Evidence map›Paper›PMID 37347721›Full record

ReviewPLOS digital health2023

Bias in artificial intelligence algorithms and recommendations for mitigation.

Lama H Nazer, Razan Zatarah, Shai Waldrip, Janny Xue Chen Ke, Mira Moukheiber, Ashish K Khanna, Rachel S Hicklen, Lama Moukheiber, Dana Moukheiber, Haobo Ma and 1 more

Abstract readReview
In one paragraph

Review in PLOS digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 186 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
186citing papers in PubMed, 7 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

186 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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126 more citing papers are in PubMed but not listed here.

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

11 authors.

Lama H NazerDepartment of Pharmacy, King Hussein Cancer Center, Amman, Jordan.ORCID https://orcid.org/0000-0002-7550-4751
Razan ZatarahDepartment of Pharmacy, King Hussein Cancer Center, Amman, Jordan.
Shai WaldripDepartment of Medicine, Morehouse School of Medicine, Atlanta, Georgia, United States of America.
Janny Xue Chen KeDepartment of Medicine, St. Paul's Hospital, University of British Columbia, Dalhousie University, Vancouver, British Columbia, Canada.
Mira MoukheiberMassachusetts Institute of Technology, Cambridge, Massachusetts, United States of America.
Ashish K KhannaDepartment of Anaesthesiology, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, United States of America.
Rachel S HicklenResearch Medical Library, University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America.
Lama MoukheiberMassachusetts Institute of Technology, Cambridge, Massachusetts, United States of America.
Dana MoukheiberMassachusetts Institute of Technology, Cambridge, Massachusetts, United States of America.
Haobo MaDepartment of Anaesthesia and Critical Care Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Piyush MathurDepartment of Anaesthesia and Critical Care Medicine, Cleveland Clinic, Cleveland, Ohio, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The adoption of artificial intelligence (AI) algorithms is rapidly increasing in healthcare. Such algorithms may be shaped by various factors such as social determinants of health that can influence health outcomes. While AI algorithms have been proposed as a tool to expand the reach of quality healthcare to underserved communities and improve health equity, recent literature has raised concerns about the propagation of biases and healthcare disparities through implementation of these algorithms. Thus, it is critical to understand the sources of bias inherent in AI-based algorithms. This review aims to highlight the potential sources of bias within each step of developing AI algorithms in healthcare, starting from framing the problem, data collection, preprocessing, development, and validation, as well as their full implementation. For each of these steps, we also discuss strategies to mitigate the bias and disparities. A checklist was developed with recommendations for reducing bias during the development and implementation stages. It is important for developers and users of AI-based algorithms to keep these important considerations in mind to advance health equity for all populations.

Identifiers

PMID37347721
PMCPMC10287014

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.