Missing Values and Imputation in Healthcare Data: Can Interpretable Machine Learning Help?

Missing values are a fundamental problem in data science. Many datasets have missing values that must be properly handled because the way missing values are treated can have large impact on the resulting machine learning model. In medical applications, the consequences may affect healthcare decisions. There are many methods in the literature for dealing with missing values, including state-of-the-art methods which often depend on black-box models for imputation. In this work, we show how recent advances in interpretable machine learning provide a new perspective for understanding and tackling the missing value problem. We propose methods based on high-accuracy glass-box Explainable Boosting Machines (EBMs) that can help users (1) gain new insights on missingness mechanisms and better understand the causes of missingness, and (2) detect -- or even alleviate -- potential risks introduced by imputation algorithms. Experiments on real-world medical datasets illustrate the effectiveness of the proposed methods.

GAM Coach: Towards Interactive and User-centered Algorithmic Recourse

Machine learning (ML) recourse techniques are increasingly used in high-stakes domains, providing end users with actions to alter ML predictions, but they assume ML developers understand what input variables can be changed. However, a recourse plan's actionability is subjective and unlikely to match developers' expectations completely. We present GAM Coach, a novel open-source system that adapts integer linear programming to generate customizable counterfactual explanations for Generalized Additive Models (GAMs), and leverages interactive visualizations to enable end users to iteratively generate recourse plans meeting their needs. A quantitative user study with 41 participants shows our tool is usable and useful, and users prefer personalized recourse plans over generic plans. Through a log analysis, we explore how users discover satisfactory recourse plans, and provide empirical evidence that transparency can lead to more opportunities for everyday users to discover counterintuitive patterns in ML models. GAM Coach is available at: https://poloclub.github.io/gam-coach/.

Estimating Discontinuous Time-Varying Risk Factors and Treatment Benefits for COVID-19 with Interpretable ML

Treatment protocols, disease understanding, and viral characteristics changed over the course of the COVID-19 pandemic; as a result, the risks associated with patient comorbidities and biomarkers also changed. We add to the conversation regarding inflammation, hemostasis and vascular function in COVID-19 by performing a time-varying observational analysis of over 4000 patients hospitalized for COVID-19 in a New York City hospital system from March 2020 to August 2021. To perform this analysis, we apply tree-based generalized additive models with temporal interactions which recover discontinuous risk changes caused by discrete protocols changes. We find that the biomarkers of thrombosis increasingly predicted mortality from March 2020 to August 2021, while the association between biomarkers of inflammation and thrombosis weakened. Beyond COVID-19, this presents a straightforward methodology to estimate unknown and discontinuous time-varying effects.

Using Interpretable Machine Learning to Predict Maternal and Fetal Outcomes

Most pregnancies and births result in a good outcome, but complications are not uncommon and when they do occur, they can be associated with serious implications for mothers and babies. Predictive modeling has the potential to improve outcomes through better understanding of risk factors, heightened surveillance, and more timely and appropriate interventions, thereby helping obstetricians deliver better care. For three types of complications we identify and study the most important risk factors using Explainable Boosting Machine (EBM), a glass box model, in order to gain intelligibility: (i) Severe Maternal Morbidity (SMM), (ii) shoulder dystocia, and (iii) preterm preeclampsia. While using the interpretability of EBM's to reveal surprising insights into the features contributing to risk, our experiments show EBMs match the accuracy of other black-box ML methods such as deep neural nets and random forests.

Interpretability, Then What? Editing Machine Learning Models to Reflect Human Knowledge and Values

Machine learning (ML) interpretability techniques can reveal undesirable patterns in data that models exploit to make predictions--potentially causing harms once deployed. However, how to take action to address these patterns is not always clear. In a collaboration between ML and human-computer interaction researchers, physicians, and data scientists, we develop GAM Changer, the first interactive system to help domain experts and data scientists easily and responsibly edit Generalized Additive Models (GAMs) and fix problematic patterns. With novel interaction techniques, our tool puts interpretability into action--empowering users to analyze, validate, and align model behaviors with their knowledge and values. Physicians have started to use our tool to investigate and fix pneumonia and sepsis risk prediction models, and an evaluation with 7 data scientists working in diverse domains highlights that our tool is easy to use, meets their model editing needs, and fits into their current workflows. Built with modern web technologies, our tool runs locally in users' web browsers or computational notebooks, lowering the barrier to use. GAM Changer is available at the following public demo link: https://interpret.ml/gam-changer.

