Abstract
Modern machine learning has achieved impressive prediction performance, but often sacrifices interpretability, a critical consideration in high-stakes domains such as medicine. In such settings, practitioners often use highly interpretable decision tree models, but these suffer from inductive bias against additive structure. To overcome this bias, we propose Fast Interpretable Greedy-Tree Sums (FIGS), which generalizes the Classification and Regression Trees (CART) algorithm to simultaneously grow a flexible number of trees in summation. By combining logical rules with addition, FIGS adapts to additive structure while remaining highly interpretable. Experiments on real-world datasets show FIGS achieves state-of-the-art prediction performance. To demonstrate the usefulness of FIGS in high-stakes domains, we adapt FIGS to learn clinical decision instruments (CDIs), which are tools for guiding decision-making. Specifically, we introduce a variant of FIGS known as Group Probability-Weighted Tree Sums (G-FIGS) that accounts for heterogeneity in medical data. G-FIGS derives CDIs that reflect domain knowledge and enjoy improved specificity (by up to 20% over CART) without sacrificing sensitivity or interpretability. Theoretically, we prove that FIGS learns components of additive models, a property we refer to as disentanglement. Further, we show (under oracle conditions) that tree-sum models leverage disentanglement to generalize more efficiently than single tree models when fitted to additive regression functions. Finally, to avoid overfitting with an unconstrained number of splits, we develop Bagging-FIGS, an ensemble version of FIGS that borrows the variance reduction techniques of random forests. Bagging-FIGS performs competitively with random forests and XGBoost on real-world datasets.