Abstract
In the medical field, modern recommendation systems face significant challenges due to distributional shifts in data. We propose utilizing Distributionally Robust Optimization (DRO) and Distributionally and Outlier Robust Optimization (DORO) methods to address this issue. This paper aims to develop suitable DRO and DORO frameworks for the medical domain and validate their effectiveness through extensive experiments. We employ the DDXPlus dataset for our investigations and cluster patients based on age, sex, and initial evidence to partition the data into distinct distributions. Using a simple three-layer neural network, we incorporate CVaR and CHISQ as DRO methods and their respective DORO forms. The experimental results show that the overall DRO approach demonstrates more significant enhancements while all four methods exhibit improvements over the original distributional scenarios. Our research contributes to optimizing deep learning models in the medical domain and enhancing their robustness. Furthermore, we intend to use these methods to estimate and provide best-fit patient therapies, addressing real-world medical challenges. The application of these approaches has the potential to enhance the performance and practicality of medical recommendation systems, offering improved medical services to patients.
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