利用部分数据源进行临床结果预测的对比学习

Meng Xia, Jonathan Wilson, Benjamin Goldstein, Ricardo Henao
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引用次数: 0

摘要

由于深度架构、表征学习的进步以及大型电子病历数据集的日益普及,使用机器学习模型从(纵向)电子病历数据中预测临床结果正变得越来越流行。现有模型通常假设在训练和推理阶段都能访问相同的数据源。然而,现实世界中的临床数据集来自不同的数据源(具有不同的协变量集),虽然可以用于训练(在研究或回顾性设置中),但更现实的是,在部署时,只有部分数据(这些数据集的子集)可用于推理,因此这一假设常常受到挑战。受此启发,我们推出了利用部分数据源进行临床结果预测的对比学习(CLOPPS),该方法可训练编码器捕捉不同数据源的信息,然后利用编码器构建限制访问单一数据源的分类器。这种方法可用于现有的横截面或纵向结果分类模型。我们在两个真实世界数据集上进行了实验,证明 CLOPPS 在多个实际场景中的表现始终优于强大的基线。
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Contrastive Learning for Clinical Outcome Prediction with Partial Data Sources.

The use of machine learning models to predict clinical outcomes from (longitudinal) electronic health record (EHR) data is becoming increasingly popular due to advances in deep architectures, representation learning, and the growing availability of large EHR datasets. Existing models generally assume access to the same data sources during both training and inference stages. However, this assumption is often challenged by the fact that real-world clinical datasets originate from various data sources (with distinct sets of covariates), which though can be available for training (in a research or retrospective setting), are more realistically only partially available (a subset of such sets) for inference when deployed. So motivated, we introduce Contrastive Learning for clinical Outcome Prediction with Partial data Sources (CLOPPS), that trains encoders to capture information across different data sources and then leverages them to build classifiers restricting access to a single data source. This approach can be used with existing cross-sectional or longitudinal outcome classification models. We present experiments on two real-world datasets demonstrating that CLOPPS consistently outperforms strong baselines in several practical scenarios.

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Contrastive Learning for Clinical Outcome Prediction with Partial Data Sources. Multi-Source Conformal Inference Under Distribution Shift. DISCRET: Synthesizing Faithful Explanations For Treatment Effect Estimation. Kernel Debiased Plug-in Estimation: Simultaneous, Automated Debiasing without Influence Functions for Many Target Parameters. Adapt and Diffuse: Sample-Adaptive Reconstruction Via Latent Diffusion Models.
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