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Bibliographic Details
Main Authors: Granger, Emily, Davies, Gwyneth, Keogh, Ruth H.
Format: Preprint
Published: 2024
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Online Access:https://arxiv.org/abs/2405.01110
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author Granger, Emily
Davies, Gwyneth
Keogh, Ruth H.
author_facet Granger, Emily
Davies, Gwyneth
Keogh, Ruth H.
contents Many clinical questions involve estimating the effects of multiple treatments using observational data. When using longitudinal data, the interest is often in the effect of treatment strategies that involve sustaining treatment over time. This requires causal inference methods appropriate for handling multiple treatments and time-dependent confounding. Robins Generalised methods (g-methods) are a family of methods which can deal with time-dependent confounding and some of these have been extended to situations with multiple treatments, although there are currently no studies comparing different methods in this setting. We show how five g-methods (inverse-probability-of-treatment weighted estimation of marginal structural models, g-formula, g-estimation, censoring and weighting, and a sequential trials approach) can be extended to situations with multiple treatments, compare their performances in a simulation study, and demonstrate their application with an example using data from the UK CF Registry.
format Preprint
id arxiv_https___arxiv_org_abs_2405_01110
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Investigating the causal effects of multiple treatments using longitudinal data: a simulation study
Granger, Emily
Davies, Gwyneth
Keogh, Ruth H.
Methodology
Many clinical questions involve estimating the effects of multiple treatments using observational data. When using longitudinal data, the interest is often in the effect of treatment strategies that involve sustaining treatment over time. This requires causal inference methods appropriate for handling multiple treatments and time-dependent confounding. Robins Generalised methods (g-methods) are a family of methods which can deal with time-dependent confounding and some of these have been extended to situations with multiple treatments, although there are currently no studies comparing different methods in this setting. We show how five g-methods (inverse-probability-of-treatment weighted estimation of marginal structural models, g-formula, g-estimation, censoring and weighting, and a sequential trials approach) can be extended to situations with multiple treatments, compare their performances in a simulation study, and demonstrate their application with an example using data from the UK CF Registry.
title Investigating the causal effects of multiple treatments using longitudinal data: a simulation study
topic Methodology
url https://arxiv.org/abs/2405.01110