Data preprocessing is a critical yet frequently neglected aspect of machine learning, often paid little attention despite its potentially significant impact on model performance. While automated machine learning pipelines are starting to recognize and integrate data preprocessing into their solutions for classification and regression tasks, this integration is lacking for more specialized tasks like survival or time-to-event models. As a result, survival analysis not only faces the general challenges of data preprocessing but also suffers from the lack of tailored, automated solutions in this area. To address this gap, this paper presents 'CleanSurvival', a reinforcement-learning-based solution for optimizing preprocessing pipelines, extended specifically for survival analysis. The framework can handle continuous and categorical variables, using Q-learning to select which combination of data imputation, outlier detection and feature extraction techniques achieves optimal performance for a Cox, random forest, neural network or user-supplied time-to-event model. The package is available on GitHub: https://github.com/datasciapps/CleanSurvival Experimental benchmarks on real-world datasets show that the Q-learning-based data preprocessing results in superior predictive performance to standard approaches, finding such a model up to 10 times faster than undirected random grid search. Furthermore, a simulation study demonstrates the effectiveness in different types and levels of missingness and noise in the data.

Effective learning from electronic health records (EHR) data for prediction of clinical outcomes is often challenging because of features recorded at irregular timesteps and loss to follow-up as well as competing events such as death or disease progression. To that end, we propose a generative time-to-event model, SurvLatent ODE, which adopts an Ordinary Differential Equation-based Recurrent Neural Networks (ODE-RNN) as an encoder to effectively parameterize dynamics of latent states under irregularly sampled input data. Our model then utilizes the resulting latent embedding to flexibly estimate survival times for multiple competing events without specifying shapes of event-specific hazard function. We demonstrate competitive performance of our model on MIMIC-III, a freely-available longitudinal dataset collected from critical care units, on predicting hospital mortality as well as the data from the Dana-Farber Cancer Institute (DFCI) on predicting onset of Venous Thromboembolism (VTE), a life-threatening complication for patients with cancer, with death as a competing event. SurvLatent ODE outperforms the current clinical standard Khorana Risk scores for stratifying VTE risk groups, while providing clinically meaningful and interpretable latent representations.