Learning An Interpretable Risk Scoring System for Maximizing Decision Net Benefit

Fuente: arXiv
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Auteurs principaux: Chi, Wenhao, Birbil, Ş. İlker
Format: Preprint
Publié: 2026
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author Chi, Wenhao
Birbil, Ş. İlker
author_facet Chi, Wenhao
Birbil, Ş. İlker
contents Risk scoring systems are widely used in high-stakes domains to assist decision-making. However, existing approaches often focus on optimizing predictive accuracy or likelihood-based criteria, which may not align with the main goal of maximizing utility. In this paper, we propose a novel risk scoring system that directly optimizes net benefit over a range of decision thresholds. The model is formulated as a sparse integer linear programming problem which enables the construction of a transparent scoring system with integer coefficients, and hence, facilitates interpretation and practical application. We also establish fundamental relationships among net benefit, discrimination, and calibration. Our analysis proves that optimizing net benefit also guarantees conventional performance measures. We thoroughly evaluated our method on multiple public datasets as well as on a real-world clinical dataset. This computational study demonstrated that our interpretable method can effectively achieve high net benefit while maintaining competitive discrimination and calibration performance.
format Preprint
id arxiv_https___arxiv_org_abs_2604_04241
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Learning An Interpretable Risk Scoring System for Maximizing Decision Net Benefit
Chi, Wenhao
Birbil, Ş. İlker
Machine Learning
Optimization and Control
Risk scoring systems are widely used in high-stakes domains to assist decision-making. However, existing approaches often focus on optimizing predictive accuracy or likelihood-based criteria, which may not align with the main goal of maximizing utility. In this paper, we propose a novel risk scoring system that directly optimizes net benefit over a range of decision thresholds. The model is formulated as a sparse integer linear programming problem which enables the construction of a transparent scoring system with integer coefficients, and hence, facilitates interpretation and practical application. We also establish fundamental relationships among net benefit, discrimination, and calibration. Our analysis proves that optimizing net benefit also guarantees conventional performance measures. We thoroughly evaluated our method on multiple public datasets as well as on a real-world clinical dataset. This computational study demonstrated that our interpretable method can effectively achieve high net benefit while maintaining competitive discrimination and calibration performance.
title Learning An Interpretable Risk Scoring System for Maximizing Decision Net Benefit
topic Machine Learning
Optimization and Control
url https://arxiv.org/abs/2604.04241