2018
DOI: 10.1101/327437
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Prediction and inference diverge in biomedicine: Simulations and real-world data

Abstract: In the 20 th century many advances in biological knowledge and evidence-based medicine were supported by p-values and accompanying methods. In the beginning 21 st century, ambitions towards precision medicine put a premium on detailed predictions for single individuals. The shift causes tension between traditional methods used to infer statistically significant group differences and burgeoning machine-learning tools suited to forecast an individual's future. This comparison applies the linear model for identif… Show more

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Cited by 12 publications
(10 citation statements)
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References 43 publications
(44 reference statements)
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“…This raises the question if the specificity of a Riemannian model could be enhanced in a similar way. Ultimately, what model to prefer, therefore, clearly depends on the strategic goal of the analysis (Bzdok et al, 2018;Bzdok and Ioannidis, 2019) and cannot be globally decided.…”
Section: Resultsmentioning
confidence: 99%
“…This raises the question if the specificity of a Riemannian model could be enhanced in a similar way. Ultimately, what model to prefer, therefore, clearly depends on the strategic goal of the analysis (Bzdok et al, 2018;Bzdok and Ioannidis, 2019) and cannot be globally decided.…”
Section: Resultsmentioning
confidence: 99%
“…Furthermore, our work stands up to potential criticism put forward by recent epistemological studies, which warn about the divergence of methods based on prediction versus inference (Lo et al, 2015;Bzdok et al, 2018), as well as the risk of misrepresentation when aggregating data across participants (Fisher et al, 2018;Smith and Little, 2018). In our study, multivariate predictive analysis converged with mass-univariate inference that was reproducible across participants ( Fig.…”
Section: Discussionmentioning
confidence: 85%
“…Recently, Bzdok, Altman, and Krzywinski (2018) highlighted the diverging end results between classical statistics and machine learning, with the former drawing population level inferences from samples, whereas the latter is seeking to find generalisable predictive patterns. In further work, Bzdok, Engemann, Grisel, Varoquaux, and Thirion (2018) showed that low p‐values do not necessarily translate to generalisable biomarkers in out‐of‐sample data. Our model offers a robust and interpretable framework by which we can visualise how biomarkers dynamically interact and how those interactions affect the decision boundaries of classifying participants as stable MCI or progressive MCI.…”
Section: Discussionmentioning
confidence: 99%