Evidence map›Paper›PMID 36798841›Full record

ArticleBiometrika2023

Instrumental variable estimation of the marginal structural Cox model for time-varying treatments.

Y Cui, H Michael, F Tanser, E Tchetgen Tchetgen

Abstract read
In one paragraph

Article in Biometrika, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

4 authors.

Y CuiDepartment of Statistics and Data Science, National University of Singapore, 6 Science Drive 2, 117546 Singapore.ORCID https://orcid.org/0000-0002-9957-7955
H MichaelDepartment of Mathematics and Statistics, University of Massachusetts, 710 N. Pleasant Street, Amherst, Massachusetts 01003, U.S.A.
F TanserLincoln Institute for Health, University of Lincoln, Brayford Way, Brayford Pool, Lincoln LN6 7TS, U.K.
E Tchetgen TchetgenDepartment of Statistics and Data Science, The Wharton School, University of Pennsylvania, 265 South 37th Street, Philadelphia, Pennsylvania 19104, U.S.A.

Funding

Novel Designs and Methods to Remove Hidden Confounding Bias in Health SciencesR01AG065276 · NIA · UNIVERSITY OF PENNSYLVANIA · PI TCHETGEN TCHETGEN, ERIC JOEL · 2020 to 2024
$2.4M
NIA NIH HHS R01 AG065276
6 · The paper itself

Abstract

Robins (1998) introduced marginal structural models, a general class of counterfactual models for the joint effects of time-varying treatments in complex longitudinal studies subject to time-varying confounding. Robins (1998) established the identification of marginal structural model parameters under a sequential randomization assumption, which rules out unmeasured confounding of treatment assignment over time. The marginal structural Cox model is one of the most popular marginal structural models for evaluating the causal effect of time-varying treatments on a censored failure time outcome. In this paper, we establish sufficient conditions for identification of marginal structural Cox model parameters with the aid of a time-varying instrumental variable, in the case where sequential randomization fails to hold due to unmeasured confounding. Our instrumental variable identification condition rules out any interaction between an unmeasured confounder and the instrumental variable in its additive effects on the treatment process, the longitudinal generalization of the identifying condition of Wang & Tchetgen Tchetgen (2018). We describe a large class of weighted estimating equations that give rise to consistent and asymptotically normal estimators of the marginal structural Cox model, thereby extending the standard inverse probability of treatment weighted estimation of marginal structural models to the instrumental variable setting. Our approach is illustrated via extensive simulation studies and an application to estimating the effect of community antiretroviral therapy coverage on HIV incidence.

Indexed as

Causal inferenceInstrumental variableMarginal structural modelObservational studySurvival analysisUnmeasured confounding

Identifiers

PMID36798841
PMCPMC9919489

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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.