arXiv Machine Learning By Julie Alberge, Ga\"el Varoquaux, Judith Ab\'ecassis

The Loss or the Architecture? What Matters in Survival Analysis with Competing Risks

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The paper investigates whether the choice of loss function or network architecture is more critical for survival analysis with competing risks. By independently varying three loss functions (two strictly proper) and four backbone architectures across 20 tabular and 3 pathology‑image datasets, the authors find that modelling cumulative incidence directly with censoring weighting consistently outperforms other losses, while the backbone must match the data modality. Proper scoring rules reveal that the loss dominates performance on competing‑risk data, whereas the architecture matters more on single‑event data, and the two factors compound rather than substitute.

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arXiv Machine Learning
Oct 16

SurvICL: a Foundation Model for in-context Survival Analysis

SurvICL is a tabular foundation model designed for in-context survival analysis, predicting survival curves directly from data. It is pretrained on synthetic datasets generated via a novel flexible proportional‑odds prior and trained using a plain quantile regression loss, enabling it to handle uncensored event times. On a new benchmark of 103 survival datasets, SurvICL outperforms 20 baseline models—including the classic Cox model—without any tuning, achieving superior integrated Brier scores on 63 held‑out datasets.

By Julie Alberge, Linus Bleistein, Judith Ab\'ecassis, Marine Le Morvan, Ga\"el Varoquaux, David Holzm\"uller
arXiv AI
Sep 7

Adaptation Interfaces for In-Context Tabular Foundation Models in Time-to-Event Prediction

The paper explores how to adapt tabular foundation models (TabFMs) for censored time‑to‑event prediction by linking them with CoxPH and DeepHit and revising training procedures. It evaluates zero‑shot, classification‑based fine‑tuning, and survival‑head adaptations across 74 single‑risk and 4 competing‑risk datasets, finding that zero‑shot works best on small datasets while supervised adaptation excels as data grows. The study shows that the choice of adaptation interface and data regime critically influences TabFM transfer performance.

By Minh-Khoi Pham, Luca Cotugno, Dan Cernei, Alina Sirbu, Stefano Masi, Giuseppe Prencipe, Alessandro Pingitore, Patrizia Landi, Working Group on Uric Acid, Cardiovascular Risk of the Italian Society of Hypertension, Tai Tan Mai, Martin Crane, Marija Bezbradica