Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
skip to main content
10.1145/3534678.3539089acmconferencesArticle/Chapter ViewAbstractPublication PageskddConference Proceedingsconference-collections
research-article

4SDrug: Symptom-based Set-to-set Small and Safe Drug Recommendation

Published: 14 August 2022 Publication History
  • Get Citation Alerts
  • Abstract

    Drug recommendation is an important task of AI for healthcare. To recommend proper drugs, existing methods rely on various clinical records (e.g., diagnosis and procedures), which are commonly found in data such as electronic health records (EHRs). However, detailed records as such are often not available and the inputs might merely include a set of symptoms provided by doctors. Moreover, existing drug recommender systems usually treat drugs as individual items, ignoring the unique requirements that drug recommendation has to be done on a set of items (drugs), which should be as small as possible and safe without harmful drug-drug interactions (DDIs).
    To deal with the challenges above, in this paper, we propose a novel framework of Symptom-based Set-to-set Small and Safe drug recommendation (4SDrug). To enable set-to-set comparison, we design set-oriented representation and similarity measurement for both symptoms and drugs. Further, towards the symptom sets, we devise importance-based set aggregation to enhance the accuracy of symptom set representation; towards the drug sets, we devise intersection-based set augmentation to ensure smaller drug sets, and apply knowledge-based and data-driven penalties to ensure safer drug sets. Extensive experiments on two real-world EHR datasets, i.e., the public benchmark one of MIMIC-III and the industrial large-scale one of NELL, show drastic performance gains brought by 4SDrug, which outperforms all baselines in most effectiveness measures, while yielding the smallest sets of recommended drugs and 26.83% DDI rate reduction from the ground-truth data.

