倾向性得分分析与基线和后续测量结果变量
Peter C Austin1,2,3
1ICES, Toronto, Ontario, Canada.
Pharmaceutical statistics
|September 5, 2024
概括
本研究评估了将基线连续变量纳入观察性研究的倾向性得分分析的方法. 提供了估计平均治疗效应 (ATE) 和平均治疗效应对被治疗者 (ATT) 的建议.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 观察性研究 观察性研究
背景情况:
- 队列研究通常包括连续结果 (例如血压) 的基线测量.
- 倾向性评分方法在观察性研究中越来越多地用于估计治疗效果.
- 将基线值纳入倾向得分模型对于准确的效应估计至关重要.
研究的目的:
- 检查六种方法,用于将基线连续变量纳入倾向性得分匹配和权重.
- 根据不同估计值 (ATE,ATT) 的模拟结果,为最佳方法提供建议.
主要方法:
- 评估了六种不同的方法来结合基线值.
- 方法在倾向性得分模型和随后的回归调整中包含/排除基线值方面有所不同.
- 用750个场景的蒙特卡洛模拟来评估方法性能.
主要成果:
- 没有一种单一的方法在所有场景中均地表现出优越的性能.
- 对于使用权重的平均治疗效果 (ATE),建议增加逆概率权重或将基线值纳入模型并进行调整.
- 对于加权或匹配对受治疗者 (ATT) 的平均治疗效果,建议分析基线变化与基线值排除在倾向性得分之外的基线值.
结论:
- 在倾向性得分分析中提供了处理基线连续变量的具体建议.
- 方法的选择取决于目标估计 (ATE或ATT) 和分析策略 (权重或匹配).
- 这些发现有助于研究人员在使用基线测量的观察性研究中选择合适的方法.
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