arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2305.11348cs.LGcs.CLcs.CRcs.CY
收藏

以公平之名:评估临床记录去标识化中的偏差

In the Name of Fairness: Assessing the Bias in Clinical Record De-identification

Massachusetts Institute of Technology(麻省理工学院)

Yuxin Xiao, Shulammite Lim, Tom Joseph Pollard, Marzyeh Ghassemi

AI总结:

本研究通过大规模实证分析评估临床记录去标识化系统在姓名上的偏差,发现多数方法在不同人口维度上存在显著性能差距,并提出通过临床语境和多样化姓名微调来缓解偏差。

摘要:

数据共享对开放科学和可重复研究至关重要,但临床数据的合法共享要求从电子健康记录中移除受保护的健康信息。这一被称为去标识化的过程,通常通过许多商业和开源系统使用机器学习算法来实现。尽管这些系统平均而言显示出令人信服的结果,但它们在不同人口群体间的性能差异尚未得到彻底检验。在这项工作中,我们通过大规模实证分析,调查了临床笔记中去标识化系统在姓名上的偏差。为此,我们创建了16个姓名集,这些姓名集在四个维度上有所变化:性别、种族、姓名流行度以及流行度的年代。我们将这些姓名插入到100个手动策划的临床模板中,并评估了九种公共和私有去标识化方法的性能。我们的发现表明,在大多数方法中,大多数人口维度上存在统计学上显著的性能差距。我们进一步说明,去标识化质量受姓名的多义性、性别语境和临床笔记特征的影响。为了缓解所识别出的差距,我们提出了一种简单且与具体方法无关的解决方案,即通过临床语境和多样化姓名对去标识化方法进行微调。总体而言,必须立即解决现有方法中的偏差,以便下游利益相关者能够构建高质量系统,公平地服务于所有人口群体。

英文摘要:

Data sharing is crucial for open science and reproducible research, but the legal sharing of clinical data requires the removal of protected health information from electronic health records. This process, known as de-identification, is often achieved through the use of machine learning algorithms by many commercial and open-source systems. While these systems have shown compelling results on average, the variation in their performance across different demographic groups has not been thoroughly examined. In this work, we investigate the bias of de-identification systems on names in clinical notes via a large-scale empirical analysis. To achieve this, we create 16 name sets that vary along four demographic dimensions: gender, race, name popularity, and the decade of popularity. We insert these names into 100 manually curated clinical templates and evaluate the performance of nine public and private de-identification methods. Our findings reveal that there are statistically significant performance gaps along a majority of the demographic dimensions in most methods. We further illustrate that de-identification quality is affected by polysemy in names, gender context, and clinical note characteristics. To mitigate the identified gaps, we propose a simple and method-agnostic solution by fine-tuning de-identification methods with clinical context and diverse names. Overall, it is imperative to address the bias in existing methods immediately so that downstream stakeholders can build high-quality systems to serve all demographic parties fairly.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

↑