Non-parametric recurrent events analysis with BART and an application to the hospital admissions of patients with diabetes

Biostatistics. 2020 Jan 1;21(1):69-85. doi: 10.1093/biostatistics/kxy032.

Abstract

Much of survival analysis is concerned with absorbing events, i.e., subjects can only experience a single event such as mortality. This article is focused on non-absorbing or recurrent events, i.e., subjects are capable of experiencing multiple events. Recurrent events have been studied by many; however, most rely on the restrictive assumptions of linearity and proportionality. We propose a new method for analyzing recurrent events with Bayesian Additive Regression Trees (BART) avoiding such restrictive assumptions. We explore this new method via a motivating example of hospital admissions for diabetes patients and simulated data sets.

Keywords: Bayesian Additive Regression Trees; Cumulative intensity; Electronic health records (EHR); Machine learning; Non-proportional; Variable selection.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biostatistics / methods*
  • Computer Simulation
  • Diabetes Mellitus / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical*
  • Outcome and Process Assessment, Health Care / methods*
  • Patient Admission / statistics & numerical data*
  • Young Adult