@inproceedings{aghaebe-etal-2025-llms,
    title = "{LLM}s Do Not See Age: Assessing Demographic Bias in Automated Systematic Review Synthesis",
    author = "Aghaebe, Favour Y.  and
      Williams, Elizabeth A  and
      Apekey, Tanefa  and
      Moosavi, Nafise Sadat",
    editor = "Inui, Kentaro  and
      Sakti, Sakriani  and
      Wang, Haofen  and
      Wong, Derek F.  and
      Bhattacharyya, Pushpak  and
      Banerjee, Biplab  and
      Ekbal, Asif  and
      Chakraborty, Tanmoy  and
      Singh, Dhirendra Pratap",
    booktitle = "Proceedings of the 14th International Joint Conference on Natural Language Processing and the 4th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics",
    month = dec,
    year = "2025",
    address = "Mumbai, India",
    publisher = "The Asian Federation of Natural Language Processing and The Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/ingest-ijcnlp-aacl/2025.ijcnlp-long.98/",
    pages = "1815--1833",
    ISBN = "979-8-89176-298-5",
    abstract = "Clinical interventions often hinge on age: medications and procedures safe for adults may be harmful to children or ineffective for older adults. However, as language models are increasingly integrated into biomedical evidence synthesis workflows, it remains uncertain whether these systems preserve such crucial demographic distinctions. To address this gap, we evaluate how well state-of-the-art language models retain age-related information when generating abstractive summaries of biomedical studies.We construct DemogSummary, a novel age-stratified dataset of systematic review primary studies, covering child, adult, and older adult populations. We evaluate three prominent summarisation-capable LLMs, Qwen (open-source), Longformer (open-source) and GPT-4.1 Nano (proprietary), using both standard metrics and a newly proposed Demographic Salience Score (DSS), which quantifies age-related entity retention and hallucination.Our results reveal systematic disparities across models and age groups: demographic fidelity is lowest for adult-focused summaries, and underrepresented populations are more prone to hallucinations. These findings highlight the limitations of current LLMs in faithful and bias-free summarisation and point to the need for fairness-aware evaluation frameworks and summarisation pipelines in biomedical NLP."
}