    Supplemental Material

    MP4 File
    Presentation Video

    References

    [1]
    A. Avati, K. Jung, S. Harman, L. Downing, A. Ng, and N. H. Shah. Improving palliative care with deep learning. BMC medical informatics and decision making, 18(4):55--64, 2018.
    [2]
    J. M. Bajor and T. A. Lasko. Predicting medications from diagnostic codes with recurrent neural networks. In ICLR, 2017.
    [3]
    Y. Bao and X. Jiang. An intelligent medicine recommender system framework. In ICIEA, pages 1383--1388, 2016.
    [4]
    L. Chen, Y. Liu, X. He, L. Gao, and Z. Zheng. Matching user with item set: Collaborative bundle recommendation with deep attention network. In Proceedings of the Twenty-Eighth International Joint Conference on Artificial Intelligence, IJCAI-19, 2019.
    [5]
    M. Chen and H. Wang. The reason and prevention of hospital medication errors. Practical Journal of Clinical Medicine, 4, 2013.
    [6]
    U. Chitra and B. Raphael. Random walks on hypergraphs with edge-dependent vertex weights. In International Conference on Machine Learning, 2019.
    [7]
    E. Choi, M. T. Bahadori, A. Schuetz,W. F. Stewart, and J. Sun. Doctor ai: Predicting clinical events via recurrent neural networks. In Machine learning for healthcare conference, pages 301--318, 2016.
    [8]
    E. Choi, M. T. Bahadori, E. Searles, C. Coffey, M. Thompson, J. Bost, J. Tejedor-Sojo, and J. Sun. Multi-layer representation learning for medical concepts. In proceedings of the 22nd ACM SIGKDD international conference on knowledge discovery and data mining, 2016.
    [9]
    E. Choi, M. T. Bahadori, J. Sun, J. Kulas, A. Schuetz, and W. Stewart. Retain: An interpretable predictive model for healthcare using reverse time attention mechanism. NIPS, 29, 2016.
    [10]
    F. Gong, M.Wang, H.Wang, S.Wang, and M. Liu. Smr: Medical knowledge graph embedding for safe medicine recommendation. Big Data Research, 23:100174, 2021.
    [11]
    L. Guo, H. Yin, Q. Wang, B. Cui, Z. Huang, and L. Cui. Group recommendation with latent voting mechanism. In ICDE, pages 121--132, 2020.
    [12]
    C.-K. Hsieh, L. Yang, Y. Cui, T.-Y. Lin, S. Belongie, and D. Estrin. Collaborative metric learning. In WWW, pages 193--201, 2017.
    [13]
    M. Jia, X. Cheng, Y. Zhai, S. Lu, S. Ma, Y. Tian, and J. Zhang. Matching on sets: Conquer occluded person re-identification without alignment. In AAAI, pages 1673--1681, 2021.
    [14]
    Y. Jin, W. Zhang, X. He, X. Wang, and X. Wang. Syndrome-aware herb recommendation with multi-graph convolution network. In ICDE, pages 145--156, 2020.
    [15]
    A. E. Johnson, T. J. Pollard, L. Shen, L.-W. H. Lehman, M. Feng, M. Ghassemi, B. Moody, P. Szolovits, L. A. Celi, R. G. Mark, and et al. Mimic-iii, a freely accessible critical care database. Scientific Data, 3(1), 2016.
    [16]
    H.-C. Kao, K.-F. Tang, and E. Chang. Context-aware symptom checking for disease diagnosis using hierarchical reinforcement learning. In AAAI, 2018.
    [17]
    J. Lee, Y. Lee, J. Kim, A. Kosiorek, S. Choi, and Y. W. Teh. Set transformer: A framework for attention-based permutation-invariant neural networks. In ICML, pages 3744--3753, 2019.
    [18]
    C. Li, B. Wang, V. Pavlu, and J. Aslam. Conditional bernoulli mixtures for multilabel classification. In ICML, pages 2482--2491, 2016.
    [19]
    P. Li and O. Milenkovic. Inhomogoenous hypergraph clustering with applications. In Advances in Neural Information Processing Systems, 2017.
    [20]
    X. Lin, Z. Quan, Z.-J. Wang, T. Ma, and X. Zeng. Kgnn: Knowledge graph neural network for drug-drug interaction prediction. In IJCAI, pages 2739--2745, 2020.
    [21]
    Y. Liu, X. Xia, L. Chen, X. He, C. Yang, and Z. Zheng. Certifiable robustness to discrete adversarial perturbations for factorization machines. In SIGIR, pages 419--428, 2020.
    [22]
    C. Mao, L. Yao, and Y. Luo. Medgcn: Graph convolutional networks for multiple medical tasks. arXiv preprint arXiv:1904.00326, 2019.
    [23]
    G. K. McEvoy. Ahfs drug information. Oncology Issues, 9(5):12--13, 1994.
    [24]
    L. Pang, J. Xu, Q. Ai, Y. Lan, X. Cheng, and J. Wen. Setrank: Learning a permutation-invariant ranking model for information retrieval. In SIGIR, 2020.
    [25]
    C. R. Qi, H. Su, K. Mo, and L. J. Guibas. Pointnet: Deep learning on point sets for 3d classification and segmentation. In CVPR, 2017.
    [26]
    L. Rasmy, Y. Xiang, Z. Xie, C. Tao, and D. Zhi. Med-bert: pretrained contextualized embeddings on large-scale structured electronic health records for disease prediction. NPJ digital medicine, 4(1):1--13, 2021.
