Purely medical cancer screening methods are often costly, time-consuming, and weakly applicable on a large scale. Advanced Artificial Intelligence (AI) methods greatly help cancer detection but require specific or deep medical data. These aspects affect the mass implementation of cancer screening methods. For these reasons, it is a disruptive change for healthcare to apply AI methods for mass personalized assessment of the cancer risk among patients based on the existing Electronic Health Records (EHR) volume. This paper presents a novel method for mass cancer risk prediction using EHR data. Among other methods, our one stands out by the minimum data greedy policy, requiring only a history of medical service codes and diagnoses from EHR. We formulate the problem as a binary classification. This dataset contains 175 441 de-identified patients (2 861 diagnosed with cancer). As a baseline, we implement a solution based on a recurrent neural network (RNN). We propose a method that combines machine learning and survival analysis since these approaches are less computationally heavy, can be combined into an ensemble (the Survival Ensemble), and can be reproduced in most medical institutions. We test the Survival Ensemble in some studies. Firstly, we obtain a significant difference between values of the primary metric (Average Precision) with 22.8% (ROC AUC 83.7%, F1 17.8%) for the Survival Ensemble versus 15.1% (ROC AUC 84.9%, F1 21.4%) for the Baseline. Secondly, the performance of the Survival Ensemble is also confirmed during the ablation study. Thirdly, our method exceeds age baselines by a significant margin. Fourthly, in the blind retrospective out-of-time experiment, the proposed method is reliable in cancer patient detection (9 out of 100 selected). Such results exceed the estimates of medical screenings, e.g., the best Number Needed to Screen (9 out of 1000 screenings).

Reducing user attrition, i.e. churn, is a broad challenge faced by several industries. In mobile social games, decreasing churn is decisive to increase player retention and rise revenues. Churn prediction models allow to understand player loyalty and to anticipate when they will stop playing a game. Thanks to these predictions, several initiatives can be taken to retain those players who are more likely to churn. Survival analysis focuses on predicting the time of occurrence of a certain event, churn in our case. Classical methods, like regressions, could be applied only when all players have left the game. The challenge arises for datasets with incomplete churning information for all players, as most of them still connect to the game. This is called a censored data problem and is in the nature of churn. Censoring is commonly dealt with survival analysis techniques, but due to the inflexibility of the survival statistical algorithms, the accuracy achieved is often poor. In contrast, novel ensemble learning techniques, increasingly popular in a variety of scientific fields, provide high-class prediction results. In this work, we develop, for the first time in the social games domain, a survival ensemble model which provides a comprehensive analysis together with an accurate prediction of churn. For each player, we predict the probability of churning as function of time, which permits to distinguish various levels of loyalty profiles. Additionally, we assess the risk factors that explain the predicted player survival times. Our results show that churn prediction by survival ensembles significantly improves the accuracy and robustness of traditional analyses, like Cox regression.

The emergence of mobile games has caused a paradigm shift in the video-game industry. Game developers now have at their disposal a plethora of information on their players, and thus can take advantage of reliable models that can accurately predict player behavior and scale to huge datasets. Churn prediction, a challenge common to a variety of sectors, is particularly relevant for the mobile game industry, as player retention is crucial for the successful monetization of a game. In this article, we present an approach to predicting game abandon based on survival ensembles. Our method provides accurate predictions on both the level at which each player will leave the game and their accumulated playtime until that moment. Further, it is robust to different data distributions and applicable to a wide range of response variables, while also allowing for efficient parallelization of the algorithm. This makes our model well suited to perform real-time analyses of churners, even for games with millions of daily active users.