Title: On the Impact of Data Heterogeneity in Federated Learning Environments with Application to Healthcare Networks

Abstract: Federated Learning (FL) allows multiple privacy-sensitive applications to leverage their dataset for a global model construction without any disclosure of the information. One of those domains is healthcare, where groups of silos collaborate in order to generate a global predictor with improved accuracy and generalization. However, the inherent challenge lies in the high heterogeneity of medical data, necessitating sophisticated techniques for assessment and compensation. This paper presents a comprehensive exploration of the mathematical formalization and taxonomy of heterogeneity within FL environments, focusing on the intricacies of medical data. In particular, we address the evaluation and comparison of the most popular FL algorithms with respect to their ability to cope with quantity-based, feature and label distribution-based heterogeneity. The goal is to provide a quantitative evaluation of the impact of data heterogeneity in FL systems for healthcare networks as well as a guideline on FL algorithm selection. Our research extends beyond existing studies by benchmarking seven of the most common FL algorithms against the unique challenges posed by medical data use cases. The paper targets the prediction of the risk of stroke recurrence through a set of tabular clinical reports collected by different federated hospital silos: data heterogeneity frequently encountered in this scenario and its impact on FL performance are discussed.