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Autori principali: Zhang, Bin, Wang, Junli
Natura: Preprint
Pubblicazione: 2024
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Accesso online:https://arxiv.org/abs/2410.14236
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author Zhang, Bin
Wang, Junli
author_facet Zhang, Bin
Wang, Junli
contents ICD(International Classification of Diseases) coding involves assigning ICD codes to patients visit based on their medical notes. Considering ICD coding as a multi-label text classification task, researchers have developed sophisticated methods. Despite progress, these models often suffer from label imbalance and may develop spurious correlations with demographic factors. Additionally, while human coders assign ICD codes, the inclusion of irrelevant information from unrelated experts introduces biases. To combat these issues, we propose a novel method to mitigate Demographic and Expert biases in ICD coding through Causal Inference (DECI). We provide a novel causality-based interpretation in ICD Coding that models make predictions by three distinct pathways. And based counterfactual reasoning, DECI mitigate demographic and expert biases. Experimental results show that DECI outperforms state-of-the-art models, offering a significant advancement in accurate and unbiased ICD coding.
format Preprint
id arxiv_https___arxiv_org_abs_2410_14236
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A Novel Method to Metigate Demographic and Expert Bias in ICD Coding with Causal Inference
Zhang, Bin
Wang, Junli
Computation and Language
ICD(International Classification of Diseases) coding involves assigning ICD codes to patients visit based on their medical notes. Considering ICD coding as a multi-label text classification task, researchers have developed sophisticated methods. Despite progress, these models often suffer from label imbalance and may develop spurious correlations with demographic factors. Additionally, while human coders assign ICD codes, the inclusion of irrelevant information from unrelated experts introduces biases. To combat these issues, we propose a novel method to mitigate Demographic and Expert biases in ICD coding through Causal Inference (DECI). We provide a novel causality-based interpretation in ICD Coding that models make predictions by three distinct pathways. And based counterfactual reasoning, DECI mitigate demographic and expert biases. Experimental results show that DECI outperforms state-of-the-art models, offering a significant advancement in accurate and unbiased ICD coding.
title A Novel Method to Metigate Demographic and Expert Bias in ICD Coding with Causal Inference
topic Computation and Language
url https://arxiv.org/abs/2410.14236