Evidence map›Paper›PMID 30789432›Full record

ArticleEpidemiology (Cambridge, Mass.)2019

Selecting Optimal Subgroups for Treatment Using Many Covariates.

Tyler J VanderWeele, Alex R Luedtke, Mark J van der Laan, Ronald C Kessler

Abstract read
In one paragraph

Article in Epidemiology (Cambridge, Mass.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
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

43 citing papers in PubMed.

  1. Trial
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  6. MOSIC: Model-Agnostic Optimal Subgroup Identification with Multi-Constraint for Improved Reliability.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2026
    Article
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  16. Review
  17. Characterizing Treatment Effect Heterogeneity Using Real-World Data.Clinical pharmacology and therapeutics · 2025
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Tyler J VanderWeeleFrom the Departments of Epidemiology and Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.
Alex R LuedtkeFred Hutchinson Cancer Research Center, Seattle, WA.
Mark J van der LaanDepartment of Biostatistics, University of California, Berkeley, CA.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA.

Funding

Theory and methods for mediation and interactionR01CA222147 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI TCHETGEN TCHETGEN, ERIC JOEL, VANDERWEELE, TYLER · 2018 to 2022
$2.1M
NCI NIH HHS R01 CA222147
6 · The paper itself

Abstract

We consider the problem of selecting the optimal subgroup to treat when data on covariates are available from a randomized trial or observational study. We distinguish between four different settings including: (1) treatment selection when resources are constrained; (2) treatment selection when resources are not constrained; (3) treatment selection in the presence of side effects and costs; and (4) treatment selection to maximize effect heterogeneity. We show that, in each of these cases, the optimal treatment selection rule involves treating those for whom the predicted mean difference in outcomes comparing those with versus without treatment, conditional on covariates, exceeds a certain threshold. The threshold varies across these four scenarios, but the form of the optimal treatment selection rule does not. The results suggest a move away from the traditional subgroup analysis for personalized medicine. New randomized trial designs are proposed so as to implement and make use of optimal treatment selection rules in healthcare practice.

Indexed as

Observational Studies as TopicPatient SelectionRandomized Controlled Trials as TopicHumansPrecision Medicine

Identifiers

PMID30789432
PMCPMC6456380

What OpenQuestion holds

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Registered trials

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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.