Evaluating and Learning Optimal Dynamic Treatment Regimes under Truncation by Death

Fuente: arXiv
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Hauptverfasser: Park, Sihyung, Lu, Wenbin, Yang, Shu
Format: Preprint
Veröffentlicht: 2025
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author Park, Sihyung
Lu, Wenbin
Yang, Shu
author_facet Park, Sihyung
Lu, Wenbin
Yang, Shu
contents Truncation by death, a prevalent challenge in critical care, renders traditional dynamic treatment regime (DTR) evaluation inapplicable due to ill-defined potential outcomes. We introduce a principal stratification-based method, focusing on the always-survivor value function. We derive a semiparametrically efficient, multiply robust estimator for multi-stage DTRs, demonstrating its robustness and efficiency. Empirical validation and an application to electronic health records showcase its utility for personalized treatment optimization.
format Preprint
id arxiv_https___arxiv_org_abs_2510_07501
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Evaluating and Learning Optimal Dynamic Treatment Regimes under Truncation by Death
Park, Sihyung
Lu, Wenbin
Yang, Shu
Machine Learning
Methodology
Truncation by death, a prevalent challenge in critical care, renders traditional dynamic treatment regime (DTR) evaluation inapplicable due to ill-defined potential outcomes. We introduce a principal stratification-based method, focusing on the always-survivor value function. We derive a semiparametrically efficient, multiply robust estimator for multi-stage DTRs, demonstrating its robustness and efficiency. Empirical validation and an application to electronic health records showcase its utility for personalized treatment optimization.
title Evaluating and Learning Optimal Dynamic Treatment Regimes under Truncation by Death
topic Machine Learning
Methodology
url https://arxiv.org/abs/2510.07501