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Establishing a Competing Risk Regression Nomogram Model for Survival Data
Published on: October 23, 2020
A powerful penalized multinomial logistic regression approach
Cornelia Fuetterer1, Malte Nalenz2, Thomas Augustin2
1Institute of AI and Informatics in Medicine, School of Medicine and Health, TUM University Hospital, Technical University of Munich (TUM), Ismaninger Straße 22, 81675 Munich, Germany.
None:
Penalized regression methods that shrink model coefficients are popular approaches to improve prediction and for variable selection in high-dimensional settings. We present a penalized (or regularized) regression approach for multinomial logistic models for categorical outcomes with a novel adaptive L1-type penalty term, that incorporates weights based on intra- and inter-outcome category distances of each predictor. A predictor that has large between- and small within-outcome category distances is penalized less and has a higher likelihood to be selected for the final model. We propose and study three measures for weight calculation: an analysis of variance (ANOVA)-based measure and two indices used in clustering approaches. Our novel approach, that we term the discriminative power lasso (DP-lasso), thus combines elements of marginal screening with regularized regression methods. We studied the performance of DP-lasso and other published methods in simulations with varying numbers of outcome categories, numbers of predictors, strengths of associations and predictor correlation structures. For correlated predictors, the DP-lasso approach with ANOVA based weights (DPan) resulted in much sparser models than other regularization approaches, especially in high-dimensional settings. When the number p of (correlated) predictors was much larger than the available sample size N, DPan had the highest true positive rate while maintaining low false positive rates for all simulation settings. Similarly, when , DPan had high true positive rates and the lowest false positive rates of all methods studied. Thus we recommend DPan for analysing categorical outcomes in relation to high-dimensional predictors. We further illustrate all approaches in ultra high-dimensional settings, using several single-cell RNA-sequencing datasets.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s00180-025-01635-0.
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