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Hypothesis-free discovery from epidemiological data by automatic detection and local inference for tree-based nonlinearities and interactions

1 May 2025arXiv:2505.00571archive 2025-07-28

Giorgio Spadaccini, Marjolein Fokkema, Mark A. van de Wiel

In epidemiological settings, Machine Learning (ML) is gaining popularity for hypothesis-free discovery of risk (or protective) factors. Although ML is strong at discovering non-linearities and interactions, this power is currently compromised by a lack of reliable inference. Although local measures of feature effect can be combined with tree ensembles, uncertainty quantifications for these measures remain only partially available and oftentimes unsatisfactory. We propose RuleSHAP, a framework for using rule-based, hypothesis-free discovery that combines sparse Bayesian regression, tree ensembles and Shapley values in a one-step procedure that both detects and tests complex patterns at the individual level. To ease computation, we derive a formula that computes marginal Shapley values more efficiently for our setting. We demonstrate the validity of our framework on simulated data. To illustrate, we apply our machinery to data from an epidemiological cohort to detect and infer several effects for high cholesterol and blood pressure, such as nonlinear interaction effects between features like age, sex, ethnicity, BMI and glucose level.

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