Papers for
healthcare analytics teams
Papers whose findings have a practical use for this group, as judged from the abstract. Open a paper to read what it means in practice.
LongAgent guides variable search to improve medical outcome predictions
LongAgent: History-Guided Agentic Search for Longitudinal Outcome Prediction
Abstract: Extracting informative representations from longitudinal data that can predict future outcomes remains a critical challenge in medicine. Medical datasets are inherently heterogeneous, consisting of a large number of variables collected from different sources, sampled with different temporal spacings, and representing different aspects of human health status. This requires identifying those variables with predictive value, processing longitudinal information, and integrating multiple variables for outcome prediction. Here, we propose a novel agent-based approach, LongAgent, that can autonomously search over combinations of variable sets, temporal windows and longitudinal aggregation functions, and identify candidates with promising predictive performance. LongAgent utilises a history memory of previous searches and numerical evidence to guide subsequent exploration. On synthetic data, LongAgent achieves a mean prediction RMSE of 1.7376 and improves over the strongest non-agent baseline by 0.0151 (95% CI: [0.0045,0.0260]; p=0.0273). On a real clinical dataset, it performs comparably to the best baseline.
Algorithmic feature choices improve cost and actionable explanations
Explanations-Driven Active Feature Acquisition for Algorithmic Recourse
Abstract: Algorithmic recourse methods typically assume that a predictive model has access to all features of an individual. In practice, decisions are often made with partial information, because features are costly to acquire. Active feature acquisition addresses cost-constrained prediction, but existing methods are explanation-agnostic: prior work provides explanations only after acquiring additional features, rather than using explanations to drive acquisition. This work flips that and treats algorithmic recourse and feature acquisition jointly. We use Markov Blanket theory to unify counterfactual, semifactual, and alterfactual explanations and to characterize how available recourse grows as features are acquired. Building on this framework, we propose an Explanation-Driven Feature Acquisition (EDFA) method that selects features by explanatory value per unit cost. The framework is further extended with distribution-free validity guarantees for recourse issued from partial information, which signal trustworthy, lower-cost recourse, along with a lower bound on the calibration data required to certify them. Experiments on 7 publicly available datasets with neural network-based predictive models show that EDFA acquires substantially fewer features than state-of-the-art AFA baselines while maintaining comparable accuracy and yielding more decision-relevant, actionable recourse. The implementation is available on GitHub.
Llm-drawn causal graphs improve automated causal effect estimation accuracy
When and Why LLM Causal Priors Help: Closed-Loop Prior Selection for Amortized Causal Inference
Abstract: Causal effect estimation asks how an outcome would change under an intervention, and medicine, economics, and public policy all treat it as a foundational task. Prior-data fitted networks (PFNs) amortize the task: a model trained on large numbers of programmatically generated synthetic causal tasks reads a new problem's observational data into context and returns an interventional-effect estimate in a single forward pass. The capability of such models is largely determined by the synthetic training prior, which is currently designed by hand, a bottleneck acknowledged by both Do-PFN and CausalPFN. Large language models (LLMs) can now ``draw'' plausible causal graphs for a given domain, suggesting that LLM-distilled graphs could serve as prior material. Whether injecting such graphs helps at all, where any gain comes from, and when injection helps. Practice has so far relied on manual trial and error. We propose a \emph{closed-loop prior selection framework} that casts prior injection as a budget-constrained optimization over a candidate prior pool. Candidates undergo cheap post-training and are scored by a composite metric dominated by real-domain generalization; the winner then receives full training and paired statistical validation. On a 7.34M-parameter Do-PFN, the framework's winner attains a formally significant $2.75\times$ gain on the primary evaluation domain, and its error falls below that of the uninjected official base. Generalization on an adjacent monitoring domain improves significantly, and no monitored capability degrades. Mechanism experiments show that the gain depends on the semantic content of the distilled graph rather than its structural diversity alone does not produce it (directional evidence). With this framework and this regularity in hand, the use of LLM causal priors stops being manual trial and error and becomes an empirically verifiable selection problem.