AI & Data Landmark-class

TRIPOD-LLM: First Reporting Guideline for Large Language Models in Healthcare Research

TRIPOD-LLM extends the established TRIPOD+AI reporting framework specifically for studies using large language models in biomedical applications, providing a 19-item, 50-subitem checklist covering transparency, human oversight, and task-specific performance reporting. Developed through an expedited Delphi process, the guideline introduces a modular format accommodating diverse LLM research designs and includes an interactive web tool for checklist completion. As a living document, it aims to standardise the rapidly expanding field of clinical LLM research.

The original study

The TRIPOD-LLM reporting guideline for studies using large language models.

Authors
Gallifant J, Afshar M, Ameen S, Aphinyanaphongs Y, Chen S, Cacciamani G, et al.
Journal
Nature medicine
Type
Journal Article, Review
PMID
39779929
Read the original study →

Original abstract

Large language models (LLMs) are rapidly being adopted in healthcare, necessitating standardized reporting guidelines. We present transparent reporting of a multivariable model for individual prognosis or diagnosis (TRIPOD)-LLM, an extension of the TRIPOD + artificial intelligence statement, addressing the unique challenges of LLMs in biomedical applications. TRIPOD-LLM provides a comprehensive checklist of 19 main items and 50 subitems, covering key aspects from title to discussion. The guidelines introduce a modular format accommodating various LLM research designs and tasks, with 14 main items and 32 subitems applicable across all categories. Developed through an expedited Delphi process and expert consensus, TRIPOD-LLM emphasizes transparency, human oversight and task-specific performance reporting. We also introduce an interactive website ( https://tripod-llm.vercel.app/ ) facilitating easy guideline completion and PDF generation for submission. As a living document, TRIPOD-LLM will evolve with the field, aiming to enhance the quality, reproducibility and clinical applicability of LLM research in healthcare through comprehensive reporting.