ArticleBMC medical research methodology2020
Don't dismiss logistic regression: the case for sensible extraction of interactions in the era of machine learning.
Article in BMC medical research methodology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- Development of a Medication-Related Osteonecrosis of the Jaw Prediction Model Using the FDA Adverse Event Reporting System Database and Machine Learning.Pharmaceuticals (Basel, Switzerland) · 2025Article
- Leveraging machine learning for duration of surgery prediction in knee and hip arthroplasty - a development and validation study.BMC medical informatics and decision making · 2025Article
- Machine learning in predicting heart failure survival: a review of current models and future prospects.Heart failure reviews · 2025Review
- Multi-parameter MRI-Based Machine Learning Model to Evaluate the Efficacy of STA-MCA Bypass Surgery for Moyamoya Disease: A Pilot Study.Journal of imaging informatics in medicine · 2025Article
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2 authors.
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Abstract
backgroundMachine learning approaches have become increasingly popular modeling techniques, relying on data-driven heuristics to arrive at its solutions. Recent comparisons between these algorithms and traditional statistical modeling techniques have largely ignored the superiority gained by the former approaches due to involvement of model-building search algorithms. This has led to alignment of statistical and machine learning approaches with different types of problems and the under-development of procedures that combine their attributes. In this context, we hoped to understand the domains of applicability for each approach and to identify areas where a marriage between the two approaches is warranted. We then sought to develop a hybrid statistical-machine learning procedure with the best attributes of each.
methodsWe present three simple examples to illustrate when to use each modeling approach and posit a general framework for combining them into an enhanced logistic regression model building procedure that aids interpretation. We study 556 benchmark machine learning datasets to uncover when machine learning techniques outperformed rudimentary logistic regression models and so are potentially well-equipped to enhance them. We illustrate a software package, InteractionTransformer, which embeds logistic regression with advanced model building capacity by using machine learning algorithms to extract candidate interaction features from a random forest model for inclusion in the model. Finally, we apply our enhanced logistic regression analysis to two real-word biomedical examples, one where predictors vary linearly with the outcome and another with extensive second-order interactions.
resultsPreliminary statistical analysis demonstrated that across 556 benchmark datasets, the random forest approach significantly outperformed the logistic regression approach. We found a statistically significant increase in predictive performance when using hybrid procedures and greater clarity in the association with the outcome of terms acquired compared to directly interpreting the random forest output.
conclusionsWhen a random forest model is closer to the true model, hybrid statistical-machine learning procedures can substantially enhance the performance of statistical procedures in an automated manner while preserving easy interpretation of the results. Such hybrid methods may help facilitate widespread adoption of machine learning techniques in the biomedical setting.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.