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Causal logistic models for non-compliance under randomized treatment with univariate binary response
Thomas R Ten Have1, Marshall Joffe, Mark Cary
1Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Blockley Hall, 6th FLR, 423 Guardian Dr., Philadelphia, PA 19104-6021, USA. ttenhave@cceb.upenn.edu
We introduce a new method for estimating causal effects in trials with treatment non-compliance. This approach helps assess unmeasured confounding by comparing marginal and conditional log-odds ratios.
Area of Science:
- Biostatistics
- Epidemiology
- Clinical Trials
Background:
- Treatment non-compliance is a common issue in clinical trials.
- Existing methods for causal inference with non-compliance have limitations.
- Assessing unmeasured confounding due to non-adherence is crucial.
Purpose of the Study:
- To propose a novel method for estimating the marginal causal log-odds ratio for binary outcomes.
- To provide a marginal alternative to existing conditional causal logistic approaches.
- To enable assessment of unmeasured confounding by comparing marginal and conditional estimates.
Main Methods:
- Extension of Robins' G-estimation approach for logistic models.
- Development of a marginal causal estimation method.
- Simulation studies comparing marginal and conditional approaches under varying confounding levels.
Main Results:
- The proposed marginal method performs well in terms of bias under different confounding levels.
- Simulations show differences in bias and confidence interval coverage between marginal and conditional estimates under stronger confounding.
- Comparison of marginal and conditional estimators aids in evaluating confounding magnitude.
Conclusions:
- The proposed marginal causal estimation method offers a valuable tool for analyzing trials with treatment non-compliance.
- Comparing marginal and conditional estimates can reveal the impact of unmeasured confounding.
- This approach enhances causal inference in the presence of non-adherence.
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