Evidence map›Paper›PMID 38995879›Full record

ArticlePLOS digital health2024

Variable importance analysis with interpretable machine learning for fair risk prediction.

Yilin Ning, Siqi Li, Yih Yng Ng, Michael Yih Chong Chia, Han Nee Gan, Ling Tiah, Desmond Renhao Mao, Wei Ming Ng, Benjamin Sieu-Hon Leong, Nausheen Doctor and 2 more

Abstract read
In one paragraph

Article in PLOS digital health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

12 authors.

Yilin NingCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.
Siqi LiCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.ORCID https://orcid.org/0000-0002-1660-105X
Yih Yng NgDigital and Smart Health Office, Ng Teng Fong Centre for Healthcare Innovation, Singapore, Singapore.
Michael Yih Chong ChiaEmergency Department, Tan Tock Seng Hospital, Singapore, Singapore.
Han Nee GanAccident & Emergency, Changi General Hospital, Singapore, Singapore.
Ling TiahAccident & Emergency, Changi General Hospital, Singapore, Singapore.
Desmond Renhao MaoDepartment of Acute and Emergency Care, Khoo Teck Puat Hospital, Singapore, Singapore.
Wei Ming NgEmergency Medicine Department, Ng Teng Fong General Hospital, Singapore, Singapore.
Benjamin Sieu-Hon LeongEmergency Medicine Department, National University Hospital, Singapore, Singapore.
Nausheen DoctorDepartment of Emergency Medicine, Sengkang General Hospital, Singapore, Singapore.
Marcus Eng Hock OngProgramme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Nan LiuCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.ORCID https://orcid.org/0000-0003-3610-4883

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Machine learning (ML) methods are increasingly used to assess variable importance, but such black box models lack stability when limited in sample sizes, and do not formally indicate non-important factors. The Shapley variable importance cloud (ShapleyVIC) addresses these limitations by assessing variable importance from an ensemble of regression models, which enhances robustness while maintaining interpretability, and estimates uncertainty of overall importance to formally test its significance. In a clinical study, ShapleyVIC reasonably identified important variables when the random forest and XGBoost failed to, and generally reproduced the findings from smaller subsamples (n = 2500 and 500) when statistical power of the logistic regression became attenuated. Moreover, ShapleyVIC reasonably estimated non-significant importance of race to justify its exclusion from the final prediction model, as opposed to the race-dependent model from the conventional stepwise model building. Hence, ShapleyVIC is robust and interpretable for variable importance assessment, with potential contribution to fairer clinical risk prediction.

Identifiers

PMID38995879
PMCPMC11244764

What OpenQuestion holds

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LicenceCC BY
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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.