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.
This study investigates whether Support Vector Machine (SVM) can be used to predict the problem solving performance of students in the computerbased learning environment. The SVM models using RBF, linear, polynomial and sigmoid kernels were developed to estimate the probability for middle school students to get mathematics problems correct at their first attempt without using hints available in the computer-based learning environment based on their problem solving performance observed in the past. The SVM models showed better predictions than the standard Bayesian Knowledge Tracing (BKT) model, one of the most widely used prediction models in educational data mining research, in terms of Area Under the receiver operating characteristic Curve (AUC). Four SVM models got AUC values from 0.73 to 0.77, which is approximately 29% improvement, compared to the standard BKT model whose AUC was 0.58.
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.
Technological advances in software development effectively handled technical details that made life easier for data analysts, but also allowed for nonexperts in statistics and computer science to analyze data. As a result, medical research suffers from statistical errors that could be otherwise prevented such as errors in choosing a hypothesis test and assumption checking of models. Our objective is to create an automated data analysis software package that can help practitioners run non-subjective, fast, accurate and easily interpretable analyses. We used machine learning to predict the normality of a distribution as an alternative to normality tests and graphical methods to avoid their downsides. We implemented methods for detecting outliers, imputing missing values, and choosing a threshold for cutting numerical variables to correct for non-linearity before running a linear regression. We showed that data analysis can be automated. Our normality prediction algorithm outperformed the Shapiro-Wilk test in small samples with Matthews correlation coefficient of 0.5 vs. 0.16. The biggest drawback was that we did not find alternatives for statistical tests to test linear regression assumptions which are problematic in large datasets. We also applied our work to a dataset about smoking in teenagers. Because of the opensource nature of our work, these algorithms can be used in future research and projects.