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Individual Fairness in Kidney Exchange Programs

Authors: Farnadi, Golnoosh; St-Arnaud, William; Babaki, Behrouz; Carvalho, Margarida;

Individual Fairness in Kidney Exchange Programs

Abstract

Kidney transplant is the preferred method of treatment for patients suffering from kidney failure. However, not all patients can find a donor which matches their physiological characteristics. Kidney exchange programs (KEPs) seek to match such incompatible patient-donor pairs together, usually with the main objective of maximizing the total number of transplants. Since selecting one optimal solution translates to a decision on who receives a transplant, it has a major effect on the lives of patients. The current practice in selecting an optimal solution does not necessarily ensure fairness in the selection process. In this paper, the existence of multiple optimal plans for a KEP is explored as a mean to achieve individual fairness. We propose the use of randomized policies for selecting an optimal solution in which patients' equal opportunity to receive a transplant is promoted. Our approach gives rise to the problem of enumerating all optimal solutions, which we tackle using a hybrid of constraint programming and linear programming. The advantages of our proposed method over the common practice of using the optimal solution obtained by a solver are stressed through computational experiments. Our methodology enables decision makers to fully control KEP outcomes, overcoming any potential bias or vulnerability intrinsic to a deterministic solver.

Country
Canada
Related Organizations
Keywords

Kidney exchange programs, mixed-integer programming, constraint programming, fairness in AI

  • BIP!
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    4
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Average
Average
Green
gold