Evidence map›Paper›PMID 36384320›Full record

ReviewStatistical methods in medical research2023

Regularization approaches in clinical biostatistics: A review of methods and their applications.

Sarah Friedrich, Andreas Groll, Katja Ickstadt, Thomas Kneib, Markus Pauly, Jörg Rahnenführer, Tim Friede

Abstract readReview
In one paragraph

Review in Statistical methods in medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
  2. A machine learning approach to profiling anxiety risk among cancer patients on treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Analyzing and predicting patient admissions related to acute heat at the Chemnitz Hospital (Germany).Archives of public health = Archives belges de sante publique · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah FriedrichInstitute of Mathematics, 26522University of Augsburg, Augsburg, Germany.ORCID 0000-0003-0291-4378
Andreas GrollDepartment of Statistics, 14311TU Dortmund University, Dortmund, Germany.
Katja IckstadtDepartment of Statistics, 14311TU Dortmund University, Dortmund, Germany.
Thomas KneibChair of Statistics and Campus Institute Data Science, 84922Georg-August-University Göttingen, Göttingen, Germany.
Markus PaulyDepartment of Statistics, 14311TU Dortmund University, Dortmund, Germany.
Jörg RahnenführerDepartment of Statistics, 14311TU Dortmund University, Dortmund, Germany.
Tim FriedeDepartment of Medical Statistics, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0001-5347-7441

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A range of regularization approaches have been proposed in the data sciences to overcome overfitting, to exploit sparsity or to improve prediction. Using a broad definition of regularization, namely controlling model complexity by adding information in order to solve ill-posed problems or to prevent overfitting, we review a range of approaches within this framework including penalization, early stopping, ensembling and model averaging. Aspects of their practical implementation are discussed including available R-packages and examples are provided. To assess the extent to which these approaches are used in medicine, we conducted a review of three general medical journals. It revealed that regularization approaches are rarely applied in practical clinical applications, with the exception of random effects models. Hence, we suggest a more frequent use of regularization approaches in medical research. In situations where also other approaches work well, the only downside of the regularization approaches is increased complexity in the conduct of the analyses which can pose challenges in terms of computational resources and expertise on the side of the data analyst. In our view, both can and should be overcome by investments in appropriate computing facilities and educational resources.

Indexed as

Bayesian inferenceearly stoppingensemblingevidence synthesismodel averagingPenalization

Identifiers

PMID36384320
PMCPMC9896544

What OpenQuestion holds

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Registered trials

None linked

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.