Creating Fair Models of Atherosclerotic Cardiovascular Disease Risk

Guidelines for the management of atherosclerotic cardiovascular disease (ASCVD) recommend the use of risk stratification models to identify patients most likely to benefit from cholesterol-lowering and other therapies. These models have differential performance across race and gender groups with inconsistent behavior across studies, potentially resulting in an inequitable distribution of beneficial therapy. In this work, we leverage adversarial learning and a large observational cohort extracted from electronic health records (EHRs) to develop a "fair" ASCVD risk prediction model with reduced variability in error rates across groups. We empirically demonstrate that our approach is capable of aligning the distribution of risk predictions conditioned on the outcome across several groups simultaneously for models built from high-dimensional EHR data. We also discuss the relevance of these results in the context of the empirical trade-off between fairness and model performance

Protecting the Protected Group: Circumventing Harmful Fairness

Machine Learning (ML) algorithms shape our lives. Banks use them to determine if we are good borrowers; IT companies delegate them recruitment decisions; police apply ML for crime-prediction, and judges base their verdicts on ML. However, real-world examples show that such automated decisions tend to discriminate against protected groups. This potential discrimination generated a huge hype both in media and in the research community. Quite a few formal notions of fairness were proposed, which take a form of constraints a "fair" algorithm must satisfy. We focus on scenarios where fairness is imposed on a self-interested party (e.g., a bank that maximizes its revenue). We find that the disadvantaged protected group can be worse off after imposing a fairness constraint. We introduce a family of \textit{Welfare-Equalizing} fairness constraints that equalize per-capita welfare of protected groups, and include \textit{Demographic Parity} and \textit{Equal Opportunity} as particular cases. In this family, we characterize conditions under which the fairness constraint helps the disadvantaged group. We also characterize the structure of the optimal \textit{Welfare-Equalizing} classifier for the self-interested party, and provide an algorithm to compute it. Overall, our \textit{Welfare-Equalizing} fairness approach provides a unified framework for discussing fairness in classification in the presence of a self-interested party.Comment: Published in AAAI 202