Juan Parras

Alejandro Almodóvar, Mar Elizo, Patricia A. Apellániz et al.

Causal generative models provide a principled framework for answering observational, interventional, and counterfactual queries from observational data. However, many deep causal models rely on highly expressive architectures with opaque mechanisms, limiting auditability in high-stakes domains. We propose KaCGM, a causal generative model for mixed-type tabular data where each structural equation is parameterized by a Kolmogorov--Arnold Network (KAN). This decomposition enables direct inspection of learned causal mechanisms, including symbolic approximations and visualization of parent--child relationships, while preserving query-agnostic generative semantics. We introduce a validation pipeline based on distributional matching and independence diagnostics of inferred exogenous variables, allowing assessment using observational data alone. Experiments on synthetic and semi-synthetic benchmarks show competitive performance against state-of-the-art methods. A real-world cardiovascular case study further demonstrates the extraction of simplified structural equations and interpretable causal effects. These results suggest that expressive causal generative modeling and functional transparency can be achieved jointly, supporting trustworthy deployment in tabular decision-making settings. Code: https://github.com/aalmodovares/kacgm

Patricia A. Apellániz, Ana Jiménez, Borja Arroyo Galende et al.

While synthetic tabular data generation using Deep Generative Models (DGMs) offers a compelling solution to data scarcity and privacy concerns, their effectiveness relies on the availability of substantial training data, often lacking in real-world scenarios. To overcome this limitation, we propose a novel methodology that explicitly integrates artificial inductive biases into the generative process to improve data quality in low-data regimes. Our framework leverages transfer learning and meta-learning techniques to construct and inject informative inductive biases into DGMs. We evaluate four approaches (pre-training, model averaging, Model-Agnostic Meta-Learning (MAML), and Domain Randomized Search (DRS)) and analyze their impact on the quality of the generated text. Experimental results show that incorporating inductive bias substantially improves performance, with transfer learning methods outperforming meta-learning, achieving up to 60\% gains in Jensen-Shannon divergence. The methodology is model-agnostic and especially relevant in domains such as healthcare and finance, where high-quality synthetic data are essential, and data availability is often limited.

Tomàs Garriga, Alejandro Almodóvar, Axel Brando et al.

Individualized treatment selection with continuous actions requires accurate causal response estimation in decision-relevant regions, rather than uniformly over the entire action space. Estimating a global causal response surface and then choosing the treatment that maximizes it can therefore be suboptimal, since standard estimation objectives allocate modeling effort according to the observed treatment distribution rather than the regions that determine the optimal decision. While decision-aware approaches have been studied in unconfounded settings, this problem remains underexplored in proximal causal inference, where proxy variables and bridge functions enable identification under suitable assumptions even in the presence of hidden confounding. Despite recent progress, proximal methods have primarily focused on treatment-effect and potential-outcome estimation rather than treatment selection and optimal decision-making. To bridge this gap, we introduce a policy-targeted weighted bridge loss that emphasizes decision-relevant treatment regions while retaining global stabilization. We prove a regret bound showing that the proposed weighted bridge loss controls treatment-selection regret through a weighted ill-posedness constant. We instantiate the framework in decision-aware variants of several proximal bridge solvers, yielding practical algorithms that alternate between weighted bridge estimation, response-surface projection, policy update, and weight refinement. Empirically, we find that decision-aware weighting reduces regret across several bridge solvers, suggesting improved treatment selection in proximal settings.

Alejandro Almodóvar, Patricia A. Apellániz, Santiago Zazo et al.

