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Clinical modeling / 2024

FairCare: Adversarial training of a heterogeneous graph neural network with attention mechanism to learn fair representations of electronic health records

Adversarial heterogeneous graph attention for fair electronic-health-record representations.

Information Processing & Management · 61(3), 103682

Major author · confirmed by Richard

Second author; Yan Wang is first author

01 / Research question

Electronic-health-record representations should support useful predictions while addressing differences in fairness across groups.

02 / Innovation

Learn fair representations with heterogeneous graph attention and adversarial training.

03 / Mechanism

FairCare learns EHR representations with a heterogeneous graph neural network and attention. Adversarial training targets ethnicity-related fairness while retaining prognostic information. The reported framework jointly evaluates prognosis and group fairness.

Original Figure 1, published FairCare: the complete framework workflow.
Original Figure 1, published FairCare: the complete framework workflow. Figure source ↗ · Author-retained reuse rights; Elsevier copyright policy

04 / Experimental setup

MIMIC-III mortality and decompensation benchmarks, using the published preprocessing protocol. Prediction quality and ethnicity-related fairness are evaluated together.

Final article · 2024 · Abstract · Source ↗

05 / Results

The final abstract reports AUROC 0.9021 for mortality and 0.9217 for decompensation.

MIMIC-III AUROC (0–1) · final abstract · Final article · 2024 · Abstract · Data source ↗

Scale: 0 → 1

Mortality AUROC
0.9021
Decompensation AUROC
0.9217
MIMIC-III AUROC (0–1) · final abstract
ConditionMetric / seriesReported value
Mortality AUROCMIMIC-III AUROC (0–1) · final abstract0.9021
Decompensation AUROCMIMIC-III AUROC (0–1) · final abstract0.9217

Values refer to the stated version and experimental conditions; different metrics do not form a common ranking.

06 / Ablation & limitations

Fairness depends on the population, group definitions and metric; retrospective prediction does not establish prospective clinical benefit. Exact cohort sizes, split details or complete comparison tables not available in the source inspected here are not inferred.

These are reported research evaluations, not a claim of prospective clinical benefit or live clinical deployment.

07 / My contribution

Second author; conceptualization, data curation, formal analysis, methodology, software, validation, visualization and original drafting.

08 / Paper & code

Cite this research

FairCare: Adversarial training of a heterogeneous graph neural network with attention mechanism to learn fair representations of electronic health records. Information Processing & Management · 61(3), 103682, 2024. https://doi.org/10.1016/j.ipm.2024.103682