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Register a new userQ-Pain: A Question Answering Dataset to Measure Social Bias in Pain Management
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Added by
Pranav Rajpurkar
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Recent advances in Natural Language Processing (NLP), and specifically automated Question Answering (QA) systems, have demonstrated both impressive linguistic fluency and a pernicious tendency to reflect social biases. In this study, we introduce Q-Pain, a dataset for assessing bias in medical QA in the context of pain management, one of the most challenging forms of clinical decision-making. Along with the dataset, we propose a new, rigorous framework, including a sample experimental design, to measure the potential biases present when making treatment decisions. We demonstrate its use by assessing two reference Question-Answering systems, GPT-2 and GPT-3, and find statistically significant differences in treatment between intersectional race-gender subgroups, thus reaffirming the risks posed by AI in medical settings, and the need for datasets like ours to ensure safety before medical AI applications are deployed.
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Chronic pain is recognized as a major health problem, with impacts not only at the economic, but also at the social, and individual levels. Being a private and subjective experience, it is impossible to externally and impartially experience, describe, and interpret chronic pain as a purely noxious stimulus that would directly point to a causal agent and facilitate its mitigation, contrary to acute pain, the assessment of which is usually straightforward. Verbal communication is, thus, key to convey relevant information to health professionals that would otherwise not be accessible to external entities, namely, intrinsic qualities about the painful experience and the patient. We propose and discuss a topic modelling approach to recognize patterns in verbal descriptions of chronic pain, and use these patterns to quantify and qualify experiences of pain. Our approaches allow for the extraction of novel insights on chronic pain experiences from the obtained topic models and latent spaces. We argue that our results are clinically relevant for the assessment and management of chronic pain.
A question answering system that in addition to providing an answer provides an explanation of the reasoning that leads to that answer has potential advantages in terms of debuggability, extensibility and trust. To this end, we propose QED, a linguistically informed, extensible framework for explanations in question answering. A QED explanation specifies the relationship between a question and answer according to formal semantic notions such as referential equality, sentencehood, and entailment. We describe and publicly release an expert-annotated dataset of QED explanations built upon a subset of the Google Natural Questions dataset, and report baseline models on two tasks -- post-hoc explanation generation given an answer, and joint question answering and explanation generation. In the joint setting, a promising result suggests that training on a relatively small amount of QED data can improve question answering. In addition to describing the formal, language-theoretic motivations for the QED approach, we describe a large user study showing that the presence of QED explanations significantly improves the ability of untrained raters to spot errors made by a strong neural QA baseline.
Chronic pain is recognized as a major health problem, with impacts at the economic, social, and individual levels. Being a private and subjective experience, dependent on a complex cognitive process involving the subjects past experiences, sociocultural embeddedness, as well as emotional and psychological loads, it is impossible to externally and impartially experience, describe, and interpret chronic pain as a purely noxious stimulus that would directly point to a causal agent and facilitate its mitigation. Verbal communication is, thus, key to convey relevant information to health professionals that would otherwise not be accessible to external entities. Specifically, what a patient suffering of chronic pain describes from the experience and how this information is disclosed reveals intrinsic qualities about the patient and the experience of pain itself. We present the Reddit Reports of Chronic Pain (RRCP) dataset, which comprises social media textual descriptions and discussion of various forms of chronic pain experiences, as reported from the perspective of different base pathologies. For each pathology, we identify the main concerns emergent of its consequent experience of chronic pain, as represented by the subset of documents explicitly related to it. This is obtained via document clustering in the latent space. By means of cosine similarity, we determine which concerns of different pathologies are core to all experiences of pain, and which are exclusive to certain forms. Finally, we argue that our unsupervised semantic analysis of descriptions of chronic pain echoes clinical research on how different pathologies manifest in terms of the chronic pain experience.
Recent advances in transformers have enabled Table Question Answering (Table QA) systems to achieve high accuracy and SOTA results on open domain datasets like WikiTableQuestions and WikiSQL. Such transformers are frequently pre-trained on open-domain content such as Wikipedia, where they effectively encode questions and corresponding tables from Wikipedia as seen in Table QA dataset. However, web tables in Wikipedia are notably flat in their layout, with the first row as the sole column header. The layout lends to a relational view of tables where each row is a tuple. Whereas, tables in domain-specific business or scientific documents often have a much more complex layout, including hierarchical row and column headers, in addition to having specialized vocabulary terms from that domain. To address this problem, we introduce the domain-specific Table QA dataset AIT-QA (Airline Industry Table QA). The dataset consists of 515 questions authored by human annotators on 116 tables extracted from public U.S. SEC filings (publicly available at: https://www.sec.gov/edgar.shtml) of major airline companies for the fiscal years 2017-2019. We also provide annotations pertaining to the nature of questions, marking those that require hierarchical headers, domain-specific terminology, and paraphrased forms. Our zero-shot baseline evaluation of three transformer-based SOTA Table QA methods - TaPAS (end-to-end), TaBERT (semantic parsing-based), and RCI (row-column encoding-based) - clearly exposes the limitation of these methods in this practical setting, with the best accuracy at just 51.8% (RCI). We also present pragmatic table preprocessing steps used to pivot and project these complex tables into a layout suitable for the SOTA Table QA models.
We introduce GQA, a new dataset for real-world visual reasoning and compositional question answering, seeking to address key shortcomings of previous VQA datasets. We have developed a strong and robust question engine that leverages scene graph structures to create 22M diverse reasoning questions, all come with functional programs that represent their semantics. We use the programs to gain tight control over the answer distribution and present a new tunable smoothing technique to mitigate question biases. Accompanying the dataset is a suite of new metrics that evaluate essential qualities such as consistency, grounding and plausibility. An extensive analysis is performed for baselines as well as state-of-the-art models, providing fine-grained results for different question types and topologies. Whereas a blind LSTM obtains mere 42.1%, and strong VQA models achieve 54.1%, human performance tops at 89.3%, offering ample opportunity for new research to explore. We strongly hope GQA will provide an enabling resource for the next generation of models with enhanced robustness, improved consistency, and deeper semantic understanding for images and language.
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