Deep neural networks achieve state-of-the-art performance in estimating heterogeneous treatment effects, but their opacity limits trust and adoption in sensitive domains such as medicine, economics, and public policy. Building on well-established and high-performing causal neural architectures, we propose causalKANs, a framework that transforms neural estimators of conditional average treatment effects (CATEs) into Kolmogorov--Arnold Networks (KANs). By incorporating pruning and symbolic simplification, causalKANs yields interpretable closed-form formulas while preserving predictive accuracy. Experiments on benchmark datasets demonstrate that causalKANs perform on par with neural baselines in CATE error metrics, and that even simple KAN variants achieve competitive performance, offering a favorable accuracy--interpretability trade-off. By combining reliability with analytic accessibility, causalKANs provide auditable estimators supported by closed-form expressions and interpretable plots, enabling trustworthy individualized decision-making in high-stakes settings. We release the code for reproducibility at https://github.com/aalmodovares/causalkans .

Alejandro Almodóvar, Adrián Javaloy, Juan Parras et al.

We introduce DeCaFlow, a deconfounding causal generative model. Training once per dataset using just observational data and the underlying causal graph, DeCaFlow enables accurate causal inference on continuous variables under the presence of hidden confounders. Specifically, we extend previous results on causal estimation under hidden confounding to show that a single instance of DeCaFlow provides correct estimates for all causal queries identifiable with do-calculus, leveraging proxy variables to adjust for the causal effects when do-calculus alone is insufficient. Moreover, we show that counterfactual queries are identifiable as long as their interventional counterparts are identifiable, and thus are also correctly estimated by DeCaFlow. Our empirical results on diverse settings (including the Ecoli70 dataset, with 3 independent hidden confounders, tens of observed variables and hundreds of causal queries) show that DeCaFlow outperforms existing approaches, while demonstrating its out-of-the-box applicability to any given causal graph. An implementation can be found in https://github.com/aalmodovares/DeCaFlow

Patricia A. Apellániz, Juan Parras, Santiago Zazo

The rising use of machine learning in various fields requires robust methods to create synthetic tabular data. Data should preserve key characteristics while addressing data scarcity challenges. Current approaches based on Generative Adversarial Networks, such as the state-of-the-art CTGAN model, struggle with the complex structures inherent in tabular data. These data often contain both continuous and discrete features with non-Gaussian distributions. Therefore, we propose a novel Variational Autoencoder (VAE)-based model that addresses these limitations. Inspired by the TVAE model, our approach incorporates a Bayesian Gaussian Mixture model (BGM) within the VAE architecture. This avoids the limitations imposed by assuming a strictly Gaussian latent space, allowing for a more accurate representation of the underlying data distribution during data generation. Furthermore, our model offers enhanced flexibility by allowing the use of various differentiable distributions for individual features, making it possible to handle both continuous and discrete data types. We thoroughly validate our model on three real-world datasets with mixed data types, including two medically relevant ones, based on their resemblance and utility. This evaluation demonstrates significant outperformance against CTGAN and TVAE, establishing its potential as a valuable tool for generating synthetic tabular data in various domains, particularly in healthcare.

Patricia A. Apellániz, Ana Jiménez, Borja Arroyo Galende et al.

The ever-increasing use of generative models in various fields where tabular data is used highlights the need for robust and standardized validation metrics to assess the similarity between real and synthetic data. Current methods lack a unified framework and rely on diverse and often inconclusive statistical measures. Divergences, which quantify discrepancies between data distributions, offer a promising avenue for validation. However, traditional approaches calculate divergences independently for each feature due to the complexity of joint distribution modeling. This paper addresses this challenge by proposing a novel approach that uses divergence estimation to overcome the limitations of marginal comparisons. Our core contribution lies in applying a divergence estimator to build a validation metric considering the joint distribution of real and synthetic data. We leverage a probabilistic classifier to approximate the density ratio between datasets, allowing the capture of complex relationships. We specifically calculate two divergences: the well-known Kullback-Leibler (KL) divergence and the Jensen-Shannon (JS) divergence. KL divergence offers an established use in the field, while JS divergence is symmetric and bounded, providing a reliable metric. The efficacy of this approach is demonstrated through a series of experiments with varying distribution complexities. The initial phase involves comparing estimated divergences with analytical solutions for simple distributions, setting a benchmark for accuracy. Finally, we validate our method on a real-world dataset and its corresponding synthetic counterpart, showcasing its effectiveness in practical applications. This research offers a significant contribution with applicability beyond tabular data and the potential to improve synthetic data validation in various fields.

