Evidence map›Paper›PMID 40188094›Full record

ArticleNature communications2025

Benchmarking large language models for biomedical natural language processing applications and recommendations.

Qingyu Chen, Yan Hu, Xueqing Peng, Qianqian Xie, Qiao Jin, Aidan Gilson, Maxwell B Singer, Xuguang Ai, Po-Ting Lai, Zhizheng Wang and 11 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing 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

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

  1. Pooled it
  2. Article
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  11. Searching the druggable genome using large language models.Bioinformatics (Oxford, England) · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Causal graph neural networks for healthcare.Nature biomedical engineering · 2026
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Qingyu ChenDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-6036-1516
Yan HuMcWilliams School of Biomedical Informatics, University of Texas Health Science at Houston, Houston, TX, USA.
Xueqing PengDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Qianqian XieDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-9588-7454
Qiao JinNational Library of Medicine, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-1268-7239
Aidan GilsonDepartment of Ophthalmology and Visual Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Maxwell B SingerDepartment of Ophthalmology and Visual Science, Yale School of Medicine, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-9583-3846
Xuguang AiDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Po-Ting LaiNational Library of Medicine, National Institutes of Health, Bethesda, MD, USA.
Zhizheng WangNational Library of Medicine, National Institutes of Health, Bethesda, MD, USA.
Vipina K KelothDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Kalpana RajaDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Jimin HuangDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Huan HeDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Fongci LinDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Jingcheng DuMcWilliams School of Biomedical Informatics, University of Texas Health Science at Houston, Houston, TX, USA.ORCID http://orcid.org/0000-0002-0322-4566
Rui ZhangDivision of Computational Health Sciences, Department of Surgery, Medical School, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-8258-3585
W Jim ZhengMcWilliams School of Biomedical Informatics, University of Texas Health Science at Houston, Houston, TX, USA.ORCID http://orcid.org/0000-0001-7411-6047
Ron A AdelmanDepartment of Ophthalmology and Visual Science, Yale School of Medicine, Yale University, New Haven, CT, USA.
Zhiyong Lu *National Library of Medicine, National Institutes of Health, Bethesda, MD, USA. zhiyong.lu@nih.gov.ORCID http://orcid.org/0000-0001-9998-916X
Hua Xu *Department of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, USA. hua.xu@yale.edu.

Funding

Finding Combinatorial Drug Repositioning Therapy For Alzheimer'S Disease And Related DementiasR01AG066749 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI JIANG, XIAOQIAN, ZHENG, WENJIN JIM · 2020 to 2024
$4.4M
Detecting synergistic effects of pharmacological and non-pharmacological interventions for AD/ADRDR01AG078154 · NIA · UNIVERSITY OF MINNESOTA · PI HUA XU, RUI ZHANG · 2022 to 2026
$4.2M
A Translational Informatics Framework to Mine Efficacy and Safety of Dietary SupplementsR01AT009457 · NCCIH · UNIVERSITY OF MINNESOTA · PI RUI ZHANG · 2017 to 2026
$4.1M
Addressing Factual Inaccuracy and Unfaithful Reasoning of Large Language Models in Biomedicine and HealthcareR01LM014604 · NLM · YALE UNIVERSITY · PI Qingyu Chen · 2024 to 2026
$1.1M
Natural language processing and medical imaging analysis for multi-modality computer assisted diagnosis of ophthalmic diseasesR00LM014024 · NLM · YALE UNIVERSITY · PI Qingyu Chen · 2024 to 2026
$747k
NCCIH NIH HHS R01 AT009457NIA NIH HHS R01 AG066749NIA NIH HHS R01 AG078154NLM NIH HHS R00 LM014024NLM NIH HHS R01 LM014604U.S. Department of Health & Human Services | NIH | U.S. National Library of Medicine (NLM) 1K99LM01402
6 · The paper itself

Abstract

The rapid growth of biomedical literature poses challenges for manual knowledge curation and synthesis. Biomedical Natural Language Processing (BioNLP) automates the process. While Large Language Models (LLMs) have shown promise in general domains, their effectiveness in BioNLP tasks remains unclear due to limited benchmarks and practical guidelines. We perform a systematic evaluation of four LLMs-GPT and LLaMA representatives-on 12 BioNLP benchmarks across six applications. We compare their zero-shot, few-shot, and fine-tuning performance with the traditional fine-tuning of BERT or BART models. We examine inconsistencies, missing information, hallucinations, and perform cost analysis. Here, we show that traditional fine-tuning outperforms zero- or few-shot LLMs in most tasks. However, closed-source LLMs like GPT-4 excel in reasoning-related tasks such as medical question answering. Open-source LLMs still require fine-tuning to close performance gaps. We find issues like missing information and hallucinations in LLM outputs. These results offer practical insights for applying LLMs in BioNLP.

Indexed as

BenchmarkingNatural Language ProcessingHumansLarge Language Models

Identifiers

PMID40188094
PMCPMC11972378

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.