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Auteurs principaux: Cao, Zhiqiang, Ghazi, Lama, Mastrogiacomo, Claudia, Forastiere, Laura, Wilson, F. Perry, Li, Fan
Format: Preprint
Publié: 2023
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Accès en ligne:https://arxiv.org/abs/2304.00231
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author Cao, Zhiqiang
Ghazi, Lama
Mastrogiacomo, Claudia
Forastiere, Laura
Wilson, F. Perry
Li, Fan
author_facet Cao, Zhiqiang
Ghazi, Lama
Mastrogiacomo, Claudia
Forastiere, Laura
Wilson, F. Perry
Li, Fan
contents While the inverse probability of treatment weighting (IPTW) is a commonly used approach for treatment comparisons in observational data, the resulting estimates may be subject to bias and excessively large variance when there is lack of overlap in the propensity score distributions. By smoothly down-weighting the units with extreme propensity scores, overlap weighting (OW) can help mitigate the bias and variance issues associated with IPTW. Although theoretical and simulation results have supported the use of OW with continuous and binary outcomes, its performance with right-censored survival outcomes remains to be further investigated, especially when the target estimand is defined based on the restricted mean survival time (RMST)-a clinically meaningful summary measure free of the proportional hazards assumption. In this article, we combine propensity score weighting and inverse probability of censoring weighting to estimate the restricted mean counterfactual survival times, and propose computationally-efficient variance estimators. We conduct simulations to compare the performance of IPTW, trimming, and OW in terms of bias, variance, and 95% confidence interval coverage, under various degrees of covariate overlap. Regardless of overlap, we demonstrate the advantage of OW over IPTW and trimming methods in bias, variance, and coverage when the estimand is defined based on RMST.
format Preprint
id arxiv_https___arxiv_org_abs_2304_00231
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Using Overlap Weights to Address Extreme Propensity Scores in Estimating Restricted Mean Counterfactual Survival Times
Cao, Zhiqiang
Ghazi, Lama
Mastrogiacomo, Claudia
Forastiere, Laura
Wilson, F. Perry
Li, Fan
Methodology
While the inverse probability of treatment weighting (IPTW) is a commonly used approach for treatment comparisons in observational data, the resulting estimates may be subject to bias and excessively large variance when there is lack of overlap in the propensity score distributions. By smoothly down-weighting the units with extreme propensity scores, overlap weighting (OW) can help mitigate the bias and variance issues associated with IPTW. Although theoretical and simulation results have supported the use of OW with continuous and binary outcomes, its performance with right-censored survival outcomes remains to be further investigated, especially when the target estimand is defined based on the restricted mean survival time (RMST)-a clinically meaningful summary measure free of the proportional hazards assumption. In this article, we combine propensity score weighting and inverse probability of censoring weighting to estimate the restricted mean counterfactual survival times, and propose computationally-efficient variance estimators. We conduct simulations to compare the performance of IPTW, trimming, and OW in terms of bias, variance, and 95% confidence interval coverage, under various degrees of covariate overlap. Regardless of overlap, we demonstrate the advantage of OW over IPTW and trimming methods in bias, variance, and coverage when the estimand is defined based on RMST.
title Using Overlap Weights to Address Extreme Propensity Scores in Estimating Restricted Mean Counterfactual Survival Times
topic Methodology
url https://arxiv.org/abs/2304.00231