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具有个体化截断参数分布的动态生存分析

Dynamic Survival Analysis with Individualized Truncated Parametric Distributions.

作者信息

Putzel Preston, Smyth Padhraic, Yu Jaehong, Zhong Hua

机构信息

Department of Computer Science, University of California, Irvine, CA, USA.

Department of Industrial and Management Engineering, Incheon National University, 119 Academy-Ro, Yeonsu-Gu, Songdo-dong Incheon 22012, South Korea.

出版信息

Proc Mach Learn Res. 2021 Mar;146:159-170.

Abstract

Dynamic survival analysis is a variant of traditional survival analysis where time-to-event predictions are updated as new information arrives about an individual over time. In this paper we propose a new approach to dynamic survival analysis based on learning a global parametric distribution, followed by individualization via truncating and renormalizing that distribution at different locations over time. We combine this approach with a likelihood-based loss that includes predictions at every time step within an individual's history, rather than just including one term per individual. The combination of this loss and model results in an interpretable approach to dynamic survival, requiring less fine tuning than existing methods, while still achieving good predictive performance. We evaluate the approach on the problem of predicting hospital mortality for a dataset with over 6900 COVID-19 patients.

摘要

动态生存分析是传统生存分析的一种变体,其中事件发生时间的预测会随着时间推移关于个体的新信息的到来而更新。在本文中,我们提出了一种新的动态生存分析方法,该方法基于学习全局参数分布,然后通过在不同时间点对该分布进行截断和重新归一化来实现个体化。我们将这种方法与基于似然的损失相结合,该损失包括个体历史中每个时间步的预测,而不是每个个体仅包含一项。这种损失和模型的结合产生了一种可解释的动态生存方法,与现有方法相比需要更少的微调,同时仍能实现良好的预测性能。我们在一个包含超过6900名COVID-19患者的数据集上评估了该方法在预测医院死亡率问题上的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37dd/8969882/6f38908e93a2/nihms-1791129-f0001.jpg

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