Extensive literature has been proposed for the analysis of correlated survival data. Subjects within a cluster share some common characteristics, e.g., genetic and environmental factors, so their time-to-event outcomes are correlated. The frailty model under proportional hazards assumption has been widely applied for the analysis of clustered survival outcomes. However, the prediction performance of this method can be less satisfactory when the risk factors have complicated effects, e.g., nonlinear and interactive. To deal with these issues, we propose a neural network frailty Cox model that replaces the linear risk function with the output of a feed-forward neural network. The estimation is based on quasi-likelihood using Laplace approximation. A simulation study suggests that the proposed method has the best performance compared with existing methods. The method is applied to the clustered time-to-failure prediction within the kidney transplantation facility using the national kidney transplant registry data from the U.S. Organ Procurement and Transplantation Network. All computer programs are available at https://github.com/rivenzhou/deep_learning_clustered.
Physician performance is critical to caring for patients admitted to the intensive care unit (ICU), who are in life-threatening situations and require high level medical care and interventions. Evaluating physicians is crucial for ensuring a high standard of medical care and fostering continuous performance improvement. The non-randomized nature of ICU data often results in imbalance in patient covariates across physician groups, making direct comparisons of the patients’ survival probabilities for each physician misleading. In this article, we utilize the propensity weighting method to address confounding, achieve covariates balance, and assess physician effects. Due to possible model misspecification, we compare the performance of the propensity weighting methods using both parametric models and super learning methods. When the generalized propensity or the quality function is not correctly specified within the parametric propensity weighting framework, super learning-based propensity weighting methods yield more efficient estimators. We demonstrate that utilizing propensity weighting offers an effective way to assess physician performance, a topic of considerable interest to hospital administrators.
Statistical learning methods have been growing in popularity in recent years. Many of these procedures have parameters that must be tuned for models to perform well. Research has been extensive in neural networks, but not for many other learning methods. We looked at the behavior of tuning parameters for support vector machines, gradient boosting machines, and adaboost in both a classification and regression setting. We used grid search to identify ranges of tuning parameters where good models can be found across many different datasets. We then explored different optimization algorithms to select a model across the tuning parameter space. Models selected by the optimization algorithm were compared to the best models obtained through grid search to select well performing algorithms. This information was used to create an R package, EZtune, that automatically tunes support vector machines and boosted trees.
Anemia, especially among children, is a serious public health problem in Bangladesh. Apart from understanding the factors associated with anemia, it may be of interest to know the likelihood of anemia given the factors. Prediction of disease status is a key to community and health service policy making as well as forecasting for resource planning. We considered machine learning (ML) algorithms to predict the anemia status among children (under five years) using common risk factors as features. Data were extracted from a nationally representative cross-sectional survey- Bangladesh Demographic and Health Survey (BDHS) conducted in 2011. In this study, a sample of 2013 children were selected for whom data on all selected variables was available. We used several ML algorithms such as linear discriminant analysis (LDA), classification and regression trees (CART), k-nearest neighbors (k-NN), support vector machines (SVM), random forest (RF) and logistic regression (LR) to predict the childhood anemia status. A systematic evaluation of the algorithms was performed in terms of accuracy, sensitivity, specificity, and area under the curve (AUC). We found that the RF algorithm achieved the best classification accuracy of 68.53% with a sensitivity of 70.73%, specificity of 66.41% and AUC of 0.6857. On the other hand, the classical LR algorithm reached a classification accuracy of 62.75% with a sensitivity of 63.41%, specificity of 62.11% and AUC of 0.6276. Among all considered algorithms, the k-NN gave the least accuracy. We conclude that ML methods can be considered in addition to the classical regression techniques when the prediction of anemia is the primary focus.
With multiple components and relations, financial data are often presented as graph data, since it could represent both the individual features and the complicated relations. Due to the complexity and volatility of the financial market, the graph constructed on the financial data is often heterogeneous or time-varying, which imposes challenges on modeling technology. Among the graph modeling technologies, graph neural network (GNN) models are able to handle the complex graph structure and achieve great performance and thus could be used to solve financial tasks. In this work, we provide a comprehensive review of GNN models in recent financial context. We first categorize the commonly-used financial graphs and summarize the feature processing step for each node. Then we summarize the GNN methodology for each graph type, application in each area, and propose some potential research areas.