A Randomization-Based Method for Evaluating Time-Varying Treatment Effects

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Hauptverfasser: Lee, Sangjin, Lee, Kwonsang
Format: Preprint
Veröffentlicht: 2024
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author Lee, Sangjin
Lee, Kwonsang
author_facet Lee, Sangjin
Lee, Kwonsang
contents Tests for paired censored outcomes have been extensively studied, with some justified in the context of randomization-based inference. These tests are primarily designed to detect an overall treatment effect across the entire follow-up period, providing limited insight into when the effect manifests and how it changes over time. In this article, we introduce new randomization-based tests for paired censored outcomes that enable both time-specific and long-term analysis of a treatment effect. The tests utilize time-specific scores, quantifying each individual's impact on sample survival at a fixed time, obtained via pseudo-observations. Moreover, we develop corresponding sensitivity analysis methods to address potential unmeasured confounding in observational studies where randomization often lacks support. To illustrate how our methods can provide a fuller analysis of a time-varying treatment effect, we apply them to a matched cohort study using data from the Korean Longitudinal Study of Aging (KLoSA), focusing on the effect of social engagement on survival.
format Preprint
id arxiv_https___arxiv_org_abs_2412_09697
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A Randomization-Based Method for Evaluating Time-Varying Treatment Effects
Lee, Sangjin
Lee, Kwonsang
Methodology
Tests for paired censored outcomes have been extensively studied, with some justified in the context of randomization-based inference. These tests are primarily designed to detect an overall treatment effect across the entire follow-up period, providing limited insight into when the effect manifests and how it changes over time. In this article, we introduce new randomization-based tests for paired censored outcomes that enable both time-specific and long-term analysis of a treatment effect. The tests utilize time-specific scores, quantifying each individual's impact on sample survival at a fixed time, obtained via pseudo-observations. Moreover, we develop corresponding sensitivity analysis methods to address potential unmeasured confounding in observational studies where randomization often lacks support. To illustrate how our methods can provide a fuller analysis of a time-varying treatment effect, we apply them to a matched cohort study using data from the Korean Longitudinal Study of Aging (KLoSA), focusing on the effect of social engagement on survival.
title A Randomization-Based Method for Evaluating Time-Varying Treatment Effects
topic Methodology
url https://arxiv.org/abs/2412.09697