Learning Phenotypic Associations for Parkinson's Disease with Longitudinal Clinical Records.

Parkinson's disease (PD) is associated with multiple clinical motor and non-motor manifestations. Understanding of PD etiologies has been informed by a growing number of genetic mutations and various fluid-based and brain imaging biomarkers. However, the mechanisms underlying its varied phenotypic features remain elusive.

Corticosteroids for infectious critical illness: A multicenter target trial emulation stratified by predicted organ dysfunction trajectory.

Corticosteroids decrease the duration of organ dysfunction in a range of infectious critical illnesses, but their risk and benefit are not fully defined using this construct. This retrospective multicenter study aimed to evaluate the association between usage of corticosteroids and mortality of patients with infectious critical illness by emulating a target trial framework. The study employed a novel stratification method with predictive machine learning (ML) subphenotyping based on organ dysfunction trajectory.

Learning across diverse biomedical data modalities and cohorts: Challenges and opportunities for innovation.

In healthcare, machine learning (ML) shows significant potential to augment patient care, improve population health, and streamline healthcare workflows. Realizing its full potential is, however, often hampered by concerns about data privacy, diversity in data sources, and suboptimal utilization of different data modalities. This review studies the utility of cross-cohort cross-category (C) integration in such contexts: the process of combining information from diverse datasets distributed across distinct, secure sites.

An adaptive federated learning framework for clinical risk prediction with electronic health records from multiple hospitals.

Clinical risk prediction with electronic health records (EHR) using machine learning has attracted lots of attentions in recent years, where one of the key challenges is how to protect data privacy. Federated learning (FL) provides a promising framework for building predictive models by leveraging the data from multiple institutions without sharing them. However, data distribution drift across different institutions greatly impacts the performance of FL.

Bipartite Ranking Fairness Through a Model Agnostic Ordering Adjustment.

Recently, with the applications of algorithms in various risky scenarios, algorithmic fairness has been a serious concern and received lots of interest in machine learning community. In this article, we focus on the bipartite ranking scenario, where the instances come from either the positive or negative class and the goal is to learn a ranking function that ranks positive instances higher than negative ones. We are interested in whether the learned ranking function can cause systematic disparity across different protected groups defined by sensitive attributes.

Generalizability of a Machine Learning Model for Improving Utilization of Parathyroid Hormone-Related Peptide Testing across Multiple Clinical Centers.

Background: Measuring parathyroid hormone-related peptide (PTHrP) helps diagnose the humoral hypercalcemia of malignancy, but is often ordered for patients with low pretest probability, resulting in poor test utilization. Manual review of results to identify inappropriate PTHrP orders is a cumbersome process.

Methods: Using a dataset of 1330 patients from a single institute, we developed a machine learning (ML) model to predict abnormal PTHrP results.

Data heterogeneity in federated learning with Electronic Health Records: Case studies of risk prediction for acute kidney injury and sepsis diseases in critical care.

With the wider availability of healthcare data such as Electronic Health Records (EHR), more and more data-driven based approaches have been proposed to improve the quality-of-care delivery. Predictive modeling, which aims at building computational models for predicting clinical risk, is a popular research topic in healthcare analytics. However, concerns about privacy of healthcare data may hinder the development of effective predictive models that are generalizable because this often requires rich diverse data from multiple clinical institutions.