    [27]
    S. Rendle, C. Freudenthaler, Z. Gantner, and L. Schmidt-Thieme. Bpr: Bayesian personalized ranking from implicit feedback. In UAI, pages 452--461, 2009.
    [28]
    C. L. A.-P. Rutter and D. Newby. Community Pharmacy-E-Book, livre ebook. 2011.
    [29]
    J. Shang, T. Ma, C. Xiao, and J. Sun. Pre-training of graph augmented transformers for medication recommendation. In IJCAI, pages 5953--5959, 2019.
    [30]
    J. Shang, C. Xiao, T. Ma, H. Li, and J. Sun. Gamenet: Graph augmented memory networks for recommending medication combination. In AAAI, pages 1126--1133, 2019.
    [31]
    Y. Shi, J. Oliva, and M. Niethammer. Deep message passing on sets. In AAAI, pages 5750--5757, 2020.
    [32]
    K. Skianis, G. Nikolentzos, S. Limnios, and M. Vazirgiannis. Rep the set: Neural networks for learning set representations. In AISTATS, pages 1410--1420, 2020.
    [33]
    Y. Tan, C. Yang, X.Wei, C. Chen, L. Li, and X. Zheng. Enhancing recommendation with automated tag taxonomy construction in hyperbolic space. In ICDE, 2022.
    [34]
    Y. Tan, C. Yang, X.Wei, C. Chen,W. Liu, L. Li, J. Zhou, and X. Zheng. Metacare++: Meta-learning with hierarchical subtyping for cold-start diagnosis prediction in healthcare data. In SIGIR, 2022.
    [35]
    Y. Tan, C. Yang, X.Wei, Y. Ma, and X. Zheng. Multi-facet recommender networks with spherical optimization. In ICDE, pages 1524--1535, 2021.
    [36]
    K.-F. Tang, H.-C. Kao, C.-N. Chou, and E. Y. Chang. Inquire and diagnose: Neural symptom checking ensemble using deep reinforcement learning. In NIPS Workshop on Deep Reinforcement Learning, 2016.
    [37]
    N. P. Tatonetti, P. P. Ye, R. Daneshjou, and R. B. Altman. Data-driven prediction of drug effects and interactions. Science translational medicine, 4(125):125ra31--125ra31, 2012.
    [38]
    S. Vilar, E. Uriarte, L. Santana, T. Lorberbaum, G. Hripcsak, C. Friedman, and N. P. Tatonetti. Similarity-based modeling in large-scale prediction of drug-drug interactions. Nature protocols, 9(9):2147--2163, 2014.
    [39]
    M. Wang, M. Liu, J. Liu, S. Wang, G. Long, and B. Qian. Safe medicine recommendation via medical knowledge graph embedding. ArXiv e-prints, pages arXiv--1710, 2017.
    [40]
    S. Wang, P. Ren, Z. Chen, Z. Ren, J. Ma, and M. de Rijke. Order-free medicine combination prediction with graph convolutional reinforcement learning. In CIKM, pages 1623--1632, 2019.
    [41]
    X. Wang, T. Huang, D. Wang, Y. Yuan, Z. Liu, X. He, and T.-S. Chua. Learning intents behind interactions with knowledge graph for recommendation. In WWW, pages 878--887, 2021.
    [42]
    X. Wang, H. Jin, A. Zhang, X. He, T. Xu, and T.-S. Chua. Disentangled graph collaborative filtering. In SIGIR, pages 1001--1010, 2020.
    [43]
    Y. Wang, W. Chen, D. PI, L. Yue, S. Wang, and M. Xu. Self-supervised adversarial distribution regularization for medication recommendation. In IJCAI, pages 3134--3140, 2021.
    [44]
    Y. Xie, Z. Wang, C. Yang, Y. Li, B. Ding, H. Deng, and J. Han. Komen: Domain knowledge guided interaction recommendation for emerging scenarios. InWWW, pages 1301--1310, 2022.
    [45]
    C. Yang, L. Bai, C. Zhang, Q. Yuan, and J. Han. Bridging collaborative filtering and semi-supervised learning: a neural approach for poi recommendation. In KDD, pages 1245--1254, 2017.
    [46]
    C. Yang, A. Pal, A. Zhai, N. Pancha, J. Han, C. Rosenberg, and J. Leskovec. Multisage: Empowering gcn with contextualized multi-embeddings on web-scale multipartite networks. In KDD, pages 2434--2443, 2020.
    [47]
    C. Yang, C. Xiao, F. Ma, L. Glass, and J. Sun. Safedrug: Dual molecular graph encoders for recommending effective and safe drug combinations. In IJCAI, pages 3735--3741, 2021.
    [48]
    P. Zadeh, R. Hosseini, and S. Sra. Geometric mean metric learning. In ICML, pages 2464--2471, 2016.
    [49]
    M. Zaheer, S. Kottur, S. Ravanbakhsh, B. Poczos, R. R. Salakhutdinov, and A. J. Smola. Deep sets. In NIPS, volume 30, 2017.
    [50]
    X. Zeng, G. Yu, Y. Lu, L. Tan, X. Wu, S. Shi, H. Duan, Q. Shu, and H. Li. Pic, a paediatric-specific intensive care database. Scientific data, 7(1):1--8, 2020.
    [51]
    Y. Zhang, R. Chen, J. Tang, W. F. Stewart, and J. Sun. Leap: learning to prescribe effective and safe treatment combinations for multimorbidity. In KDD, pages 1315--1324, 2017.
    [52]
    Z. Zheng, C. Wang, T. Xu, D. Shen, P. Qin, B. Huai, T. Liu, and E. Chen. Drug package recommendation via interaction-aware graph induction. In WWW, pages 1284--1295, 2021.

