Learning Robust Treatment Rules for Censored Data

Fuente: arXiv
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Autori principali: Cui, Yifan, Liu, Junyi, Shen, Tao, Qi, Zhengling, Chen, Xi
Natura: Preprint
Pubblicazione: 2024
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author Cui, Yifan
Liu, Junyi
Shen, Tao
Qi, Zhengling
Chen, Xi
author_facet Cui, Yifan
Liu, Junyi
Shen, Tao
Qi, Zhengling
Chen, Xi
contents There is a fast-growing literature on estimating optimal treatment rules directly by maximizing the expected outcome. In biomedical studies and operations applications, censored survival outcome is frequently observed, in which case the truncated mean survival time and survival probability are of great interest. In this paper, we propose two robust criteria for learning optimal treatment rules with censored survival outcomes; the former one targets an optimal treatment rule maximizing the truncated mean survival time, where the cutoff is specified by a given quantile such as median; the latter one targets an optimal treatment rule maximizing buffered survival probabilities, where the predetermined threshold is adjusted to account for the truncated mean survival time. We develop a sampling-based difference-of-convex algorithm for learning the proposed optimal treatment rules, and provide theoretical justifications for them. In simulation studies, our estimators show improved performance compared to existing methods. We also demonstrate the proposed method using AIDS clinical trial data.
format Preprint
id arxiv_https___arxiv_org_abs_2408_09155
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Learning Robust Treatment Rules for Censored Data
Cui, Yifan
Liu, Junyi
Shen, Tao
Qi, Zhengling
Chen, Xi
Methodology
Statistics Theory
Computation
Machine Learning
There is a fast-growing literature on estimating optimal treatment rules directly by maximizing the expected outcome. In biomedical studies and operations applications, censored survival outcome is frequently observed, in which case the truncated mean survival time and survival probability are of great interest. In this paper, we propose two robust criteria for learning optimal treatment rules with censored survival outcomes; the former one targets an optimal treatment rule maximizing the truncated mean survival time, where the cutoff is specified by a given quantile such as median; the latter one targets an optimal treatment rule maximizing buffered survival probabilities, where the predetermined threshold is adjusted to account for the truncated mean survival time. We develop a sampling-based difference-of-convex algorithm for learning the proposed optimal treatment rules, and provide theoretical justifications for them. In simulation studies, our estimators show improved performance compared to existing methods. We also demonstrate the proposed method using AIDS clinical trial data.
title Learning Robust Treatment Rules for Censored Data
topic Methodology
Statistics Theory
Computation
Machine Learning
url https://arxiv.org/abs/2408.09155