Multi-Dimensional Penalized Hazard Model with Continuous Covariates: Applications for Studying Trends and Social Inequalities in Cancer Survival
Why this work is in the frame
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Bibliographic record
Abstract
Summary Describing the dynamics of patient mortality hazard is a major concern for cancer epidemiologists. In addition to time and age, other continuous covariates have often to be included in the model. For example, survival trend analyses and socio-economic studies deal respectively with the year of diagnosis and a deprivation index. Taking advantage of a recent theoretical framework for general smooth models, the paper proposes a penalized approach to hazard and excess hazard models in time-to-event analyses. The baseline hazard and the functional forms of the covariates were specified by using penalized natural cubic regression splines with associated quadratic penalties. Interactions between continuous covariates and time-dependent effects were dealt with by forming a tensor product smooth. The smoothing parameters were estimated by optimizing either the Laplace approximate marginal likelihood criterion or the likelihood cross-validation criterion. The regression parameters were estimated by direct maximization of the penalized likelihood of the survival model, which avoids data augmentation and the Poisson likelihood approach. The implementation proposed was evaluated on simulations and applied to real data. It was found to be numerically stable, efficient and useful for choosing the appropriate degree of complexity in overall survival and net survival contexts; moreover, it simplified the model building process.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it