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title abstract openreview layout series publisher issn id month tex_title cycles bibtex_author author date address container-title volume genre issued pdf extras
FairEHR-CLP: Towards Fairness-Aware Clinical Predictions with Contrastive Learning in Multimodal Electronic Health Records
In the high-stakes realm of healthcare, ensuring fairness in predictive models is crucial. Electronic Health Records (EHRs) have become integral to medical decision-making, yet existing methods for enhancing model fairness restrict themselves to unimodal data and fail to address the multifaceted social biases intertwined with demographic factors in EHRs. To mitigate these biases, we present $\textit{FairEHR-CLP}$: a general framework for $\textbf{Fair}$ness-aware Clinical $\textbf{P}$redictions with $\textbf{C}$ontrastive $\textbf{L}$earning in $\textbf{EHR}$s. FairEHR-CLP operates through a two-stage process, utilizing patient demographics, longitudinal data, and clinical notes. First, synthetic counterparts are generated for each patient, allowing for diverse demographic identities while preserving essential health information. Second, fairness-aware predictions employ contrastive learning to align patient representations across sensitive attributes, jointly optimized with an MLP classifier with a softmax layer for clinical classification tasks. Acknowledging the unique challenges in EHRs, such as varying group sizes and class imbalance, we introduce a novel fairness metric to effectively measure error rate disparities across subgroups. Extensive experiments on three diverse EHR datasets on three tasks demonstrate the effectiveness of FairEHR-CLP in terms of fairness and utility compared with competitive baselines. FairEHR-CLP represents an advancement towards ensuring both accuracy and equity in predictive healthcare models.
DpRiqEgzEM
inproceedings
Proceedings of Machine Learning Research
PMLR
2640-3498
wang24a
0
Fair{EHR}-{CLP}: Towards Fairness-Aware Clinical Predictions with Contrastive Learning in Multimodal Electronic Health Records
false
Wang, Yuqing and Pillai, Malvika and Zhao, Yun and Curtin, Catherine M and Hernandez-Boussard, Tina
given family
Yuqing
Wang
given family
Malvika
Pillai
given family
Yun
Zhao
given family
Catherine M
Curtin
given family
Tina
Hernandez-Boussard
2024-11-25
Proceedings of the 9th Machine Learning for Healthcare Conference
252
inproceedings
date-parts
2024
11
25