Evidence map›Paper›PMID 42893001›Full record

ArticleMayo Clinic proceedings. Digital health2026

Large Language Model-Generated Electronic Consultations: A Blinded Comparative Study of OpenEvidence and Gastroenterologist Electronic Consultations.

Christopher R Stephenson, Jithinraj Edakkanambeth Varayil, Bradley R Salonen, Elizabeth C Wight, Phil D Sang, Aditya K Ghosh, Dennis L Shung, Ivana T Croghan, Darrell R Schroeder, Ryan T Hurt

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Christopher R StephensonDivision of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Jithinraj Edakkanambeth VarayilDepartment of Family Medicine, Mayo Clinic, Rochester, MN.
Bradley R SalonenDivision of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Elizabeth C WightDivision of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Phil D SangDivision of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Aditya K GhoshDivision of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Dennis L ShungDivision of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN.
Ivana T CroghanDivision of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Darrell R SchroederDivision of Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
Ryan T HurtDivision of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate whether a context-specific large language model, OpenEvidence, can generate gastroenterology/hepatology eConsult responses for metabolic dysfunction-associated steatotic liver disease (MASLD), while characterizing the frequency and potential severity of errors. Patients and Methods: In this retrospective cohort study at a tertiary academic medical center, 125 specialist electronic consultations (eConsults) for MASLD (from January 2020 to December 2024) were paired with OpenEvidence-generated eConsults produced using OpenEvidence and standardized prompts. Five blinded physician reviewers evaluated all eConsults using a previously validated instrument. A board-certified gastroenterologist independently reviewed OpenEvidence-generated eConsults to identify errors and assess potential for harm. Results: OpenEvidence-generated eConsults received higher overall eConsult Specialist Quality of Response scores than specialist eConsults (mean difference, 6.4; 95% CI, 6.0-6.9; Conclusion: In this blind comparison of paired eConsults for MASLD, OpenEvidence-generated responses were rated higher in perceived quality and informational adequacy than specialist-authored responses, but occasionally clinically relevant errors occurred. These findings support further evaluation of OpenEvidence-assisted eConsult workflows for protocol-driven conditions.

Identifiers

PMID42893001
PMCPMC13676109

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.