@inproceedings{arias-russi-etal-2025-multi,
    title = "A Multi-Agent Framework with Diagnostic Feedback for Iterative Plain Language Summary Generation from Cochrane Medical Abstracts",
    author = "Arias Russi, Felipe  and
      Salazar Lara, Carolina  and
      Manrique, Ruben",
    editor = "Shardlow, Matthew  and
      Alva-Manchego, Fernando  and
      North, Kai  and
      Stodden, Regina  and
      Saggion, Horacio  and
      Khallaf, Nouran  and
      Hayakawa, Akio",
    booktitle = "Proceedings of the Fourth Workshop on Text Simplification, Accessibility and Readability (TSAR 2025)",
    month = nov,
    year = "2025",
    address = "Suzhou, China",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/ingest-emnlp/2025.tsar-1.6/",
    pages = "87--104",
    ISBN = "979-8-89176-176-6",
    abstract = "Plain Language Summaries PLS improve health literacy and enable informed healthcare decisions but writing them requires domain expertise and is time-consuming. Automated methods often prioritize efficiency over comprehension and medical documents unique simplification requirements challenge generic solutions. We present a multi-agent system for generating PLS using Cochrane PLS as proof of concept. The system uses specialized agents for information extraction writing diagnosis and evaluation integrating a medical glossary and statistical analyzer to guide revisions. We evaluated three architectural configurations on 100 Cochrane abstracts using six LLMs both proprietary and open-source. Results reveal model-dependent trade-offs between factuality and readability with the multi-agent approach showing improvements for smaller models and providing operational advantages in control and interpretability."
}