Evidence map›Paper›PMID 41799487›Full record

ArticleFrontiers in public health2026

Decoupled quality and readability in skin cancer education from large language models.

Yanping Zhang, Lei Wang, Weiqiang Zhang, Weifeng Lan

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

4 authors.

Yanping ZhangDepartment of Plastic Surgery, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China.
Lei WangDepartment of Science and Education, Longyan First Hospital, Longyan, China.
Weiqiang ZhangDepartment of Plastic Surgery, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China.
Weifeng LanDepartment of Plastic Surgery, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Large language models (LLMs) are increasingly used by the public to obtain health information, yet the relationship between content quality and readability in LLM-generated patient education remains unclear. Methods: We benchmarked five LLMs (Doubao, DeepSeek, Wenxin Yiyan, Tongyi Qianwen, and GPT-5) using an identical set of 20 Mandarin Chinese skin-cancer FAQs (100 total outputs). Quality was assessed using c-PEMAT-P and the Global Quality Scale (GQS), and readability was assessed using seven indices (ARI, FRES, GFOG, FKGL, CL, SMOG, and LW). Group differences and correlations were evaluated with appropriate statistical tests. Results: Models showed comparable understandability/actionability (c-PEMAT-P), while overall quality (GQS) differed, with GPT-5 scoring highest. Readability varied substantially by both model and content category, and no single model performed best across all readability metrics. Correlation analyses indicated that quality and readability were largely decoupled. Discussion: High-quality outputs do not necessarily have high readability. Optimizing AI-generated skin-cancer education requires multi-faceted strategies that jointly consider model choice and content topic.

Indexed as

ComprehensionHealth LiteracyLarge Language ModelsPatient Education as TopicSkin NeoplasmsChinaHumansdigital public health communicationhealth information quality (C-PEMAT, GQS)large language models (LLMs)readability assessmentskin cancer education

Identifiers

PMID41799487
PMCPMC12962940

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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.