The Confidence Gate Theorem: When Should Ranked Decision Systems Abstain?
Ronald Doku

TL;DR
This paper analyzes when confidence-based abstention improves decision quality in ranked systems, identifying key conditions and challenges posed by different types of uncertainty through theoretical insights and empirical validation.
Contribution
It introduces simple formal conditions for confidence abstention effectiveness and distinguishes structural from contextual uncertainty, providing practical diagnostics for deployment.
Findings
Structural uncertainty leads to near-monotonic abstention gains.
Contextual uncertainty causes violations in confidence-based abstention.
Exception labels degrade under distribution shift, challenging their use.
Abstract
Ranked decision systems -- recommenders, ad auctions, clinical triage queues -- must decide when to intervene in ranked outputs and when to abstain. We study when confidence-based abstention monotonically improves decision quality, and when it fails. The formal conditions are simple: rank-alignment and no inversion zones. The substantive contribution is identifying why these conditions hold or fail: the distinction between structural uncertainty (missing data, e.g., cold-start) and contextual uncertainty (missing context, e.g., temporal drift). Empirically, we validate this distinction across three domains: collaborative filtering (MovieLens, 3 distribution shifts), e-commerce intent detection (RetailRocket, Criteo, Yoochoose), and clinical pathway triage (MIMIC-IV). Structural uncertainty produces near-monotonic abstention gains in all domains; structurally grounded confidence signals…
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Taxonomy
TopicsElectronic Health Records Systems · Healthcare Technology and Patient Monitoring · Advanced Causal Inference Techniques
