Evidence map›Paper›PMID 30381005›Full record

ArticleStatistical methods in medical research2019

Causal inference with multiple concurrent medications: A comparison of methods and an application in multidrug-resistant tuberculosis.

Arman Alam Siddique, Mireille E Schnitzer, Asma Bahamyirou, Guanbo Wang, Timothy H Holtz, Giovanni B Migliori, Giovanni Sotgiu, Neel R Gandhi, Mario H Vargas, Dick Menzies and 1 more

Abstract read
In one paragraph

Article in Statistical methods in medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 4 countries.

Arman Alam SiddiqueDepartment of Statistics, McMaster University, Hamilton, Canada.
Mireille E SchnitzerFaculty of Pharmacy, Université de Montréal, Montreal, Canada.ORCID 0000-0001-8049-9646
Asma BahamyirouFaculty of Pharmacy, Université de Montréal, Montreal, Canada.ORCID 0000-0001-5334-2715
Guanbo WangDepartment of Epidemiology, Biostatistics & Occupational Health, McGill University, Montreal, Canada.
Timothy H HoltzDivision of Global HIV and TB, Centers for Disease Control and Prevention, New Delhi, India.
Giovanni B MiglioriWorld Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Fondazione S. Maugeri, Tradate, Italy.
Giovanni SotgiuClinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.
Neel R GandhiRollins School of Public Health and Emory School of Medicine, Emory University, Atlanta, USA.
Mario H VargasDepartamento de Investigación en Hiperreactividad Bronquial, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico.
Dick MenziesRespiratory Epidemiology and Clinical Research Institute, McGill University Health Centre, Montreal, Canada.
Andrea BenedettiDepartment of Epidemiology, Biostatistics & Occupational Health, McGill University, Montreal, Canada.
McGill University Health Centre · CAUniversité de Montréal · CAEmory University · USMcGill University · CAMcMaster University · CAMexican Social Security Institute · MXUniversity of Sassari · ITWorld Health Organization - Italy · IT

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Role of antigen-specific T cell responses in the control of TBU19AI111211 · NIAID · EMORY UNIVERSITY · PI ALTMAN, JOHN DAVID · 2014 to 2020
$20.1M
Mentorship in Patient-Oriented Research in Tuberculosis, HIV and Global HealthK24AI114444 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2014 to 2023
$1.8M
CIHR 378067Intramural CDC HHS CC999999NIAID NIH HHS K24 AI114444NIAID NIH HHS P30 AI050409NIAID NIH HHS U19 AI111211
6 · The paper itself

Abstract

This paper investigates different approaches for causal estimation under multiple concurrent medications. Our parameter of interest is the marginal mean counterfactual outcome under different combinations of medications. We explore parametric and non-parametric methods to estimate the generalized propensity score. We then apply three causal estimation approaches (inverse probability of treatment weighting, propensity score adjustment, and targeted maximum likelihood estimation) to estimate the causal parameter of interest. Focusing on the estimation of the expected outcome under the most prevalent regimens, we compare the results obtained using these methods in a simulation study with four potentially concurrent medications. We perform a second simulation study in which some combinations of medications may occur rarely or not occur at all in the dataset. Finally, we apply the methods explored to contrast the probability of patient treatment success for the most prevalent regimens of antimicrobial agents for patients with multidrug-resistant pulmonary tuberculosis.

Indexed as

PolypharmacologyTuberculosis, Multidrug-ResistantCausalityDrug-Related Side Effects and Adverse ReactionsHumansLikelihood FunctionsMachine LearningModels, StatisticalPropensity ScoreRegression AnalysisTreatment OutcomeCausal inferenceconcurrent medicationsgeneralized propensity scoremachine learningmultidrug-resistant tuberculosistargeted maximum likelihood estimation

Identifiers

PMID30381005
PMCPMC6511477
OpenAlexW2898839296

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.