Estimating Heterogeneous Exposure Effects in the Case-Crossover Design using BART

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Autori principali: Englert, Jacob, Ebelt, Stefanie, Chang, Howard
Natura: Preprint
Pubblicazione: 2023
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author Englert, Jacob
Ebelt, Stefanie
Chang, Howard
author_facet Englert, Jacob
Ebelt, Stefanie
Chang, Howard
contents Epidemiological approaches for examining human health responses to environmental exposures in observational studies often control for confounding by implementing clever matching schemes and using statistical methods based on conditional likelihood. Nonparametric regression models have surged in popularity in recent years as a tool for estimating individual-level heterogeneous effects, which provide a more detailed picture of the exposure-response relationship but can also be aggregated to obtain improved marginal estimates at the population level. In this work we incorporate Bayesian additive regression trees (BART) into the conditional logistic regression model to identify heterogeneous exposure effects in a case-crossover design. Conditional logistic BART (CL-BART) utilizes reversible jump Markov chain Monte Carlo to bypass the conditional conjugacy requirement of the original BART algorithm. Our work is motivated by the growing interest in identifying subpopulations more vulnerable to environmental exposures. We apply CL-BART to a study of the impact of heat waves on people with Alzheimer's disease in California and effect modification by other chronic conditions. Through this application, we also describe strategies to examine heterogeneous odds ratios through variable importance, partial dependence, and lower-dimensional summaries.
format Preprint
id arxiv_https___arxiv_org_abs_2311_12016
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Estimating Heterogeneous Exposure Effects in the Case-Crossover Design using BART
Englert, Jacob
Ebelt, Stefanie
Chang, Howard
Methodology
Applications
Epidemiological approaches for examining human health responses to environmental exposures in observational studies often control for confounding by implementing clever matching schemes and using statistical methods based on conditional likelihood. Nonparametric regression models have surged in popularity in recent years as a tool for estimating individual-level heterogeneous effects, which provide a more detailed picture of the exposure-response relationship but can also be aggregated to obtain improved marginal estimates at the population level. In this work we incorporate Bayesian additive regression trees (BART) into the conditional logistic regression model to identify heterogeneous exposure effects in a case-crossover design. Conditional logistic BART (CL-BART) utilizes reversible jump Markov chain Monte Carlo to bypass the conditional conjugacy requirement of the original BART algorithm. Our work is motivated by the growing interest in identifying subpopulations more vulnerable to environmental exposures. We apply CL-BART to a study of the impact of heat waves on people with Alzheimer's disease in California and effect modification by other chronic conditions. Through this application, we also describe strategies to examine heterogeneous odds ratios through variable importance, partial dependence, and lower-dimensional summaries.
title Estimating Heterogeneous Exposure Effects in the Case-Crossover Design using BART
topic Methodology
Applications
url https://arxiv.org/abs/2311.12016