Document Type

Article

Publication Date

2026

DOI

10.1002/pst.70097

Publication Title

Pharmaceutical Statistics

Volume

25

Issue

3

Pages

e70097

Abstract

Analysis of genomics data for predicting disease outcomes is a fast-growing field in medical research. There often exist categorical, specifically, ordinal outcomes that need to be predicted based on genomic profiles. This has led to recent development of some high-dimensional ordinal classification methods that can address the large dimensionality of the genomic covariate set. These high-dimensional ordinal models tend to vary widely in their performance depending on the data they are applied to and the evaluation criteria used. In this article, we outline an ensemble ordinal classifier that integrates different ordinal modeling approaches through bootstrap-based model evaluation, multi-metric performance assessment, and rank aggregation to produce a final prediction that can alleviate the uncertainty of relying on a single model. Through multiple simulated studies and real genomic data analyses, we show that the ensemble method consistently ranks among the top-performing models. These findings underscore the potential of ensemble learning to improve the robustness and predictive accuracy of high-dimensional ordinal classification in genomic research.

Rights

© 2026 The Authors.

This is an open access article under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Data Availability

Article states: "The data that support the findings of this study are available in Gene Expression Omnibus database at https://www.ncbi.nlm.nih.gov/gds. These data were derived from the following resources available in the public domain: GSE22216: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE22216; GSE3365: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE3365."

Original Publication Citation

Rathnasekara, H. K., & Sikdar, S. (2026). An ensemble classifier for ordinal outcomes in high-dimensional genomics data. Pharmaceutical Statistics, 25(3), Article e70097. https://doi.org/10.1002/pst.70097

ORCID

0009-0003-2182-3532 (Rathnasekara), 0000-0003-1230-5162 (Sikdar)

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