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Main Authors: Salarian, Sama, Zhang, Yue, Padhee, Swati, Parthasarathy, Srinivasan
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2511.01054
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author Salarian, Sama
Zhang, Yue
Padhee, Swati
Parthasarathy, Srinivasan
author_facet Salarian, Sama
Zhang, Yue
Padhee, Swati
Parthasarathy, Srinivasan
contents Synthetic healthcare data generation presents a viable approach to enhance data accessibility and support research by overcoming limitations associated with real-world medical datasets. However, ensuring fairness across protected attributes in synthetic data is critical to avoid biased or misleading results in clinical research and decision-making. In this study, we assess the fairness of synthetic data generated by multiple generative adversarial network (GAN)-based models using the MIMIC-III dataset, with a focus on representativeness across protected demographic attributes. We measure subgroup representation using the logarithmic disparity metric and observe significant imbalances, with many subgroups either underrepresented or overrepresented in the synthetic data, compared to the real data. To mitigate these disparities, we introduce MedEqualizer, a model-agnostic augmentation framework that enriches the underrepresented subgroups prior to synthetic data generation. Our results show that MedEqualizer significantly improves demographic balance in the resulting synthetic datasets, offering a viable path towards more equitable and representative healthcare data synthesis.
format Preprint
id arxiv_https___arxiv_org_abs_2511_01054
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedEqualizer: A Framework Investigating Bias in Synthetic Medical Data and Mitigation via Augmentation
Salarian, Sama
Zhang, Yue
Padhee, Swati
Parthasarathy, Srinivasan
Machine Learning
Synthetic healthcare data generation presents a viable approach to enhance data accessibility and support research by overcoming limitations associated with real-world medical datasets. However, ensuring fairness across protected attributes in synthetic data is critical to avoid biased or misleading results in clinical research and decision-making. In this study, we assess the fairness of synthetic data generated by multiple generative adversarial network (GAN)-based models using the MIMIC-III dataset, with a focus on representativeness across protected demographic attributes. We measure subgroup representation using the logarithmic disparity metric and observe significant imbalances, with many subgroups either underrepresented or overrepresented in the synthetic data, compared to the real data. To mitigate these disparities, we introduce MedEqualizer, a model-agnostic augmentation framework that enriches the underrepresented subgroups prior to synthetic data generation. Our results show that MedEqualizer significantly improves demographic balance in the resulting synthetic datasets, offering a viable path towards more equitable and representative healthcare data synthesis.
title MedEqualizer: A Framework Investigating Bias in Synthetic Medical Data and Mitigation via Augmentation
topic Machine Learning
url https://arxiv.org/abs/2511.01054