Evidence map›Paper›PMID 40047176›Full record

ArticleBiometrical journal. Biometrische Zeitschrift2025

Survivor Average Causal Effects for Continuous Time: A Principal Stratification Approach to Causal Inference With Semicompeting Risks.

Leah Comment, Fabrizia Mealli, Sebastien Haneuse, Corwin M Zigler

Abstract read
In one paragraph

Article in Biometrical journal. Biometrische Zeitschrift, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  12. Causal inference for semi-competing risks data.Biostatistics (Oxford, England) · 2022
    Article
  13. Article
  14. Article
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  16. Bayesian semi-parametric G-computation for causal inference in a cohort study with MNAR dropout and death.Journal of the Royal Statistical Society. Series C, Applied statistics · 2021
    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

4 authors.

Leah CommentGenentech, South San Francisco, California, USA.
Fabrizia MealliDepartment of Economics, European University Institute, Florence, Italy.
Sebastien HaneuseDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Corwin M ZiglerDepartment of Biostatistics, Brown University School of Public Health, Providence, Rhode Island, USA.

Funding

Training Grant in Quantitative Sciences for Cancer ResearchT32CA009337 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI QUACKENBUSH, JOHN, TRIPPA, LORENZO · 1986 to 2025
$12.3M
GRADUATE TRAINING IN BIOSTATISTICST32ES007142 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Brent Andrew Coull · 1985 to 2026
$11.9M
Bayesian Methods for Comparative Effectiveness Research with Observational DataR01GM111339 · NIGMS · HARVARD MEDICAL SCHOOL · PI NORMAND, SHARON-LISE TERESA · 2015 to 2018
$2.5M
Causal Inference with Interference for Evaluating Air Quality PoliciesR01ES026217 · NIEHS · UNIVERSITY OF TEXAS AT AUSTIN · PI ZIGLER, CORWIN MATTHEW · 2016 to 2021
$2.2M
Clustered semi-competing risks analysis in quality of end-of-life care studiesR01CA181360 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI HANEUSE, SEBASTIEN · 2014 to 2017
$1.8M
Dipartimenti Eccelenti 2018-2022 minsterial fundsNCI NIH HHS R01 CA181360NCI NIH HHS T32 CA009337NIEHS NIH HHS R01 ES026217NIEHS NIH HHS T32 ES007142NIGMS NIH HHS R01 GM111339NIH HHS R01CA181360NIH HHS R01ES026217NIH HHS R01GM111339NIH HHS T32CA009337NIH HHS T32ES007142U.S. Environmental Protection Agency RD835872
6 · The paper itself

Abstract

In semicompeting risks problems, nonterminal time-to-event outcomes, such as time to hospital readmission, are subject to truncation by death. These settings are often modeled with illness-death models for the hazards of the terminal and nonterminal events, but evaluating causal treatment effects with hazard models is problematic due to conditioning on survival-a posttreatment outcome-that is embedded in the definition of a hazard. Extending an existing survivor average causal effect (SACE) estimand, we frame the evaluation of treatment effects in the context of semicompeting risks with principal stratification and introduce two new causal estimands: the time-varying survivor average causal effect (TV-SACE) and the restricted mean survivor average causal effect (RM-SACE). These principal causal effects are defined among units that would survive regardless of assigned treatment. We adopt a Bayesian estimation procedure that parameterizes illness-death models for both treatment arms. We outline a frailty specification that can accommodate within-person correlation between nonterminal and terminal event times, and we discuss potential avenues for adding model flexibility. The method is demonstrated in the context of hospital readmission among late-stage pancreatic cancer patients.

Indexed as

BiometryBayes TheoremCausalityHumansPatient ReadmissionTime Factorscausal inferencehospital readmissionprincipal stratificationsemicompeting riskssurvivor average causal effect

Identifiers

PMID40047176
PMCPMC11887578

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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.