Can Contemporary Large Language Models Provide the Domain Knowledge Needed for Causal Inference? Evaluating Automated Causal Graph Discovery Through an ASCVD Case Study

While the findings suggest that LLMs have a baseline capacity to generate DAGs that adhere to basic epidemiological conventions, we also found several limitations including lack of justification, systematic omission of race, and frequent source hallucination, highlighting the need for human oversight and expertise. We conclude that contemporary LLMs cannot replace a domain expert's judgment but may serve as a brainstorming or pre-analysis tool for DAG development when guided by well-engineered prompts.

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Publication Details

Journal
Clinical Epidemiology
Published
2025-10-01
DOI
https://doi.org/10.2147/clep.s550565
Primary Topic
Topic Modeling
Type
article
Field-Weighted Citation Impact
0.00

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article

Can Contemporary Large Language Models Provide the Domain Knowledge Needed for Causal Inference? Evaluating Automated Causal Graph Discovery Through an ASCVD Case Study

Maryam Aziz, M. Alan Brookhart
Clinical Epidemiology
Topic Modeling
article

Can Contemporary Large Language Models Provide the Domain Knowledge Needed for Causal Inference? Evaluating Automated Causal Graph Discovery Through an ASCVD Case Study

Maryam Aziz, M. Alan Brookhart
article en

Abstract

While the findings suggest that LLMs have a baseline capacity to generate DAGs that adhere to basic epidemiological conventions, we also found several limitations including lack of justification, systematic omission of race, and frequent source hallucination, highlighting the need for human oversight and expertise. We conclude that contemporary LLMs cannot replace a domain expert's judgment but may serve as a brainstorming or pre-analysis tool for DAG development when guided by well-engineered prompts.

Clinical EpidemiologyVol. Volume 17
Duke University (US)
International Society for Pharmacoepidemiology
Openalex Percentile: Top 83%
Topic Modeling
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