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Trustworthy analytics for healthcare require models that are not only accurate but also interpretable and robust under distributional perturbations. In this paper, we propose an interpretable stacked ensemble framework that repurposes TabNet from an end-to-end classifier into an attention-guided feature generator for downstream learners. We constructed a dual-channel stacking architecture in which TabNet-derived embeddings and original tabular features were fed into heterogeneous gradient-boosted base learners (XGBoost and LightGBM) to enhance representation diversity, and were integrated by an interpretable logistic-regression meta-learner. For transparent and unbiased evaluation, we employed nested stratified cross-validation with fixed-budget hyperparameter tuning with systematic ablation studies. Experiments on the public Wisconsin Diagnostic Breast Cancer dataset showed that the proposed model achieves strong and stable performance (average accuracy 97.8% ± 1.0% under nested cross-validation) compared to a single TabNet baseline and conventional ensemble variants. Moreover, we assessed robustness under out-of-distribution-style covariate perturbations by injecting Gaussian noise at varying intensities, demonstrating that the stacking design mitigates the noise sensitivity of TabNet-derived representations and maintains a balanced sensitivity–specificity trade-off via adaptive thresholding. Overall, the proposed framework provides a reproducible template for combining deep tabular representation learning with explainable ensemble decision-making toward reliable data science applications in high-stakes domains.
This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
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