Abstract

Recent studies have revealed the importance of the interaction effect in cardiac research. An analysis would lead to an erroneous conclusion when the approach failed to tackle a significant interaction. Regression models deal with interaction by adding the product of the two interactive variables. Thus, statistical methods could evaluate the significance and contribution of the interaction term. However, machine learning strategies could not provide the p-value of specific feature interaction. Therefore, we propose a novel machine learning algorithm to assess the p-value of a feature interaction, named the extreme gradient boosting machine for feature interaction (XGB-FI). The first step incorporates the concept of statistical methodology by stratifying the original data into four subgroups according to the two interactive features. The second step builds four XGB machines with cross-validation techniques to avoid overfitting. The third step calculates a newly defined feature interaction ratio (FIR) for all possible combinations of predictors. Finally, we calculate the empirical p-value according to the FIR distribution. Computer simulation studies compared the XGB-FI with the multiple regression model with an interaction term. The results showed that the type I error of XGB-FI is valid under the nominal level of 0.05 when there is no interaction effect. The power of XGB-FI is consistently higher than the multiple regression model in all scenarios we examined. In conclusion, the new machine learning algorithm outperforms the conventional statistical model when searching for an interaction.

Highlights

  • Recent studies of the interaction effect in cardiac research successfully discovered crucial findings

  • This study examined the interaction between heart failure etiology and the effect of sacubitril/valsartan

  • We proposed a novel algorithm to assess the significance level of a feature interaction based on a modified structure of the XGB machine

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Summary

Introduction

Recent studies of the interaction effect in cardiac research successfully discovered crucial findings. Electromagnetic interactions between implanted cardioverter defibrillators and left ventricular assist devices were examined [1]. An interaction between arousals and ventilation during Cheyne–Stokes respiration in heart failure patients was reported [2]. Another study [4] estimated the risk of death related to ventricular arrhythmia in timeupdated models. This study examined the interaction between heart failure etiology and the effect of sacubitril/valsartan. Hazard ratio in patients with an ischemic etiology was 0.93 (0.71–1.21) versus 0.53 (0.37–0.78) in those without an ischemic etiology (p for interaction = 0.020). Developing a novel algorithm to detect the interaction effect is beneficial for cardiology and various research fields

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