Evidence map›Paper›PMID 36060496›Full record

ArticleEthics and information technology2022

Enabling Fairness in Healthcare Through Machine Learning.

Thomas Grote, Geoff Keeling

Abstract read
In one paragraph

Article in Ethics and information technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Using Under-Represented Subgroup Fine Tuning to Improve Fairness for Disease Prediction.Biomedical engineering systems and technologies, international joint conference, BIOSTEC ... revised selected papers. BIOSTEC (Conference) · 2025
    Article
  7. Machine Learning Operations in Health Care: A Scoping Review.Mayo Clinic proceedings. Digital health · 2024
    Review
  8. Algor-ethics: charting the ethical path for AI in critical care.Journal of clinical monitoring and computing · 2024
    Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Thomas GroteEthics and Philosophy Lab; Cluster of Excellence: Machine Learning: New Perspectives for Science, University of Tübingen, Maria von Linden Str. 6, D-72076 Tübingen, Germany.ORCID 0000-0002-9832-6046
Geoff KeelingInstitute for Human-Centered AI and McCoy Family Center for Ethics in Society, Stanford University, 450 Serra Mall, 94305 Stanford, CA USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of machine learning systems for decision-support in healthcare may exacerbate health inequalities. However, recent work suggests that algorithms trained on sufficiently diverse datasets could in principle combat health inequalities. One concern about these algorithms is that their performance for patients in traditionally disadvantaged groups exceeds their performance for patients in traditionally advantaged groups. This renders the algorithmic decisions unfair relative to the standard fairness metrics in machine learning. In this paper, we defend the permissible use of affirmative algorithms; that is, algorithms trained on diverse datasets that perform better for traditionally disadvantaged groups. Whilst such algorithmic decisions may be unfair, the fairness of algorithmic decisions is not the appropriate locus of moral evaluation. What matters is the fairness of final decisions, such as diagnoses, resulting from collaboration between clinicians and algorithms. We argue that affirmative algorithms can permissibly be deployed provided the resultant final decisions are fair.

Indexed as

BiasDecision-makingFairnessHealthcareMachine learning

Identifiers

PMID36060496
PMCPMC9428374

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.