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    This study introduces a new method combining imputation and ensemble learning to effectively handle incomplete and imbalanced data in patient physical fitness assessments. The approach improves classifier performance and imputation accuracy for critical healthcare applications.

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    Area of Science:

    • Machine Learning
    • Data Science
    • Biostatistics

    Background:

    • Classification analysis faces challenges with incomplete and imbalanced data, impacting classifier training and accuracy.
    • Healthcare applications demand high accuracy for imputed values, especially in patient assessments.
    • Existing methods struggle to simultaneously address data imputation and class imbalance.

    Purpose of the Study:

    • To develop a novel algorithmic approach to overcome challenges posed by incomplete and imbalanced datasets.
    • To enhance the accuracy of imputation values for training high-performance classifiers.
    • To improve the classification of physical fitness assessments in patient populations.

    Main Methods:

    • A combined approach termed MICEEN (Multivariate Imputation by Chained Equations and Ensemble Learning) was developed.
    • Multivariate Imputation by Chained Equations (MICE) was used for accurate imputation value generation.
    • Ensemble learning was employed with imputed data; missing values were synthetically generated for minority classes to balance data distribution.

    Main Results:

    • The MICEEN method demonstrated superior performance in handling incomplete and imbalanced data.
    • Experimental results confirmed the method's effectiveness on benchmark and real-world datasets.
    • The approach showed significant advantages in physical fitness assessments of tumor patients with varying missing data rates.

    Conclusions:

    • The MICEEN approach effectively addresses simultaneous data imputation and class imbalance issues.
    • This method offers a robust solution for improving classifier performance in data-scarce and imbalanced scenarios.
    • The findings have significant implications for accurate patient data analysis in healthcare settings.