When
it is pre-specified that 4 predictors have to be chosen, the
number of combinations is given by the formula k!/((k-n)!n!
with k=10 covariables and n=4 predictors selected:10!/(10-4)!4!=
10x9x8x7 / (4x3x2) = 210.
When it is NOT
pre-specified that 4 predictors have to be chosen, models
with 0, 1, 2, … , 10 predictors are in fact considered.
Every covariable can or cannot be selected, leading to 2^10
= 1024 combinations of predictors in the model. This large
number indicates that a kind of fishing expedition was set
up to catch the one model with 4 predictors. This model
may well be determined too much by chance findings in the
particular data set under study (i.e. be "overfitted").
It may not validate well in new patients unless a very large
data set was used to construct the model.