Evidence map›Paper›PMID 41604603›Full record

ArticleJCO clinical cancer informatics2026

Simulation-Based Evaluation of a Large Language Model-Enabled Clinical Decision Support Platform in Oncology.

Nesrine Lajmi, Mehul Patel, Gareth Obery, Archana Dorge, Ashish Sharma, Jack Halligan, Ernest Lo

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Nesrine LajmiRoche Information Solutions, Roche Diagnostics, Indianapolis, IN.ORCID 0009-0007-6575-5243
Mehul PatelInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0009-0009-6476-3924
Gareth OberyProva Health Ltd, London, United Kingdom.ORCID 0000-0002-7257-6864
Archana DorgeRoche Information Solutions, Roche Diagnostics, Santa Clara, CA.
Ashish SharmaRoche Information Solutions, Roche Diagnostics, Pune, Maharashtra, India.
Jack HalliganInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-8094-5420
Ernest LoRoche Information Solutions, Roche Diagnostics, Santa Clara, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA core clinical task is to synthesize fragmented patient data into a coherent summary to support decision making. However, electronic health record (EHR) inefficiencies burden clinicians and contribute to their cognitive overload and burnout. This study evaluated the impact of a large language model (LLM)-enabled clinical decision support (LLM-CDS) platform compared with a simulated EHR (SimEPR) on workflow efficiency and user experience in generating accurate clinical summaries during tumor board preparation and explored its applicability to consultation preparation, referrals, treatment planning, and patient communication.

methodsIn a remote, within-participant simulation, 26 oncologists from the United Kingdom, United States, Spain, and Singapore reviewed synthetic breast cancer cases and created comprehensive summaries for tumor board discussions using both LLM-CDS and SimEPR. LLM-CDS provided editable LLM-generated summaries; SimEPR required manual composition. Time to task completion was recorded. An independent reviewer assessed summary quality based on completeness, correctness, and conciseness. Participants also completed surveys on usability, cognitive load, and feature acceptability.

resultsLLM-CDS significantly reduced the summary completion time compared with SimEPR (6:55

conclusionThe LLM-CDS platform improved the efficiency and completeness of clinical summarization. Strong user acceptance and anticipated time savings underscore the potential for streamlining a range of oncology workflows.

Indexed as

Computer SimulationDecision Support Systems, ClinicalMedical OncologyElectronic Health RecordsFemaleHumansLarge Language ModelsWorkflow

Identifiers

PMID41604603
PMCPMC12863596

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.