研究使用纵向修改治疗策略的连续性,时间变化和/或复杂暴露
Katherine L Hoffman1, Diego Salazar-Barreto2, Nicholas T Williams3
1From the Division of Biostatistics, Department of Population Health Science, Weill Cornell Medicine, New York, NY.
本教程介绍了因果推断的纵向修改治疗策略,概括了像平均治疗效果这样的参数. 这种灵活的方法处理复杂的数据,包括时间变化的因素和各种结果,并提供实用示例和R代码.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 因果推理因果推理
背景情况:
- 因果推断方法对于理解观察性研究中的治疗效应至关重要.
- 像静态和动态干预这样的现有方法在复杂的时间变化的数据方面存在局限性.
- 需要新的参数和概括来进行可靠的因果效应估计.
研究的目的:
- 介绍和解释纵向修改治疗策略 (LMTP) 的方法.
- 展示LMTPs的数学正式化,识别和估计能力.
- 为了说明实际应用,并为LMTPs提供估计策略.
主要方法:
- 使用纵向修改的治疗策略进行因果推断.
- 适用于各种暴露 (二进制,多变量,连续) 和结果 (生存,二进制,连续).
- 适应时间变化的治疗,混因素,竞争风险和后续损失.
主要成果:
- LMTP 将诸如平均治疗效果之类的参数进行概括.
- 它们允许定义具有可能比静态干预更令人满意的积极性假设的替代估计值.
- 该教程提供了例子,包括估计延迟输管治疗对COVID-19死亡率的影响.
结论:
- LMTP提供了一个灵活而强大的框架,用于用复杂的纵向数据进行因果推理.
- 该方法扩展了现有的干预策略,并允许估计新的因果参数.
- 开源的 R 包 lmtp 便于 LMTP 的实际应用.
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