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ACR: A Benchmark for Automatic Cohort Retrieval
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Identifying patient cohorts is fundamental to numerous healthcare tasks, including clinical trial recruitment and retrospective studies. Current cohort retrieval methods in healthcare organizations rely on automated queries of structured data combined with manual curation, which are time-consuming, labor-intensive, and often yield low-quality results. Recent advancements in large language models (LLMs) and information retrieval (IR) offer promising avenues to revolutionize these systems. Major challenges include managing extensive eligibility criteria and handling the longitudinal nature of unstructured Electronic Medical Records (EMRs) while ensuring that the solution remains cost-effective for real-world application. This paper introduces a new task, Automatic Cohort Retrieval (ACR), and evaluates the performance of LLMs and commercial, domain-specific neuro-symbolic approaches. We provide a benchmark task, a query dataset, an EMR dataset, and an evaluation framework. Our findings underscore the necessity for efficient, high-quality ACR systems capable of longitudinal reasoning across extensive patient databases.
Forward citations
Cited by 2 Pith papers
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The Knowledge-Reasoning Dissociation: Fundamental Limitations of LLMs in Clinical Natural Language Inference
Across four clinical inference tasks, six LLMs answer paired knowledge probes at 92% accuracy but the main reasoning tasks at 25%, indicating a systematic knowledge-reasoning gap.
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CliniQ: A Multi-faceted Benchmark for Electronic Health Record Retrieval with Semantic Match Assessment
CliniQ is a public EHR retrieval benchmark with 77,206 LLM-annotated relevance judgments, showing that BM25 is a strong baseline and that semantic matches drive dense-retriever gains.
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