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Activity Number:
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551
- Risk Prediction Methods and Applications in Risk Stratified Prevention
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Type:
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Invited
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Date/Time:
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Wednesday, July 31, 2019 : 2:00 PM to 3:50 PM
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Sponsor:
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ENAR
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Abstract #300255
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Presentation
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Title:
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Racial and Ethnic Fairness in Clinical Risk Prediction with an Application to Suicide Risk Prediction
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Author(s):
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Rebecca Yates Coley* and Eric Johnson and Susan Shortreed
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Companies:
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Kaiser Permanente Washington Health Research Institute and Kaiser Permanente Washington Health Research Institute and Kaiser Permanente Washington Health Research Institute
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Keywords:
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precision medicine;
risk prediction;
electronic health record;
decision support
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Abstract:
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There is growing interest in using risk prediction tools in clinical settings to inform diagnoses and treatment. Use of predictive algorithms in non-clinical applications have led to discrimination on the basis of race and ethnicity, leading to concerns about the potential for clinical risk prediction models to exacerbate race- and ethnicity-based health disparities. In this talk, we outline a framework for exploring the potential for a clinical prediction tool to perform differently across racial and ethnic groups given differential assessment of risk factors and the outcome and risk modification. We demonstrate this approach in a risk prediction model for 90-day suicide attempt risk following a mental health visit. We also discuss subjective considerations surrounding relative benefit and harm of possible interventions.
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Authors who are presenting talks have a * after their name.
