C-statistics in training and testing data as a function of the regularization hyperparameter
The right white region represents an area of steep C-statistic growth on both the training and testing data, where adding predictors substantially improves prediction. In the left white region, the testing (green) and training (red) curves are diverging, representing a model that performs well in the training data but generalizes poorly to unseen test data. The blue region is an area of slow C-statistic growth, but continued rapid growth of the feature set. Using a single fold, models within this blue region were reviewed by an expert clinician panel and the model represented by the blue dot, corresponding to 51 features, was selected for further analyses. 95% confidence intervals are shaded around green testing and red training curves. Performance of the pooled cohort equations is drawn as a black line for reference.