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Main Authors: Hayakawa, Takashi, Asai, Satoshi
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2507.17686
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author Hayakawa, Takashi
Asai, Satoshi
author_facet Hayakawa, Takashi
Asai, Satoshi
contents Previous studies have shown that hazard ratios between treatment groups estimated with the Cox model are uninterpretable because the unspecified baseline hazard of the model fails to identify temporal change in the risk set composition due to treatment assignment and unobserved factors among multiple, contradictory scenarios. To alleviate this problem, especially in studies based on observational data with uncontrolled dynamic treatment and real-time measurement of many covariates, we propose abandoning the baseline hazard and using kernel-based machine learning to explicitly model the change in the risk set with or without latent variables. For this framework, we clarify the context in which hazard ratios can be causally interpreted, and then develop a method based on Neyman orthogonality to compute debiased maximum-likelihood estimators of hazard ratios, proving necessary convergence results. Numerical simulations confirm that the proposed method identifies the true hazard ratios with minimal bias. These results lay the foundation for developing a useful, alternative method for causal inference with uncontrolled, observational data in modern epidemiology.
format Preprint
id arxiv_https___arxiv_org_abs_2507_17686
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Debiased maximum-likelihood estimators for hazard ratios under kernel-based machine-learning adjustment
Hayakawa, Takashi
Asai, Satoshi
Machine Learning
Previous studies have shown that hazard ratios between treatment groups estimated with the Cox model are uninterpretable because the unspecified baseline hazard of the model fails to identify temporal change in the risk set composition due to treatment assignment and unobserved factors among multiple, contradictory scenarios. To alleviate this problem, especially in studies based on observational data with uncontrolled dynamic treatment and real-time measurement of many covariates, we propose abandoning the baseline hazard and using kernel-based machine learning to explicitly model the change in the risk set with or without latent variables. For this framework, we clarify the context in which hazard ratios can be causally interpreted, and then develop a method based on Neyman orthogonality to compute debiased maximum-likelihood estimators of hazard ratios, proving necessary convergence results. Numerical simulations confirm that the proposed method identifies the true hazard ratios with minimal bias. These results lay the foundation for developing a useful, alternative method for causal inference with uncontrolled, observational data in modern epidemiology.
title Debiased maximum-likelihood estimators for hazard ratios under kernel-based machine-learning adjustment
topic Machine Learning
url https://arxiv.org/abs/2507.17686