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August 24, 2025Open Access

Algorithmic Fairness of QPrediction Cardiometabolic Risk Prediction Models

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Authors

IHInchuen HuynhDUDenise UtochkinAKAlexandros Katsiferis

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Overview

This analysis reveals significant biases in risk predictions for cardiovascular disease, diabetes, and stroke across diverse demographic groups, suggesting the need for improved fairness in clinical models.

Key Points

  • All tested models showed systematic overprediction of risks, particularly for demographic subgroups, indicating significant calibration issues.
  • In terms of discrimination, disparities in true positive and true negative rates were noted across ethnicity and socioeconomic factors.
  • Assessment utilized UK Biobank data, comparing predicted risks against observed cumulative incidence rates and calculating survival Brier scores for calibration.
  • Inclusion of social determinants improved model performance, yet deploying these models in clinical settings may shift focus onto patients' responsibilities for health outcomes.

Cite This Study

Huynh et al. (2025) studied this question.

synapsesocial.com/papers/68af79a47567bf4f94ff167bhttps://doi.org/10.1101/2025.08.20.25333669
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1mice: Multivariate Imputation by Chained Equations inR2011 · 14,185 citations
  2. 2UK Biobank: An Open Access Resource for Identifying the Causes of a Wide Range of Complex Diseases of Middle and Old Age2015 · 13,905 citations