A reproducible and extensible framework for benchmarking competing risks survival models

arXiv:2608.00271 · stat.ML, cs.LG · Submitted 2026-07-31 · Read on arXiv

Begoña B. Sierra, Colin McLean, Peter S. Hall, Sarah Friedrich-Welz, Catalina A. Vallejos

stat.ML, cs.LG

Submitted: 2026-07-31

Comments: 23 pages main text (7 figures), 31 pages supplementary information

Code: https://github.com/BBolosSierra/CompRisksBenchmark

License: http://creativecommons.org/licenses/by/4.0/

The gist: A wide range of statistical and machine learning methods have been proposed for survival analysis with competing risks, where the occurrence of one event (i.e., cancer death) precludes the occurrence

Terminology

Abstract

A wide range of statistical and machine learning methods have been proposed for survival analysis with competing risks, where the occurrence of one event (i.e., cancer death) precludes the occurrence of other events (i.e., cardiovascular disease death). Despite these methodological advances, their systematic evaluation and adoption are limited by the lack of comprehensive, reproducible and extensible benchmarking frameworks. We developed an open-source benchmarking framework for competing risks models that enables their systematic comparison across multiple datasets under different aspects of performance; calibration, discrimination, overall prediction error and clinical utility. We additionally introduce an extension of SHAP for competing risks, allowing model-agnostic interpretability of covariates contributions over time. All our code is publicly available via GitHub:https://github.com/BBolosSierra/CompRisksBenchmark

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