Background and Objective: Colorectal cancer is a high mortality cancer. Clinical data analysis plays a crucial role in predicting the survival of colorectal cancer patients, enabling clinicians to make informed treatment decisions. However, utilizing clinical data can be challenging, especially when dealing with imbalanced outcomes. This paper focuses on developing algorithms to predict 1-, 3-, and 5-year survival of colorectal cancer patients using clinical datasets, with particular emphasis on the highly imbalanced 1-year survival prediction task. To address this issue, we propose a method that creates a pipeline of some of standard balancing techniques to increase the true positive rate. Evaluation is conducted on a colorectal cancer dataset from the SEER database. Methods: The pre-processing step consists of removing records with missing values and merging categories. The minority class of 1-year and 3-year survival tasks consists of 10% and 20% of the data, respectively. Edited Nearest Neighbor, Repeated edited nearest neighbor (RENN), Synthetic Minority Over-sampling Techniques (SMOTE), and pipelines of SMOTE and RENN approaches were used and compared for balancing the data with tree-based classifiers. Decision Trees, Random Forest, Extra Tree, eXtreme Gradient Boosting, and Light Gradient Boosting (LGBM) are used in this article. Method. Results: The performance evaluation utilizes a 5-fold cross-validation approach. In the case of highly imbalanced datasets (1-year), our proposed method with LGBM outperforms other sampling methods with the sensitivity of 72.30%. For the task of imbalance (3-year survival), the combination of RENN and LGBM achieves a sensitivity of 80.81%, indicating that our proposed method works best for highly imbalanced datasets. Conclusions: Our proposed method significantly improves mortality prediction for the minority class of colorectal cancer patients.

通过使用临床数据集，该研究论文着重于开发预测结直肠癌患者1年、3年和5年生存率的算法，特别关注高度不平衡的1年生存率预测任务，使用多种标准平衡技术创建一种方法以提高真阳性率，从而显著提高了少数类结直肠癌患者的死亡预测能力。

基于混合抽样方法和基于树的分类器的失衡结直肠癌数据集的存活预测