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Analysis of institutional authors

Leghissa, MatteoCorresponding AuthorCarrera, AlvaroAuthorIglesias, Carlos AAuthor

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October 7, 2025
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Article

Can Hospitals Cooperate to Improve Predictions Without Sharing Data? A Federated Learning Approach for Frailty Screening

Publicated to: Applied Sciences-Basel. 15 (18): 9939- - 2025-09-11 15(18), DOI: 10.3390/app15189939

Authors:

Leghissa, Matteo; Carrera, Alvaro; Iglesias, Carlos A; Iglesias, Carlos A
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Affiliations

Univ Politecn Madrid, Intelligent Syst Grp, ETSI Telecomunicac, Avda Complutense 30, Madrid 28040, Spain - Author

Abstract

Traditionally, machine learning models in healthcare rely on centralized strategies using raw data. This poses limitations due to the amount of available data, which becomes hard to aggregate due to privacy concerns. Federated learning has been emerging as a new paradigm to improve model performance. It exploits information on the parameters from other clients while never sharing personal data from the patients. We present a proof-of-concept of federated learning techniques in the case of an automated screening tool for frailty in the older population. We used a frailty-specific dataset called FRELSA, with patients from nine regions of the UK used to simulate a scenario with regional hospitals. We compared three different strategies: separate regional training with no communication; federated averaging, the most widely used strategy for healthcare; and finally, global training on the full dataset for comparison. All three strategies were validated with two architectures: logistic regression and a neural network. Results show that federated strategies outperform local training and achieve global-like performance while preserving patient privacy. For Logistic Regression, the global validation F-score was 0.737 and the federated aggregated score was 0.735, offering improvement in seven of the nine regions. For Multi Layer Perceptron, the global validation F-score was 0.843 and the federated aggregated score was 0.834, improving in all nine regional models. The federated strategy is equivalent to pooling all the data together while avoiding all complications related to data privacy and sharing. The results of this study show that the proposed strategy is a viable method for improving frailty screening in healthcare systems.
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Keywords

Federated learningFrailtyFrelsaFried frailty phenotypeMachine learning

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Applied Sciences-Basel due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position 50/179, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Engineering, Multidisciplinary. Notably, the journal is positioned en el Cuartil Q2 para la agencia Scopus (SJR) en la categoría Engineering (Miscellaneous).

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Impact and social visibility

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://oa.upm.es/93999/

As a result of the publication of the work in the institutional repository, statistical usage data has been obtained that reflects its impact. In terms of dissemination, we can state that, as of

  • Views: 25
  • Downloads: 3
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Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (LEGHISSA, MATTEO) and Last Author (IGLESIAS FERNANDEZ, CARLOS ANGEL).

the author responsible for correspondence tasks has been LEGHISSA, MATTEO.

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Project objectives

Los objetivos perseguidos en esta aportación se centran en evaluar y mejorar la aplicación de técnicas de aprendizaje federado en el ámbito sanitario. Se pretende analizar la viabilidad de modelos de aprendizaje federado para el cribado automatizado de fragilidad en población mayor. Además, se busca comparar tres estrategias de entrenamiento: regional sin comunicación, federado y global, utilizando dos arquitecturas, regresión logística y redes neuronales. Otro objetivo es determinar el rendimiento comparativo de estas estrategias en términos de puntuaciones F-score, destacando mejoras en siete y nueve regiones para regresión logística y perceptrón multicapa, respectivamente. Finalmente, se pretende demostrar que el aprendizaje federado puede preservar la privacidad de los datos mientras ofrece un rendimiento similar al entrenamiento global.
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Most relevant results

El estudio presenta un enfoque de aprendizaje federado para la detección automatizada de fragilidad en población anciana, evaluado con el conjunto de datos FRELSA de nueve regiones del Reino Unido. Los resultados más relevantes son: (1) las estrategias federadas superan el entrenamiento local sin comunicación; (2) para regresión logística, la puntuación F global fue 0.737 y la federada 0.735, con mejoras en siete de nueve regiones; (3) para perceptrón multicapa, la puntuación F global fue 0.843 y la federada 0.834, con mejoras en todas las regiones; (4) el aprendizaje federado alcanza un rendimiento similar al entrenamiento global centralizado; (5) esta estrategia preserva la privacidad del paciente sin compartir datos personales.
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Awards linked to the item

Funding was received for this work. All of the funding sources for the work described in this publication came from the AROMA/MIRATAR project, grant TED2021-132149B-C42, funded by MICIU/AEI/10.13039/501100011033 and by the European Union NextGenerationEU/PRTR.
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