LLM assisted writing deserves empirical evaluation

LLM-assisted writing is often treated as a detection problem, as it raises questions about clarity, integrity, equity, and evaluation. An analysis of 69,209 Health Informatics papers links it to more focused presentation, broader citation practices, and more globally distributed authorship. These patterns do not prove better science, but they support evaluating manuscripts by scholarly quality and accountability rather than by tool use.

Most biomedical publications show signs of LLM-assisted writing

Over the past several years, LLM-powered chatbots and agents have become widely used as a tool for academic writing. LLM-assisted writing can be valuable by removing language barriers but at the same time causes concerns about misconduct and fraud. To inform policy decisions, it is necessary to monitor the prevalence of LLM-altered texts in scholarly publications. Despite some recent progress in this direction, no existing method can produce reliable estimates. Here we suggest and validate a new unbiased approach to estimate LLM usage in a corpus of texts based on changing word frequencies. We apply our method to the full texts of open-access biomedical papers from Pubmed Central, and show that by the end of 2025, 89% of papers show excess of LLM-associated vocabulary. We also find that LLMs are twice as likely to be used when writing a paragraph in the Discussion section (68%) compared to a paragraph in the Methods section (32%), but even inside the Methods section, the overall prevalence of LLM usage is over 50%. We believe that our estimates are crucial to shape future guidelines and policies.

Linguistic Monoculture in LLM-Assisted Language Use

Writing and communication are increasingly mediated by large language models (LLMs) that are being used to draft, revise and polish text. Although such assistance can improve clarity and help authors meet institutional expectations, widespread reliance on shared models may reduce population-level variation in linguistic form, a phenomenon we refer to as linguistic monoculture. We develop a mathematical framework in which authors and LLMs are represented as distributions over linguistic features and coevolve through repeated interaction. We analyze three interaction mechanisms: a shared model with a fixed linguistic distribution, a shared model recursively updated from author outputs, and personalized models updated through author-specific and population-level feedback. We characterize the resulting equilibria and convergence rates, showing that, shared models can drive authors toward a common norm, recursive feedback relocates the shared norm without altering pairwise spread under common conformity, and personalization can preserve a family of distinct author-model equilibria with nonzero linguistic diversity. We then endogenize conformity as a strategic choice trading off private benefits from clarity, legibility, and perceived fluency against distinctive style. Within this utility model, individually rational authors may conform more than is socially optimal because they do not internalize the value their distinctiveness provides to others, creating a negative externality and a price of monoculture that is finite for each fixed instance but can grow without bound when distinctiveness dominates authenticity. Synthetic simulations illustrate how fixed shared assistance, recursive feedback, and personalization produce different long-run diversity outcomes.