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Main Authors: Stewart, William, Brantner, Carly L., Stuart, Elizabeth A., Thomas, Laine
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2512.01157
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author Stewart, William
Brantner, Carly L.
Stuart, Elizabeth A.
Thomas, Laine
author_facet Stewart, William
Brantner, Carly L.
Stuart, Elizabeth A.
Thomas, Laine
contents Clinical study populations often differ meaningfully from the broader populations to which results are intended to generalize. Weighting methods such as inverse probability of sampling weights (IPSW) reweight study participants to resemble a target population, but the accuracy of these estimates depends heavily on how well the chosen population represents the population of substantive interest. We conduct a simulation study grounded in empirical covariate distributions from several real-world data sources spanning a continuum from highly selective to broadly inclusive populations. Using treatment effect scenarios with varying levels of effect modification, we evaluate IPSW estimators of the population average treatment effect (PATE) across multiple candidate target populations. We quantify the bias that arises when the dataset used to operationalize the target population differs from the intended inference population, even when IPSW is correctly specified. Our results show that bias increases systematically as target populations diverge from a well-representative population, and that weighting to a poorly aligned target can introduce more bias than not weighting at all. These findings highlight that selecting an appropriate target population dataset is a critical design choice for valid generalization.
format Preprint
id arxiv_https___arxiv_org_abs_2512_01157
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Weight a Minute: Understanding Variability in PATE Estimates Across Target Populations
Stewart, William
Brantner, Carly L.
Stuart, Elizabeth A.
Thomas, Laine
Methodology
Clinical study populations often differ meaningfully from the broader populations to which results are intended to generalize. Weighting methods such as inverse probability of sampling weights (IPSW) reweight study participants to resemble a target population, but the accuracy of these estimates depends heavily on how well the chosen population represents the population of substantive interest. We conduct a simulation study grounded in empirical covariate distributions from several real-world data sources spanning a continuum from highly selective to broadly inclusive populations. Using treatment effect scenarios with varying levels of effect modification, we evaluate IPSW estimators of the population average treatment effect (PATE) across multiple candidate target populations. We quantify the bias that arises when the dataset used to operationalize the target population differs from the intended inference population, even when IPSW is correctly specified. Our results show that bias increases systematically as target populations diverge from a well-representative population, and that weighting to a poorly aligned target can introduce more bias than not weighting at all. These findings highlight that selecting an appropriate target population dataset is a critical design choice for valid generalization.
title Weight a Minute: Understanding Variability in PATE Estimates Across Target Populations
topic Methodology
url https://arxiv.org/abs/2512.01157