Evidence map›Paper›PMID 36644682›Full record

ArticleThe annals of applied statistics2022

A FLEXIBLE SENSITIVITY ANALYSIS APPROACH FOR UNMEASURED CONFOUNDING WITH MULTIPLE TREATMENTS AND A BINARY OUTCOME WITH APPLICATION TO SEER-MEDICARE LUNG CANCER DATA.

Liangyuan Hu, Jungang Zou, Chenyang Gu, Jiayi Ji, Michael Lopez, Minal Kale

Abstract read
In one paragraph

Article in The annals of applied statistics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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  5. Estimating the causal effects of multiple intermittent treatments with application to COVID-19.Journal of the Royal Statistical Society. Series C, Applied statistics · 2023
    Article
  6. Using Tree-Based Machine Learning for Health Studies: Literature Review and Case Series.International journal of environmental research and public health · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
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

6 authors.

Liangyuan HuDepartment of Biostatistics and Epidemiology, Rutgers University.
Jungang ZouDepartment of Biostatistics, Columbia University.
Chenyang GuAnalysis Group, Inc.
Jiayi JiDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai.
Michael LopezDepartment of Mathematics, Skidmore College.
Minal KaleDepartment of Medicine, Icahn School of Medicine at Mount Sinai.

Funding

THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ramon E Parsons · 2015 to 2026
$35.4M
Bayesian machine learning for causal inference with incomplete longitudinal covariates and censored survival outcomesR01HL159077 · NHLBI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Liangyuan Hu · 2022 to 2026
$3.3M
Flexible Bayesian approaches to causal inference with multilevel survival data and multiple treatmentsR21CA245855 · NCI · RBHS-SCHOOL OF PUBLIC HEALTH · PI HU, LIANGYUAN · 2020 to 2020
$459k
NCI NIH HHS P30 CA196521NCI NIH HHS R21 CA245855NHLBI NIH HHS R01 HL159077
6 · The paper itself

Abstract

In the absence of a randomized experiment, a key assumption for drawing causal inference about treatment effects is the ignorable treatment assignment. Violations of the ignorability assumption may lead to biased treatment effect estimates. Sensitivity analysis helps gauge how causal conclusions will be altered in response to the potential magnitude of departure from the ignorability assumption. However, sensitivity analysis approaches for unmeasured confounding in the context of multiple treatments and binary outcomes are scarce. We propose a flexible Monte Carlo sensitivity analysis approach for causal inference in such settings. We first derive the general form of the bias introduced by unmeasured confounding, with emphasis on theoretical properties uniquely relevant to multiple treatments. We then propose methods to encode the impact of unmeasured confounding on potential outcomes and adjust the estimates of causal effects in which the presumed unmeasured confounding is removed. Our proposed methods embed nested multiple imputation within the Bayesian framework, which allow for seamless integration of the uncertainty about the values of the sensitivity parameters and the sampling variability, as well as use of the Bayesian Additive Regression Trees for modeling flexibility. Expansive simulations validate our methods and gain insight into sensitivity analysis with multiple treatments. We use the SEER-Medicare data to demonstrate sensitivity analysis using three treatments for early stage non-small cell lung cancer. The methods developed in this work are readily available in the R package SAMTx.

Indexed as

Bayesian inferenceCausal inferenceignorability assumptionnested multiple imputationobservational data

Identifiers

PMID36644682
PMCPMC9835106

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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.