avedisian School of Medicine, Boston University, Boston, MA, USA.
Honghuang LinDepartment of Medicine, UMass Chan Medical School, Worcester, MA, USA.
Hong YuManning College of Information & Computer Sciences, University of Massachusetts Amherst, Amherst, MA, USA. hong_yu@uml.edu.

Funding

Social and behavioral determinants of health and Alzheimer’s Disease: Cohort study of the US military veteran populationR01AG080670 · NIA · UNIVERSITY OF MASSACHUSETTS LOWELL · PI HONG YU · 2023 to 2026
$4.5M
National Institute on Aging of the National Institutes of Health R01AG080670NIA NIH HHS R01 AG080670
6 · The paper itself

Abstract

Large language models (LLMs) have shown promising capabilities across diverse domains, yet their application to complex clinical prediction tasks remains limited. In this study, we present CARE-AD (Collaborative Analysis and Risk Evaluation for Alzheimer's Disease), a multi-agent LLM-based framework for forecasting Alzheimer's disease (AD) onset by analyzing longitudinal electronic health record (EHR) notes. CARE-AD assigns specialized LLM agents to extract signs and symptoms relevant to AD and conduct domain-specific evaluations-emulating a collaborative diagnostic process. In a retrospective evaluation, CARE-AD achieved higher accuracy (0.53 vs. 0.26-0.45) than baseline single-model approaches in predicting AD risk 10 years prior to the first recorded diagnosis code. These findings highlight the feasibility of using multi-agent LLM systems to support early risk assessment for AD and motivate further research on their integration into clinical decision support workflows.

Identifiers

PMID40849361
PMCPMC12375024

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Registered trials

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.