Contrast-specific propensity scores for causal inference with multiple interventions.
Shasha HanJoel GohFanwen MengMelvin Khee-Shing LeowDonald B RubinPublished in: Statistical methods in medical research (2024)
Existing methods that use propensity scores for heterogeneous treatment effect estimation on non-experimental data do not readily extend to the case of more than two treatment options. In this work, we develop a new propensity score-based method for heterogeneous treatment effect estimation when there are three or more treatment options, and prove that it generates unbiased estimates. We demonstrate our method on a real patient registry of patients in Singapore with diabetic dyslipidemia. On this dataset, our method generates heterogeneous treatment recommendations for patients among three options: Statins, fibrates, and non-pharmacological treatment to control patients' lipid ratios (total cholesterol divided by high-density lipoprotein level). In our numerical study, our proposed method generated more stable estimates compared to a benchmark method based on a multi-dimensional propensity score.
Keyphrases
- end stage renal disease
- chronic kidney disease
- ejection fraction
- newly diagnosed
- magnetic resonance
- high density
- prognostic factors
- type diabetes
- computed tomography
- cardiovascular disease
- machine learning
- patient reported outcomes
- physical activity
- combination therapy
- electronic health record
- big data
- clinical practice
- contrast enhanced
- low density lipoprotein