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Appraising the Potential Uses and Harms of LLMs for Medical Systematic Reviews

2023/05/19 by Hye Sun Yun, Yun, Hye Sun, Iain Marshall +5 · 5 citations
Computer Science · Decision Sciences · Medicine · #Artificial Intelligence (cs.AI) #Artificial Intelligence in Healthcare and Education #Computation and Language (cs.CL) #FOS: Computer and information sciences #Human-Computer Interaction (cs.HC) #Meta-analysis and systematic reviews #Topic Modeling

paper · pdf · doi:10.48550/arxiv.2305.11828

openalex publication_date 2023/05/19 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

Medical systematic reviews play a vital role in healthcare decision making and policy. However, their production is time-consuming, limiting the availability of high-quality and up-to-date evidence summaries. Recent advancements in large language models (LLMs) offer the potential to automatically generate literature reviews on demand, addressing this issue. However, LLMs sometimes generate inaccurate (and potentially misleading) texts by hallucination or omission. In healthcare, this can make LLMs unusable at best and dangerous at worst. We conducted 16 interviews with international systematic review experts to characterize the perceived utility and risks of LLMs in the specific context of medical evidence reviews. Experts indicated that LLMs can assist in the writing process by drafting summaries, generating templates, distilling information, and crosschecking information. They also raised concerns regarding confidently composed but inaccurate LLM outputs and other potential downstream harms, including decreased accountability and proliferation of low-quality reviews. Informed by this qualitative analysis, we identify criteria for rigorous evaluation of biomedical LLMs aligned with domain expert views.

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