A Guideline-Concordant Chatbot Framework for Structured Colorectal Cancer Screening: Multistage Feasibility Study - Scorecard - MDSpire

A Structured Chatbot Framework for Colorectal Cancer Screening Aligned with Guidelines: A Multistage Feasibility Assessment

  • By

  • Futao Wu

  • Xue Li

  • Yingyi Zeng

  • Yan Tang

  • Zhenhua Xiao

  • Siqi Yang

  • Kangcheng Wu

  • Side Liu

  • Aimin Li

  • July 16, 2026

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Clinical Scorecard: A Structured Chatbot Framework for Colorectal Cancer Screening Aligned with Guidelines: A Multistage Feasibility Assessment

At a Glance

CategoryDetail
ConditionColorectal Cancer Screening
Key MechanismsUtilization of large language models (LLMs) for patient education and guideline dissemination.
Target PopulationIndividuals eligible for colorectal cancer screening.
Care SettingClinical settings implementing colorectal cancer screening programs.

Key Highlights

  • Colorectal cancer is the third most common cancer globally.
  • Screening can significantly reduce CRC incidence and mortality.
  • Real-world adherence to CRC screening is between 13% and 55%.
  • LLMs are increasingly used in healthcare for patient education.
  • Evidence supporting LLMs in CRC screening is limited.

Guideline-Based Recommendations

Diagnosis

  • Screening for colorectal cancer should follow established guidelines.

Management

  • Utilize structured workflows for risk assessment and screening recommendations.

Monitoring & Follow-up

  • Evaluate the performance of LLMs in generating guideline-concordant recommendations.

Risks

  • Inconsistencies between AI-generated recommendations and current screening guidelines.

Patient & Prescribing Data

Individuals at risk for colorectal cancer.

Awareness and education are critical for improving screening uptake.

Clinical Best Practices

  • Ensure alignment of LLM outputs with established screening guidelines.
  • Address psychological barriers to screening through education.

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