Regression-based proximal causal inference for right-censored time-to-event data

Fuente: arXiv
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Main Authors: Li, Kendrick, Linderman, George C., Shi, Xu, Tchetgen, Eric J. Tchetgen
Format: Preprint
Published: 2024
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author Li, Kendrick
Linderman, George C.
Shi, Xu
Tchetgen, Eric J. Tchetgen
author_facet Li, Kendrick
Linderman, George C.
Shi, Xu
Tchetgen, Eric J. Tchetgen
contents Unmeasured confounding is one of the major concerns in causal inference from observational data. Proximal causal inference (PCI) is an emerging methodological framework to detect and potentially account for confounding bias by carefully leveraging a pair of negative control exposure (NCE) and outcome (NCO) variables, also known as treatment and outcome confounding proxies. Although regression-based PCI is well developed for binary and continuous outcomes, analogous PCI regression methods for right-censored time-to-event outcomes are currently lacking. In this paper, we propose a novel two-stage regression PCI approach for right-censored survival data under an additive hazard structural model. We provide theoretical justification for the proposed approach tailored to different types of NCOs, including continuous, count, and right-censored time-to-event variables. We illustrate the approach with an evaluation of the effectiveness of right heart catheterization among critically ill patients using data from the SUPPORT study. Our method is implemented in the open-access R package 'pci2s'.
format Preprint
id arxiv_https___arxiv_org_abs_2409_08924
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Regression-based proximal causal inference for right-censored time-to-event data
Li, Kendrick
Linderman, George C.
Shi, Xu
Tchetgen, Eric J. Tchetgen
Methodology
Unmeasured confounding is one of the major concerns in causal inference from observational data. Proximal causal inference (PCI) is an emerging methodological framework to detect and potentially account for confounding bias by carefully leveraging a pair of negative control exposure (NCE) and outcome (NCO) variables, also known as treatment and outcome confounding proxies. Although regression-based PCI is well developed for binary and continuous outcomes, analogous PCI regression methods for right-censored time-to-event outcomes are currently lacking. In this paper, we propose a novel two-stage regression PCI approach for right-censored survival data under an additive hazard structural model. We provide theoretical justification for the proposed approach tailored to different types of NCOs, including continuous, count, and right-censored time-to-event variables. We illustrate the approach with an evaluation of the effectiveness of right heart catheterization among critically ill patients using data from the SUPPORT study. Our method is implemented in the open-access R package 'pci2s'.
title Regression-based proximal causal inference for right-censored time-to-event data
topic Methodology
url https://arxiv.org/abs/2409.08924