    Cited By

    View all
    • (2024)Leave No Patient Behind: Enhancing Medication Recommendation for Rare Disease PatientsProceedings of the 47th International ACM SIGIR Conference on Research and Development in Information Retrieval10.1145/3626772.3657785(533-542)Online publication date: 10-Jul-2024
    • (2024)Automatic Hypergraph Generation for Enhancing Recommendation With Sparse OptimizationIEEE Transactions on Multimedia10.1109/TMM.2023.333808326(5680-5693)Online publication date: 2024
    • (2024)Medicine Package Recommendation via Dual-Level Interaction Aware Heterogeneous GraphIEEE Journal of Biomedical and Health Informatics10.1109/JBHI.2024.336155228:4(2294-2303)Online publication date: Apr-2024
    • Show More Cited By

    Index Terms

    1. 4SDrug: Symptom-based Set-to-set Small and Safe Drug Recommendation

      Recommendations

      Comments

      Information & Contributors

      Information

      Published In

      cover image ACM Conferences
      KDD '22: Proceedings of the 28th ACM SIGKDD Conference on Knowledge Discovery and Data Mining
      August 2022
      5033 pages
      ISBN:9781450393850
      DOI:10.1145/3534678
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

      Sponsors

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 14 August 2022

      Permissions

      Request permissions for this article.

      Check for updates

      Author Tags

      1. drug recommendation
      2. set-to-set comparison
      3. small and safe drug sets
      4. symptom-based

      Qualifiers

      • Research-article

      Data Availability

      Funding Sources

      • the National Natural Science Foundation of China

      Conference

      KDD '22
      Sponsor:

      Acceptance Rates

      Overall Acceptance Rate 1,133 of 8,635 submissions, 13%

      Upcoming Conference

      KDD '24

      Contributors

      Other Metrics

      Bibliometrics & Citations

      Bibliometrics

      Article Metrics

      • Downloads (Last 12 months)266
      • Downloads (Last 6 weeks)17
      Reflects downloads up to 27 Jul 2024

      Other Metrics

      Citations

      Cited By

      View all
      • (2024)Leave No Patient Behind: Enhancing Medication Recommendation for Rare Disease PatientsProceedings of the 47th International ACM SIGIR Conference on Research and Development in Information Retrieval10.1145/3626772.3657785(533-542)Online publication date: 10-Jul-2024
      • (2024)Automatic Hypergraph Generation for Enhancing Recommendation With Sparse OptimizationIEEE Transactions on Multimedia10.1109/TMM.2023.333808326(5680-5693)Online publication date: 2024
      • (2024)Medicine Package Recommendation via Dual-Level Interaction Aware Heterogeneous GraphIEEE Journal of Biomedical and Health Informatics10.1109/JBHI.2024.336155228:4(2294-2303)Online publication date: Apr-2024
      • (2024)DMRNet: Effective Network for Accurate Discharge Medication Recommendation2024 IEEE 40th International Conference on Data Engineering (ICDE)10.1109/ICDE60146.2024.00262(3393-3406)Online publication date: 13-May-2024
      • (2024)ACDNetJournal of Biomedical Informatics10.1016/j.jbi.2023.104570149:COnline publication date: 17-Apr-2024
      • (2024)PROMISE: A pre-trained knowledge-infused multimodal representation learning framework for medication recommendationInformation Processing & Management10.1016/j.ipm.2024.10375861:4(103758)Online publication date: Jul-2024
      • (2024)Symptom-based drug prediction of lifestyle-related chronic diseases using unsupervised machine learning techniquesComputers in Biology and Medicine10.1016/j.compbiomed.2024.108413174:COnline publication date: 1-May-2024
      • (2024)OntoMedRec: Logically-pretrained model-agnostic ontology encoders for medication recommendationWorld Wide Web10.1007/s11280-024-01268-127:3Online publication date: 23-Apr-2024
      • (2023)An iterative self-learning framework for medical domain generalizationProceedings of the 37th International Conference on Neural Information Processing Systems10.5555/3666122.3668515(54833-54854)Online publication date: 10-Dec-2023
      • (2023)MoleRec: Combinatorial Drug Recommendation with Substructure-Aware Molecular Representation LearningProceedings of the ACM Web Conference 202310.1145/3543507.3583872(4075-4085)Online publication date: 30-Apr-2023
      • Show More Cited By

      View Options

      Get Access

      Login options

      View options

      PDF

      View or Download as a PDF file.

      PDF

      eReader

      View online with eReader.

      eReader

      Media

      Figures

      Other

      Tables

      Share

      Share

      Share this Publication link

      Share on social media