Evidence map›Paper›PMID 39732655›Full record

ArticleBMC public health2024

Bias in machine learning applications to address non-communicable diseases at a population-level: a scoping review.

Sharon Birdi, Roxana Rabet, Steve Durant, Atushi Patel, Tina Vosoughi, Mahek Shergill, Christy Costanian, Carolyn P Ziegler, Shehzad Ali, David Buckeridge and 13 more

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Population health management fit lifecycles in analytics.Frontiers in artificial intelligence · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Sharon BirdiUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Roxana RabetUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Steve DurantUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Atushi PatelUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Tina VosoughiUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Mahek ShergillUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Christy CostanianUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Carolyn P ZieglerLibrary Services, Unity Health Toronto, St. Michael's Hospital, Toronto, ON, Canada.
Shehzad AliDepartment of Epidemiology and Biostatistics, Western Centre for Public Health & Family Medicine, Western University, London, ON, Canada.
David BuckeridgeDepartment of Epidemiology, Biostatistics and Occupational Health, School of Population and Global Health, McGill University, Montreal, QC, Canada.
Marzyeh GhassemiDepartment of Electrical Engineering and Computer Science (EECS) and Institute for Medical Engineering & Science (IMES), MIT, Cambridge, MA, USA.
Jennifer GibsonJoint Centre for Bioethics, University of Toronto, Toronto, ON, Canada.
Ava John-BaptisteDepartments of Epidemiology & Biostatistics, Anesthesia & Perioperative Medicine, Schulich Interfaculty Program in Public Health, Western University, London, ON, Canada.
Jillian MacklinUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Melissa McCraddenDivision of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Kwame McKenzieWellesley Institute, Toronto, ON, Canada.
Sharmistha MishraDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Parisa NaraeiDepartment of Computer Science, Toronto Metropolitan University, Toronto, ON, Canada.
Akwasi Owusu-BempahDepartment of Sociology, Faculty of Arts & Sciences, University of Toronto, Toronto, ON, Canada.
Laura RosellaDivision of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
James ShawDepartment of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Ross UpshurDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Andrew D PintoUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada. andrew.pinto@utoronto.ca.

Funding

Canada Research Chairs 950-23264Canadian Institutes for Health Research #460906
6 · The paper itself

Abstract

backgroundMachine learning (ML) is increasingly used in population and public health to support epidemiological studies, surveillance, and evaluation. Our objective was to conduct a scoping review to identify studies that use ML in population health, with a focus on its use in non-communicable diseases (NCDs). We also examine potential algorithmic biases in model design, training, and implementation, as well as efforts to mitigate these biases.

methodsWe searched the peer-reviewed, indexed literature using Medline, Embase, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews, CINAHL, Scopus, ACM Digital Library, Inspec, Web of Science's Science Citation Index, Social Sciences Citation Index, and the Emerging Sources Citation Index, up to March 2022.

resultsThe search identified 27 310 studies and 65 were included. Study aims were separated into algorithm comparison (n = 13, 20%) or disease modelling for population-health-related outputs (n = 52, 80%). We extracted data on NCD type, data sources, technical approach, possible algorithmic bias, and jurisdiction. Type 2 diabetes was the most studied NCD. The most common use of ML was for risk modeling. Mitigating bias was not extensively addressed, with most methods focused on mitigating sex-related bias.

conclusionThis review examines current applications of ML in NCDs, highlighting potential biases and strategies for mitigation. Future research should focus on communicable diseases and the transferability of ML models in low and middle-income settings. Our findings can guide the development of guidelines for the equitable use of ML to improve population health outcomes.

Indexed as

BiasMachine LearningNoncommunicable DiseasesAlgorithmsHumansPopulation HealthArtificial intelligenceMachine learningNon-communicable diseasePopulation health

Identifiers

PMID39732655
PMCPMC11682638

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.