Evidence map›Paper›PMID 37844677›Full record

ArticleJournal of biomedical informatics2023

Considerations for using predictive models that include race as an input variable: The case study of lung cancer screening.

Elizabeth R Stevens, Tanner Caverly, Jorie M Butler, Polina Kukhareva, Safiya Richardson, Devin M Mann, Kensaku Kawamoto

Open access · greenAbstract read
In one paragraph

Article in Journal of biomedical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 14% of its field
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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. AMPREDICT Mobility-4: A Novel Four Category Mobility Outcome Prediction Model for Patients Undergoing Vascular Amputation.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2025
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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

7 authors at 4 institutions in 1 country.

Elizabeth R StevensDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, United States. Electronic address: elizabeth.stevens@nyulangone.org.
Tanner CaverlyUniversity of Michigan Medical School, Ann Arbor, MI, United States.
Jorie M ButlerDepartment of Biomedical Informatics, University of Utah Health, Salt Lake City, UT, United States.
Polina KukharevaDepartment of Biomedical Informatics, University of Utah Health, Salt Lake City, UT, United States.
Safiya RichardsonDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
Devin M MannDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, United States; Medical Center Information Technology, NYU Langone Health, New York, NY, United States.
Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah Health, Salt Lake City, UT, United States.
University of Utah · USNew York University · USNYU Langone Health · USUniversity of Michigan · US

Funding

Engaging patients to enable interoperable lung cancer decision support at scaleR18HS028791 · AHRQ · UNIVERSITY OF UTAH · PI KAWAMOTO, KENSAKU · 2022 to 2024
$3.0M
Advancing the Development of Collaborative Research Networks to Enhance Aging Research ValueK01AG075169 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Elizabeth Reid Stevens · 2022 to 2026
$639k
AHRQ HHS R18 HS028791NIA NIH HHS K01 AG075169
6 · The paper itself

Abstract

Indiscriminate use of predictive models incorporating race can reinforce biases present in source data and lead to an exacerbation of health disparities. In some countries, such as the United States, there is therefore a push to remove race from prediction models; however, there are still many prediction models that use race as an input. Biomedical informaticists who are given the responsibility of using these predictive models in healthcare environments are likely to be faced with questions like how to deal with race covariates in these models. Thus, there is a need for a pragmatic framework to help model users think through how to include race in their chosen model so as to avoid inadvertently exacerbating disparities. In this paper, we use the case study of lung cancer screening to propose a simple framework to guide how model users can approach the use (or non-use) of race inputs in the predictive models they are tasked with leveraging in electronic health records and clinical workflows.

Indexed as

Early Detection of CancerLung NeoplasmsElectronic Health RecordsHumansUnited StatesDecision frameworkHealth disparitiesPrediction modelsRace

Identifiers

PMID37844677
PMCPMC11221602
OpenAlexW4387637894

What OpenQuestion holds

Textmetadata
LicenceTDM
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.