Evidence map›Paper›PMID 40726743›Full record

ArticleJournal of healthcare informatics research2025

Effective Non-IID Degree Estimation for Robust Federated Learning in Healthcare Datasets.

Kun-Yi Chen, Chi-Ren Shyu, Yuan-Yu Tsai, William I Baskett, Chi-Yu Chang, Che-Yi Chou, Jeffrey J P Tsai, Zon-Yin Shae

Abstract read
In one paragraph

Article in Journal of healthcare informatics research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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

8 authors.

Kun-Yi ChenInstitute for Data Science and Informatics, University of Missouri, Columbia, MO 65211 USA.
Chi-Ren ShyuInstitute for Data Science and Informatics, University of Missouri, Columbia, MO 65211 USA.
Yuan-Yu TsaiDepartment of Communications Engineering, Feng Chia University, Taichung, 407102 Taiwan.
William I BaskettInstitute for Data Science and Informatics, University of Missouri, Columbia, MO 65211 USA.
Chi-Yu ChangDepartment of Computer Science and Information Engineering, Asia University, Taichung, 413305 Taiwan.
Che-Yi ChouDivision of Nephrology, Asia University Hospital, Taichung, 413505 Taiwan.
Jeffrey J P TsaiDepartment of Bioinformatics and Medical Engineering, Asia University, Taichung, 413305 Taiwan.
Zon-Yin ShaeDepartment of Computer Science and Information Engineering, Asia University, Taichung, 413305 Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Building unbiased and robust machine learning models using datasets from multiple healthcare systems is critical for addressing the needs of diverse patient populations. However, variations in patient demographics and healthcare protocols across systems often lead to significant differences in data distributions. Not Independent and Not Identically Distributed (non-IID) data presents a major challenge in developing effective federated learning (FL) frameworks. This study proposes a method to estimate the non-IID degree between datasets and introduces three metrics (variability, separability, and computational time) to evaluate and compare the performance of non-IID degree estimation methods. We developed a novel non-IID FL algorithm that incorporates the proposed non-IID degree estimation index as regularization into existing FL algorithms for acute kidney injury risk (AKI) prediction. Our results demonstrate that the proposed method for estimating non-IID degree outperforms previous approaches by effectively identifying differences in data distributions between datasets, consistently producing similar estimates of non-IID degree when evaluating different subsamples from the same dataset, requiring significantly less computational time, and providing better interpretability. Finally, we showed that the proposed non-IID FL algorithm achieves higher test accuracy than local learning, concurrent FL algorithms, and centralized learning for the AKI prediction task.

Indexed as

Acute kidney injuryDistribution shiftElectronic health recordsFederated learningMachine learning model robustnessNon-IID degree estimation

Identifiers

PMID40726743
PMCPMC12290147

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LicenceCC BY-NC-ND
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Registered trials

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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.