FedWeight: mitigating covariate shift of federated learning on electronic health records data through patients re-weighting
Bibliographic record
Abstract
Federated learning (FL) enables collaborative analysis of decentralized medical data while preserving patient privacy. However, the covariate shift from demographic and clinical differences can reduce model generalizability. We propose FedWeight, a novel FL framework that mitigates covariate shift by reweighting patient data from the source sites using density estimators, allowing the trained model to better align with the distribution of the target site. To support unsupervised applications, we introduce FedWeight ETM, a federated embedded topic model. We evaluated FedWeight in cross-site FL on the eICU dataset and cross-dataset FL between eICU and MIMIC III. FedWeight consistently outperforms standard FL baselines in predicting ICU mortality, ventilator use, sepsis diagnosis, and length of stay. SHAP-based interpretation and ETM-based topic modeling reveal improved identification of clinically relevant characteristics and disease topics associated with ICU readmission.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".