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Atomic Fact-Checking Increases Clinician Trust in Large Language Model Recommendations for Oncology Decision Support: A Randomized Controlled Trial

2026-05-05 · Lisa C. Adams, Linus Marx, Erik Thiele Orberg, Keno Bressem, Sebastian Ziegelmayer, Denise Bernhardt, Markus Graf, Marcus R. Makowski, Stephanie E. Combs, Florian Matthes, Jan C. Peeken arxiv

Question: Does atomic fact-checking, which decomposes AI treatment recommendations into individually verifiable claims linked to source guideline documents, increase clinician trust compared to traditional explainability approaches? Findings: In this randomized trial of 356 clinicians generating 7,476 trust ratings, atomic fact-checking produced a large effect on trust (Cohen's d = 0.94), increasing the proportion of clinicians expressing trust from 26.9% to 66.5%. Traditional transparency mechanisms showed a dose-response gradient of improvement over baseline (d = 0.25 to 0.50). Meaning: Decomposing AI recommendations into individually verifiable claims linked to source guidelines produces substantially higher clinician trust than traditional explainability approaches in high-stakes clinical decisions.

📄 PDF Abstract BibTeX arXiv:2605.03916

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