Upgrading survival models with CARE

Fuente: arXiv
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Autori principali: Underwood, William G., Reeve, Henry W. J., Feng, Oliver Y., Lambert, Samuel A., Mukherjee, Bhramar, Samworth, Richard J.
Natura: Preprint
Pubblicazione: 2025
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author Underwood, William G.
Reeve, Henry W. J.
Feng, Oliver Y.
Lambert, Samuel A.
Mukherjee, Bhramar
Samworth, Richard J.
author_facet Underwood, William G.
Reeve, Henry W. J.
Feng, Oliver Y.
Lambert, Samuel A.
Mukherjee, Bhramar
Samworth, Richard J.
contents Clinical risk prediction models are regularly updated as new data, often with additional covariates, become available. We propose CARE (Convex Aggregation of relative Risk Estimators) as a general approach for combining existing "external" estimators with a new data set in a time-to-event survival analysis setting. Our method initially employs the new data to fit a flexible family of reproducing kernel estimators via penalised partial likelihood maximisation. The final relative risk estimator is then constructed as a convex combination of the kernel and external estimators, with the convex combination coefficients and regularisation parameters selected using cross-validation. We establish high-probability bounds for the $L_2$-error of our proposed aggregated estimator, showing that it achieves a rate of convergence that is at least as good as both the optimal kernel estimator and the best external model. Empirical results from simulation studies align with the theoretical results, and we illustrate the improvements our methods provide for cardiovascular disease risk modelling. Our methodology is implemented in the Python package care-survival.
format Preprint
id arxiv_https___arxiv_org_abs_2506_23870
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Upgrading survival models with CARE
Underwood, William G.
Reeve, Henry W. J.
Feng, Oliver Y.
Lambert, Samuel A.
Mukherjee, Bhramar
Samworth, Richard J.
Methodology
Statistics Theory
62N02 (Primary), 62G05, 62P10 (Secondary)
Clinical risk prediction models are regularly updated as new data, often with additional covariates, become available. We propose CARE (Convex Aggregation of relative Risk Estimators) as a general approach for combining existing "external" estimators with a new data set in a time-to-event survival analysis setting. Our method initially employs the new data to fit a flexible family of reproducing kernel estimators via penalised partial likelihood maximisation. The final relative risk estimator is then constructed as a convex combination of the kernel and external estimators, with the convex combination coefficients and regularisation parameters selected using cross-validation. We establish high-probability bounds for the $L_2$-error of our proposed aggregated estimator, showing that it achieves a rate of convergence that is at least as good as both the optimal kernel estimator and the best external model. Empirical results from simulation studies align with the theoretical results, and we illustrate the improvements our methods provide for cardiovascular disease risk modelling. Our methodology is implemented in the Python package care-survival.
title Upgrading survival models with CARE
topic Methodology
Statistics Theory
62N02 (Primary), 62G05, 62P10 (Secondary)
url https://arxiv.org/abs/2506.23870