论文标题
(UN)术后并发症预测模型的公平性
(Un)fairness in Post-operative Complication Prediction Models
论文作者
论文摘要
随着目前关于公平性,机器学习模型的解释性和透明度的持续辩论,必须仔细检查它们在高影响力临床决策系统中的应用。我们考虑了手术前风险估计的现实生活例子,并研究了多种算法的偏见或不公平的可能性。我们的方法创建了潜在偏见的透明文档,以便用户可以仔细应用模型。我们使用基于决策树的临床医生指南来增强模型卡类似分析,以确定模型的可预测缺点。除了作为用户指南的指导外,我们还建议它可以指导算法开发和信息学团队专注于可以解决这些缺点的数据源和结构。
With the current ongoing debate about fairness, explainability and transparency of machine learning models, their application in high-impact clinical decision-making systems must be scrutinized. We consider a real-life example of risk estimation before surgery and investigate the potential for bias or unfairness of a variety of algorithms. Our approach creates transparent documentation of potential bias so that the users can apply the model carefully. We augment a model-card like analysis using propensity scores with a decision-tree based guide for clinicians that would identify predictable shortcomings of the model. In addition to functioning as a guide for users, we propose that it can guide the algorithm development and informatics team to focus on data sources and structures that can address these shortcomings.