arXiv · 2503.12824
Comparative Review of Modern Competing Risk Methods in High-dimensional Settings
Abstract
Competing risk analysis accounts for multiple mutually exclusive events, improving risk estimation over traditional survival analysis. Despite methodological advancements, a comprehensive comparison of competing risk methods, especially in high-dimensional settings, remains limited. This study evaluates penalized regression (LASSO, SCAD, MCP), boosting (CoxBoost, CB), random forest (RF), and deep learning (DeepHit, DH) methods for competing risk analysis through extensive simulations, assessing variable selection, estimation accuracy, discrimination, and calibration under diverse data conditions. Our results show that, under the considered settings, CB provides strong control of false discoveries, stable estimation, and competitive discriminative ability, particularly in high-dimensional settings, while MCP and SCAD provide improved calibration in $n>p$ scenarios. RF and DH are effective at capturing nonlinear effects, but in the present implementation, they tend to exhibit weaker performance, with RF identifying broader variable sets and DH showing limited calibration accuracy. We further illustrate the application of these methods through an analysis of a melanoma gene expression dataset with survival outcomes. This study provides comparative evidence and preliminary guidelines for selecting competing risk models in high-dimensional settings and outlines important directions for future research.
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Paul M. Djangang, Summer S. Han, Nilotpal Sanyal. 2025-03-17. Comparative Review of Modern Competing Risk Methods in High-dimensional Settings. https://doi.org/10.1080/00949655.2026.2697340
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