Differentially Private Estimation of Heterogeneous Causal Effects

Estimating heterogeneous treatment effects in domains such as healthcare or social science often involves sensitive data where protecting privacy is important. We introduce a general meta-algorithm for estimating conditional average treatment effects (CATE) with differential privacy (DP) guarantees. Our meta-algorithm can work with simple, single-stage CATE estimators such as S-learner and more complex multi-stage estimators such as DR and R-learner. We perform a tight privacy analysis by taking advantage of sample splitting in our meta-algorithm and the parallel composition property of differential privacy. In this paper, we implement our approach using DP-EBMs as the base learner. DP-EBMs are interpretable, high-accuracy models with privacy guarantees, which allow us to directly observe the impact of DP noise on the learned causal model. Our experiments show that multi-stage CATE estimators incur larger accuracy loss than single-stage CATE or ATE estimators and that most of the accuracy loss from differential privacy is due to an increase in variance, not biased estimates of treatment effects.

GAM Changer: Editing Generalized Additive Models with Interactive Visualization

Recent strides in interpretable machine learning (ML) research reveal that models exploit undesirable patterns in the data to make predictions, which potentially causes harms in deployment. However, it is unclear how we can fix these models. We present our ongoing work, GAM Changer, an open-source interactive system to help data scientists and domain experts easily and responsibly edit their Generalized Additive Models (GAMs). With novel visualization techniques, our tool puts interpretability into action -- empowering human users to analyze, validate, and align model behaviors with their knowledge and values. Built using modern web technologies, our tool runs locally in users' computational notebooks or web browsers without requiring extra compute resources, lowering the barrier to creating more responsible ML models. GAM Changer is available at https://interpret.ml/gam-changer.

Extracting Clinician's Goals by What-if Interpretable Modeling

Although reinforcement learning (RL) has tremendous success in many fields, applying RL to real-world settings such as healthcare is challenging when the reward is hard to specify and no exploration is allowed. In this work, we focus on recovering clinicians' rewards in treating patients. We incorporate the what-if reasoning to explain clinician's actions based on future outcomes. We use generalized additive models (GAMs) - a class of accurate, interpretable models - to recover the reward. In both simulation and a real-world hospital dataset, we show our model outperforms baselines. Finally, our model's explanations match several clinical guidelines when treating patients while we found the previously-used linear model often contradicts them.

Accuracy, Interpretability, and Differential Privacy via Explainable Boosting

We show that adding differential privacy to Explainable Boosting Machines (EBMs), a recent method for training interpretable ML models, yields state-of-the-art accuracy while protecting privacy. Our experiments on multiple classification and regression datasets show that DP-EBM models suffer surprisingly little accuracy loss even with strong differential privacy guarantees. In addition to high accuracy, two other benefits of applying DP to EBMs are: a) trained models provide exact global and local interpretability, which is often important in settings where differential privacy is needed; and b) the models can be edited after training without loss of privacy to correct errors which DP noise may have introduced.

NODE-GAM: Neural Generalized Additive Model for Interpretable Deep Learning

Deployment of machine learning models in real high-risk settings (e.g. healthcare) often depends not only on model's accuracy but also on its fairness, robustness and interpretability. Generalized Additive Models (GAMs) have a long history of use in these high-risk domains, but lack desirable features of deep learning such as differentiability and scalability. In this work, we propose a neural GAM (NODE-GAM) and neural GA$^2$M (NODE-GA$^2$M) that scale well to large datasets, while remaining interpretable and accurate. We show that our proposed models have comparable accuracy to other non-interpretable models, and outperform other GAMs on large datasets. We also show that our models are more accurate in self-supervised learning setting when access to labeled data is limited.