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Using Large Language Models for Chronic Disease Management Tasks: Scoping Review.

Henry Mukalazi Serugunda1, Ouyang Jianquan2, Hasifah Kasujja Namatovu3

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Summary
This summary is machine-generated.

Large language models (LLMs) show promise for chronic disease management, aiding patients and practitioners. Addressing challenges like accuracy and ethics is crucial for safe and equitable integration into healthcare.

Keywords:
GPTNLPartificial intelligence in health carechronic diseasesdisease managementgenerative pre-trained transformerlarge language modelsnatural language processing

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Area of Science:

  • Digital Health
  • Artificial Intelligence in Healthcare
  • Chronic Disease Management

Background:

  • Chronic diseases pose significant healthcare challenges, necessitating effective management strategies.
  • Digital technologies, including wearables and apps, are common, but large language models (LLMs) offer new potential.
  • The application and challenges of LLMs in chronic disease management require further exploration.

Purpose of the Study:

  • To conduct a scoping review of large language model (LLM) applications in chronic disease management.
  • To identify current uses, challenges, and propose recommendations for LLM integration.
  • To synthesize findings from recent primary studies on LLMs in this domain.

Main Methods:

  • Systematic search of PubMed, IEEE Xplore, Scopus, and Google Scholar (Jan 2023 - Jan 2025).
  • Inclusion of 29 primary studies meeting specific criteria.
  • Thematic analysis of extracted data following PRISMA-Scoping guidelines.

Main Results:

  • LLMs utilized for patient education, self-management, and emotional support (62%, 28%, 14%).
  • LLMs also supported practitioners in clinical decision-making and predictions (28%, 21%).
  • Key challenges include response accuracy (62%), data limitations (21%), usability (31%), and ethical/regulatory concerns (35%).

Conclusions:

  • LLMs demonstrate significant potential for improving chronic disease management for both patients and healthcare providers.
  • Addressing accuracy, data, usability, and ethical issues is vital for safe and equitable LLM deployment.
  • Future research should focus on integrating LLMs with existing technologies and developing robust evaluation frameworks.