Patricia A. Apellániz, Juan Parras, Santiago Zazo

As in many fields of medical research, survival analysis has witnessed a growing interest in the application of deep learning techniques to model complex, high-dimensional, heterogeneous, incomplete, and censored medical data. Current methods often make assumptions about the relations between data that may not be valid in practice. In response, we introduce SAVAE (Survival Analysis Variational Autoencoder), a novel approach based on Variational Autoencoders. SAVAE contributes significantly to the field by introducing a tailored ELBO formulation for survival analysis, supporting various parametric distributions for covariates and survival time (as long as the log-likelihood is differentiable). It offers a general method that consistently performs well on various metrics, demonstrating robustness and stability through different experiments. Our proposal effectively estimates time-to-event, accounting for censoring, covariate interactions, and time-varying risk associations. We validate our model in diverse datasets, including genomic, clinical, and demographic data, with varying levels of censoring. This approach demonstrates competitive performance compared to state-of-the-art techniques, as assessed by the Concordance Index and the Integrated Brier Score. SAVAE also offers an interpretable model that parametrically models covariates and time. Moreover, its generative architecture facilitates further applications such as clustering, data imputation, and the generation of synthetic patient data through latent space inference from survival data.

Alejandro Almodóvar, Patricia A. Apellániz, Alba Garrido et al.

Why should a clinician trust an Artificial Intelligence (AI) prediction? Despite the increasing accuracy of machine learning methods in medicine, the lack of transparency continues to hinder their adoption in clinical practice. In this work, we explore Kolmogorov-Arnold Networks (KANs) for clinical classification tasks on tabular data. In contrast to traditional neural networks, KANs are function-based architectures that offer intrinsic interpretability through transparent, symbolic representations. We introduce \emph{Logistic-KAN}, a flexible generalization of logistic regression, and \emph{Kolmogorov-Arnold Additive Model (KAAM)}, a simplified additive variant that delivers transparent, symbolic formulas. Unlike ``black-box'' models that require post-hoc explainability tools, our models support built-in patient-level insights, intuitive visualizations, and nearest-patient retrieval. Across multiple health datasets, our models match or outperform standard baselines, while remaining fully interpretable. These results position KANs as a promising step toward trustworthy AI that clinicians can understand, audit, and act upon. We release the code for reproducibility in \codeurl.

Alba Garrido, Alejandro Almodóvar, Patricia A. Apellániz et al.

Accurate survival prediction is critical in oncology for prognosis and treatment planning. Traditional approaches often rely on a single data modality, limiting their ability to capture the complexity of tumor biology. To address this challenge, we introduce a multimodal deep learning framework for survival analysis capable of modeling both single and competing risks scenarios, evaluating the impact of integrating multiple medical data sources on survival predictions. We propose SAMVAE (Survival Analysis Multimodal Variational Autoencoder), a novel deep learning architecture designed for survival prediction that integrates six data modalities: clinical variables, four molecular profiles, and histopathological images. SAMVAE leverages modality specific encoders to project inputs into a shared latent space, enabling robust survival prediction while preserving modality specific information. Its parametric formulation enables the derivation of clinically meaningful statistics from the output distributions, providing patient-specific insights through interactive multimedia that contribute to more informed clinical decision-making and establish a foundation for interpretable, data-driven survival analysis in oncology. We evaluate SAMVAE on two cancer cohorts breast cancer and lower grade glioma applying tailored preprocessing, dimensionality reduction, and hyperparameter optimization. The results demonstrate the successful integration of multimodal data for both standard survival analysis and competing risks scenarios across different datasets. Our model achieves competitive performance compared to state-of-the-art multimodal survival models. Notably, this is the first parametric multimodal deep learning architecture to incorporate competing risks while modeling continuous time to a specific event, using both tabular and image data.