Current research project

Fair and interpretable survival models for kidney transplantation

Developing machine-learning methods that account for competing risks while improving predictive performance, transparency, and fairness in clinical transplant decisions.

Survival analysis Competing risks Machine learning Health equity

The challenge

Better predictions must also be explainable and fair

Conventional survival models are valuable in health research but may be limited by linearity, proportional-hazards assumptions, and single-outcome formulations. In transplantation, competing events such as patient death and graft failure require models that represent clinical reality more faithfully.

Flexible machine-learning approaches can capture complex patterns, but their black-box behavior and susceptibility to bias can limit clinical adoption. This project addresses those tensions together rather than treating accuracy, interpretability, and fairness as separate objectives.

Core objective

Create survival models that support consequential decisions

The project develops and evaluates new survival-analysis methods for competing risks, combining mathematical programming and deep learning to improve discrimination, calibration, explainability, and fairness.

Research pathway

From model formulation to clinical utility

Two complementary modelling tracks converge in real-world decision simulations.

01

Mathematical programming

Extend optimal survival trees and survival support vector machines to competing risks, with objective functions and constraints that explicitly address fairness.

02

Deep survival learning

Develop architectures inspired by DeepSurv and DeepHit, using specialized learning strategies to represent competing outcomes and mitigate bias.

03

Explainability

Investigate how specific donor, recipient, and compatibility variables influence predictions through complementary explanation techniques.

Expected contribution

Evidence for responsible deployment

By evaluating predictive performance and downstream allocation outcomes together, the project aims to produce decision-support tools with demonstrable clinical utility and policy relevance - while reducing bias and making model behavior easier to understand.