# Streamlining evidence based clinical recommendations with large language models

arXiv: https://arxiv.org/abs/2505.10282 · HTML: https://mlsanity.com/paper/2505.10282/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 16 of its 77 references that are in the map.
- First posted on arXiv 15 May 2025.

## Builds on (most cited first, 16 of 16)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Evaluating Large Language Models Trained on Code](https://mlsanity.com/paper/2107.03374/) (2021)
- [GPT-4o System Card](https://mlsanity.com/paper/2410.21276/) (2024)
- [Self-Refine: Iterative Refinement with Self-Feedback](https://mlsanity.com/paper/2303.17651/) (2023)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [The Rise and Potential of Large Language Model Based Agents: A Survey](https://mlsanity.com/paper/2309.07864/) (2023)
- [Towards General Text Embeddings with Multi-stage Contrastive Learning](https://mlsanity.com/paper/2308.03281/) (2023)
- [Capabilities of GPT-4 on Medical Challenge Problems](https://mlsanity.com/paper/2303.13375/) (2023)
- [Large Language Models in Finance: A Survey](https://mlsanity.com/paper/2311.10723/) (2023)
- [Medical Graph RAG: Towards Safe Medical Large Language Model via Graph Retrieval-Augmented Generation](https://mlsanity.com/paper/2408.04187/) (2024)
- [Reasoning-Enhanced Healthcare Predictions with Knowledge Graph Community Retrieval](https://mlsanity.com/paper/2410.04585/) (2024)
- [In-Context Principle Learning from Mistakes](https://mlsanity.com/paper/2402.05403/) (2024)
- [ConStat: Performance-Based Contamination Detection in Large Language Models](https://mlsanity.com/paper/2405.16281/) (2024)
- [Accelerating Clinical Evidence Synthesis with Large Language Models](https://mlsanity.com/paper/2406.17755/) (2024)
- [Large Language Models and User Trust: Consequence of Self-Referential Learning Loop and the Deskilling of Healthcare Professionals](https://mlsanity.com/paper/2403.14691/) (2024)

## Built on by (most cited first, 3 of 3)

- [MedBayes-Lite: A Clinical Uncertainty Governance Layer for Risk-Aware Medical Decision Support](https://mlsanity.com/paper/2511.16625/) (2025)
- [A Multi-Stage Validation Framework for Trustworthy Large-scale Clinical Information Extraction using Large Language Models](https://mlsanity.com/paper/2604.06028/) (2026)
- [Human-LLM Dialogue Improves Diagnostic Accuracy in Emergency Care](https://mlsanity.com/paper/2605.08533/) (2026)

## Abstract (arXiv)

Clinical evidence underpins informed healthcare decisions, yet integrating it into real-time practice remains challenging due to intensive workloads, complex procedures, and time constraints. This study presents Quicker, an LLM-powered system that automates evidence synthesis and generates clinical recommendations following standard guideline development workflows. Quicker delivers an end-to-end pipeline from clinical questions to recommendations and supports customized decision-making through integrated tools and interactive interfaces. To evaluate how closely Quicker can reproduce guideline development processes, we constructed Q2CRBench-3, a benchmark derived from guideline development records for three diseases. Experiments show that Quicker produces precise question decomposition, expert-aligned retrieval, and near-comprehensive screening. Quicker assistance improved the accuracy of extracted study data, and its recommendations were more comprehensive and coherent than clinician-written ones. In system-level testing, Quicker working with one participant reduced recommendation development to 20-40 min. Overall, the findings demonstrate Quicker's potential to enhance the speed and reliability of evidence-based clinical decision-making.
