LLM-as-Interface, ML-as-Predictor for Pediatric Appendicitis
ClaMPAPP, a hybrid system, uses an LLM to extract structured clinical features from free-text notes and passes them to an XGBoost classifier for diagnosis. It outperformed end-to-end LLMs in both internal and external validation, with better stability and fewer missed appendicitis cases, demonstrating superior diagnostic performance and safety in pediatric triage.