Faithful Summarisation under Disagreement via Belief-Level Aggregation

Opinion and multi-document summarisation often involve genuinely conflicting viewpoints, yet many existing approaches, particularly LLM-based systems, implicitly smooth disagreement and over-represent majority opinions. This limits the faithfulness of generated summaries in opinion-heavy settings. We introduce a disagreement-aware synthesis pipeline that separates belief-level aggregation from language generation. Documents are first represented as structured belief sets and aggregated using distance-based belief merging operators that explicitly model conflict. Large language models are then used only to realise the aggregated beliefs as natural language summaries. We evaluate the approach across multiple model families and scales, comparing it to methods that perform explicit aggregation during generation. Our results show that while sufficiently large models can match belief-level aggregation when aggregation is handled at generation time, this behaviour is not stable across architectures or capacities. In contrast, belief-level aggregation combined with simple prompting yields consistently strong disagreement-aware performance across models, while maintaining fluent and grounded summaries.

LLMs Do Not See Age: Assessing Demographic Bias in Automated Systematic Review Synthesis

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 under-represented 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.