Background: Recent developments in machine learning have shown its potential impact for clinical use such as risk prediction, prognosis, and treatment selection. However, relevant data are often scattered across different stakeholders and their use is regulated, e.g. by GDPR or HIPAA. As a concrete use-case, hospital Erasmus MC and health insurance company Achmea have data on individuals in the city of Rotterdam, which would in theory enable them to train a regression model in order to identify high-impact lifestyle factors for heart failure. However, privacy and confdentiality concerns make it unfeasible to exchange these data. Methods: This article describes a solution where vertically-partitioned synthetic data of Achmea and of Erasmus MC are combined using Secure Multi-Party Computation. First, a secure inner join protocol takes place to securely determine the identifiers of the patients that are represented in both datasets. Then, a secure Lasso Regression model is trained on the securely combined data. The involved parties thus obtain the prediction model but no further information on the input data of the other parties. Results: We implement our secure solution and describe its performance and scalability: we can train a prediction model on two datasets with 5000 records each and a total of 30 features in less than one hour, with a minimal difference from the results of standard (non-secure) methods. Conclusions: This article shows that it is possible to combine datasets and train a Lasso regression model on this combination in a secure way. Such a solution thus further expands the potential of privacy-preserving data analysis in the medical domain.

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TMC Data Science, Eindhoven, The Netherlands , Achmea, Zeist, The Netherlands
doi.org/10.1186/s12911-021-01582-y
BMC Medical Informatics and Decision Making

van Egmond, M.B, Spini, G, van der Galiën, O, IJpma, A, Veugen, P.J.M, Kraaij, W, … Kooij-Janic, M. (2021). Privacy-preserving dataset combination and Lasso regression for healthcare predictions. BMC Medical Informatics and Decision Making, 21, 266‐1–266‐16. doi:10.1186/s12911-021-01582-y