ArticleBMC medical informatics and decision making2026
CleanSurvival: automated data preprocessing for time-to-event models using reinforcement learning.
Article in BMC medical informatics and decision making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundData preprocessing is often paid little attention in machine learning, despite its potentially significant impact on model performance. While automated machine learning pipelines are starting to recognise and integrate data preprocessing into their solutions for classification and regression tasks, this integration is lacking for more specialised tasks like time-to-event models for censored data. As a result, survival analysis not only faces the general challenges of data preprocessing but also suffers from the lack of tailored, automated solutions in this area.
methodTo address this gap, this paper presents CleanSurvival, a reinforcement-learning-based solution for optimizing preprocessing pipelines, extended specifically for survival analysis. The framework can handle continuous and categorical variables. It builds upon Learn2Clean's [Formula: see text]-learning to select which combination of data imputation, outlier detection and feature extraction techniques achieves optimal performance for a Cox, random forest, neural network or user-supplied time-to-event model. The Python package is available on GitHub: https://github.com/datasciapps/CleanSurvival .
resultsExperimental benchmarks on real-world datasets show that the [Formula: see text]-learning-based data preprocessing can improve predictive performance relative to simple baselines, while runtime behaviour is condition-dependent and most clearly interpretable in the best-covered benchmark cells. Furthermore, a simulation study demonstrates effectiveness across different types and levels of missingness and noise.
conclusionWith an increase in the use of machine learning, it becomes important to generalise AutoML pipelines to a variety of models now present, including survival analysis. Tools like CleanSurvival, which integrate preprocessing for survival analysis, can make survival studies faster and easier to perform, while also yielding more robust results.
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