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Activity Number: 288 - SLDS CSpeed 5
Type: Contributed
Date/Time: Wednesday, August 11, 2021 : 1:30 PM to 3:20 PM
Sponsor: Section on Statistical Learning and Data Science
Abstract #318011
Title: Longitudinal Cluster Analysis Using Segmented-LSTM with Applications of Weight Loss Trajectories Following RYGB Surgery
Author(s): Yirui Hu* and Simo Wu and Kunpeng Liu and Michelle R. Lent and Peter N. Benotti and Anthony T. Petrick and G. Craig Wood and Christopher D. Still and H. Lester Kirchner
Companies: Geisinger and Facebook and University of Central Florida and Philadelphia College of Osteopathic Medicine and Geisinger and Geisinger and Geisinger and Geisinger and Geisinger
Keywords: Recurrent Neural Network (RNN); Long Short-Term Memory (LSTM); Roux-en-Y gastric bypass (RYGB) bariatric surgery ; Longitudinal Cluster Analysis ; LSTM autoencoder
Abstract:

Background: Identifying subgroups of bariatric surgery patients with similar post-surgery weight loss may be helpful for treatment targeting. Recurrent neural networks are powerful to learn the sequential pattern in longitudinal data. Methods: A novel segmented-LSTM autoencoder based clustering architecture was proposed to leverage the phased longitudinal data and identify group-based weight trajectories for patients after RYGB surgery. Silhouette scores were estimated to determine the optimal number of clusters. Results: 2,918 RYGB patients between 2004-2016 were included. Phased longitudinal patterns were observed, where the majority of weight loss occurred within 1st year post-surgery. We compared the clustering results from K-Shape algorithm, Gaussian Mixture Model based on LSTM and segmented-LSTM representations. Silhouette scores suggested that four clusters achieved best quality of clusters across algorithms. Specifically, the Silhouette score was 0.22 from K-Shape algorithm; 0.35 from LSTM; 0.42 from segmented-LSTM. Conclusion: Segmented-LSTM successfully learns the heterogeneous sequential patterns of the phased longitudinal data to inform the variability in treatment.


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