Learning Interactions Between Continuous Treatments and Covariates with a Semiparametric Model

Fuente: arXiv
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Autores principales: Jiang, Muyan, Zhang, Yunkai, Aswani, Anil
Formato: Preprint
Publicado: 2025
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author Jiang, Muyan
Zhang, Yunkai
Aswani, Anil
author_facet Jiang, Muyan
Zhang, Yunkai
Aswani, Anil
contents Estimating the impact of continuous treatment variables (e.g., dosage amount) on binary outcomes presents significant challenges in modeling and estimation because many existing approaches make strong assumptions that do not hold for certain continuous treatment variables. For instance, traditional logistic regression makes strong linearity assumptions that do not hold for continuous treatment variables like time of initiation. In this work, we propose a semiparametric regression framework that decomposes effects into two interpretable components: a prognostic score that captures baseline outcome risk based on a combination of clinical, genetic, and sociodemographic features, and a treatment-interaction score that flexibly models the optimal treatment level via a nonparametric link function. By connecting these two parametric scores with Nadaraya-Watson regression, our approach is both interpretable and flexible. The potential of our approach is demonstrated through numerical simulations that show empirical estimation convergence. We conclude by applying our approach to a real-world case study using the International Warfarin Pharmacogenomics Consortium (IWPC) dataset to show our approach's clinical utility by deriving personalized warfarin dosing recommendations that integrate both genetic and clinical data, providing insights towards enhancing patient safety and therapeutic efficacy in anticoagulation therapy.
format Preprint
id arxiv_https___arxiv_org_abs_2505_03893
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Learning Interactions Between Continuous Treatments and Covariates with a Semiparametric Model
Jiang, Muyan
Zhang, Yunkai
Aswani, Anil
Methodology
Optimization and Control
Applications
Estimating the impact of continuous treatment variables (e.g., dosage amount) on binary outcomes presents significant challenges in modeling and estimation because many existing approaches make strong assumptions that do not hold for certain continuous treatment variables. For instance, traditional logistic regression makes strong linearity assumptions that do not hold for continuous treatment variables like time of initiation. In this work, we propose a semiparametric regression framework that decomposes effects into two interpretable components: a prognostic score that captures baseline outcome risk based on a combination of clinical, genetic, and sociodemographic features, and a treatment-interaction score that flexibly models the optimal treatment level via a nonparametric link function. By connecting these two parametric scores with Nadaraya-Watson regression, our approach is both interpretable and flexible. The potential of our approach is demonstrated through numerical simulations that show empirical estimation convergence. We conclude by applying our approach to a real-world case study using the International Warfarin Pharmacogenomics Consortium (IWPC) dataset to show our approach's clinical utility by deriving personalized warfarin dosing recommendations that integrate both genetic and clinical data, providing insights towards enhancing patient safety and therapeutic efficacy in anticoagulation therapy.
title Learning Interactions Between Continuous Treatments and Covariates with a Semiparametric Model
topic Methodology
Optimization and Control
Applications
url https://arxiv.org/abs/2505.03893