Algo-Model

MetaboGuard Cycle-Held-Out Validation: Invalidated Benchmark

Status

The previously reported cycle-held-out pancreatic-risk benchmark is invalidated.

The source dataset incorrectly mapped NHANES MCQ230 code 39 to pancreatic cancer. Official NHANES documentation defines code 29 as pancreatic cancer and code 39 as Other.

Therefore, all former AUROC, AUPRC, lift, Brier and feature-importance results from that benchmark must not be quoted or used.

Corrected-event audit

Target Positive cases
Correct pancreatic cancer across pooled NHANES 19
Correct pancreatic cancer among diabetics 7
Usable diabetic positives after cleaning 6
Pancreatic cancer 0-3 years after diabetes 2

Cycle-held-out model evaluation is not statistically meaningful with this event count. Several test cycles contain no positive cases and the remaining cycle-specific estimates would be dominated by one or two individuals.

Safeguards added

When to rerun

Rerun leave-one-cycle/site-out validation only after obtaining a cohort with enough incident pancreatic-cancer cases. The primary target should be pancreatic cancer diagnosed within three years of diabetes onset, with exact diagnosis dates and no post-diagnosis features.