A machine learning-based approach for estimating and testing associations with multivariate outcomes
David Benkeser, Andrew Mertens, Benjamin F. Arnold, John M. Colford, Jr., Alan Hubbard, Aryeh Stein, N. Lntshotshole Jumbe, Mark van der Laan

TL;DR
This paper introduces a machine learning-based method to estimate and test associations between variable sets and multivariate outcomes, effectively capturing complex nonlinear relationships and interactions.
Contribution
It presents a novel ensemble machine learning approach for measuring and testing associations in multivariate data, outperforming traditional linear methods.
Findings
The proposed test has higher power than existing methods for nonlinear associations.
The method effectively captures complex relationships and interactions.
Application to cohort data demonstrates practical utility.
Abstract
We propose a method for summarizing the strength of association between a set of variables and a multivariate outcome. Classical summary measures are appropriate when linear relationships exist between covariates and outcomes, while our approach provides an alternative that is useful in situations where complex relationships may be present. We utilize ensemble machine learning to detect nonlinear relationships and covariate interactions and propose a measure of association that captures these relationships. A hypothesis test about the proposed associative measure can be used to test the strong null hypothesis of no association between a set of variables and a multivariate outcome. Simulations demonstrate that this hypothesis test has greater power than existing methods against alternatives where covariates have nonlinear relationships with outcomes. We additionally propose measures of…
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