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AI 根据所提供的论文材料归类:摘要围绕异质性处理效应、平均治疗收益约束及治疗获益子群体选择展开。

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关注这篇论文的作者
Hengrui Cai
Wenbin Lu
Devan V. Mehrotra
Lingkang Huang

CAPITAL:通过约束政策树搜索识别最优子群体

研究问题
个性化治疗中,如何在达到预设临床平均收益的同时,选出尽可能多的获益患者,并用可解释规则表达该子群体?
方法与思路
作者基于处理与协变量交互的对比函数推导最优子群体规则,再以约束政策树搜索在可解释决策树类内寻找规则。
材料陈述的贡献
摘要称给出最优规则的两种等价形式,支持限制负效应患者纳入的多重约束,并扩展到限制平均生存时间结局。
阅读关注点
应核对临床收益约束与子群体规模目标、理论最优规则和树类搜索的关系,以及处理效应估计误差如何影响选择。
阅读边界
这是 arXiv 预印本,同行评审或期刊接收未经核实;摘要未说明因果识别假设、搜索保证及模拟和真实应用的具体结果。

原文摘要

Personalized medicine, a paradigm of medicine tailored to a patient's characteristics, is an increasingly attractive field in health care. An important goal of personalized medicine is to identify a subgroup of patients, based on baseline covariates, that benefits more from the targeted treatment than other comparative treatments. Most of the current subgroup identification methods only focus on obtaining a subgroup with an enhanced treatment effect without paying attention to subgroup size. Yet, a clinically meaningful subgroup learning approach should identify the maximum number of patients who can benefit from the better treatment. In this paper, we present an optimal subgroup selection rule (SSR) that maximizes the number of selected patients, and in the meantime, achieves the pre-specified clinically meaningful mean outcome, such as the average treatment effect. We derive two equivalent theoretical forms of the optimal SSR based on the contrast function that describes the treatment-covariates interaction in the outcome. We further propose a ConstrAined PolIcy Tree seArch aLgorithm (CAPITAL) to find the optimal SSR within the interpretable decision tree class. The proposed method is flexible to handle multiple constraints that penalize the inclusion of patients with negative treatment effects, and to address time to event data using the restricted mean survival time as the clinically interesting mean outcome. Extensive simulations, comparison studies, and real data applications are conducted to demonstrate the validity and utility of our method.

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