Embracing cohort heterogeneity in clinical machine learning development: a step toward generalizable models.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
24 05 2023
Historique:
received: 10 10 2022
accepted: 20 05 2023
medline: 26 5 2023
pubmed: 25 5 2023
entrez: 24 5 2023
Statut: epublish

Résumé

This study is a simple illustration of the benefit of averaging over cohorts, rather than developing a prediction model from a single cohort. We show that models trained on data from multiple cohorts can perform significantly better in new settings than models based on the same amount of training data but from just a single cohort. Although this concept seems simple and obvious, no current prediction model development guidelines recommend such an approach.

Identifiants

pubmed: 37225751
doi: 10.1038/s41598-023-35557-y
pii: 10.1038/s41598-023-35557-y
pmc: PMC10209202
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

8363

Informations de copyright

© 2023. The Author(s).

Références

JAMA Intern Med. 2021 Aug 1;181(8):1040-1041
pubmed: 34152360
Stat Med. 2021 Jul 10;40(15):3533-3559
pubmed: 33948970
J Am Med Inform Assoc. 2019 Dec 1;26(12):1651-1654
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Stat Med. 2019 Sep 30;38(22):4290-4309
pubmed: 31373722
JAMA Intern Med. 2021 Aug 1;181(8):1065-1070
pubmed: 34152373
Nat Med. 2019 Jan;25(1):44-56
pubmed: 30617339
EBioMedicine. 2022 Aug;82:104176
pubmed: 35853298

Auteurs

Michiel Schinkel (M)

Center for Experimental and Molecular Medicine (CEMM), Location Academic Medical Center, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. m.schinkel@amsterdamumc.nl.

Frank C Bennis (FC)

Quantitative Data Analytics Group, Department of Computer Science, Vrije Universiteit Amsterdam, De Boelelaan 1105, Amsterdam, The Netherlands.

Anneroos W Boerman (AW)

Department of Internal Medicine, Section General Internal Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.

W Joost Wiersinga (WJ)

Department of Internal Medicine, Amsterdam UMC University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.

Prabath W B Nanayakkara (PWB)

Department of Internal Medicine, Section General Internal Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.

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Classifications MeSH