连续协变量导致正性违反时的可迁移性综合估计量

Synthesis estimators for transportability with positivity violations by a continuous covariate

Journal of the Royal Statistical Society. Series A: Statistics in Society · 2024
被引 7 · 同刊同年前 7%
ABS 3

中文导读

针对因连续协变量导致正性假设违反时,如何将治疗效果估计从试验人群迁移到目标人群,提出了两种新的增广逆概率加权估计量,并通过模拟和HIV治疗实例验证其性能。

Abstract

Studies intended to estimate the effect of a treatment, like randomized trials, may not be sampled from the desired target population. To correct for this discrepancy, estimates can be transported to the target population. Methods for transporting between populations are often premised on a positivity assumption, such that all relevant covariate patterns in one population are also present in the other. However, eligibility criteria, particularly in the case of trials, can result in violations of positivity when transporting to external populations. To address nonpositivity, a synthesis of statistical and mathematical models can be considered. This approach integrates multiple data sources (e.g. trials, observational, pharmacokinetic studies) to estimate treatment effects, leveraging mathematical models to handle positivity violations. This approach was previously demonstrated for positivity violations by a single binary covariate. Here, we extend the synthesis approach for positivity violations with a continuous covariate. For estimation, two novel augmented inverse probability weighting estimators are proposed. Both estimators are contrasted with other common approaches for addressing nonpositivity. Empirical performance is compared via Monte Carlo simulation. Finally, the competing approaches are illustrated with an example in the context of two-drug vs. one-drug antiretroviral therapy on CD4 T cell counts among women with HIV.

因果推断统计估计流行病学生物医学