Loading
Life sciences · Preprint
arXiv · September 15, 2026
No summary has been generated for this record yet. What follows is drawn from its source metadata only.
Preprint.
No findings were extractable from the material analysed.
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
The source did not state who this applies to in practice.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
This record has not been graded across any dimension yet. Treat the label above as provisional and read the source.
What is missing. This record has no bottom line, key findings, reported figures, evidence dimensions. That is a gap in the analysis, not a judgement about the study.
Federated learning (FL) in healthcare faces pronounced heterogeneity and temporal concept drift across clinical centers, where evolving patient populations and care practices shift data distributions. Existing approaches rely on persistent global communication, incurring substantial bandwidth overhead while risking negative transfer from poorly aligned peers. We propose Adaptive Bayesian Partner Selection (ABPS), a peer-to-peer framework that governs who collaborates, when, and at what cost. Each center maintains a Beta-Bernoulli posterior over prospective peers' Shapley marginal utility, ranks candidates with an Upper Confidence Bound (UCB) criterion, and forms collaborations through a lightweight propose-reject mechanism, with the option to abstain from communication when no mutually beneficial partner exists. The framework admits a stochastic decision interpretation, yielding finite-sample concentration guarantees and O(kappa log T) regret in partner selection, along with conditions under which intentional isolation is optimal under negative transfer. Lightweight extensions (head personalization, bfloat16 quantized communication, and a tunable active-set size) further improve efficiency, and a goal-aware metadata filter enables institution-specific collaboration strategies. On binary in-hospital mortality prediction over the first 24 hours of an ICU stay, with 230 non-IID clinical centers drawn from MIMIC-IV, the full ABPS-X variant matches the strongest federated baseline (FedDyn, AUROC 0.758) at 0.09x the communication cost of FedAvg, with reduced variability. A diversity-driven configuration activates intentional isolation for a substantial fraction of centers. These results show that adaptive, utility-aware collaboration reduces communication without sacrificing accuracy when centers are numerous and small, offering a scalable paradigm for healthcare FL.