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Everything all at once: On choosing an estimand for multi-component environmental exposures

多成分环境暴露的目标量选择:联合位移如何定义

Many research questions -- particularly those in environmental health -- do not involve binary exposures. In environmental epidemiology, this includes multivariate exposure mixtures with nondiscrete components. Causal inference estimands and estimators to quantify the relationship between an exposure mixture and an outcome are relatively few. We propose an approach to quantify a relationship between a shift in the exposure mixture and the outcome -- either in the single…

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crumble: A comprehensive framework for modern causal mediation analysis with intermediate confounding

crumble:存在中间混杂时的现代因果中介分析框架

Causal mediation analysis is widely used to investigate how causal effects operate through specific pathways linking treatments or exposures to outcomes. Recently, \texttt{crumble} was developed to enable nonparametric estimation of several mediation parameters, even when mediators are continuous and/or multi-dimensional or when treatments are non-binary. But a practical and accessible guide to using \texttt{crumble} -- one that does not require deep familiarity with…

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Constructing targeted minimum loss/maximum likelihood estimators: a simple illustration to build intuition

构造目标最小损失/最大似然估计量:建立直觉的简单示例

Use of machine learning to estimate nuisance functions (e.g. outcomes models, propensity score models) in estimators used in causal inference is increasingly common, as it can mitigate bias due to model misspecification. However, it can be challenging to achieve valid inference (e.g., estimate valid confidence intervals). The efficient influence function (EIF) provides a recipe to go from a statistical estimand relevant to our causal question, to an estimator that can…

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Longitudinal weighted and trimmed treatment effects with flip interventions

基于翻转干预的纵向加权与修剪处理效应

Weighting and trimming are popular methods for addressing positivity violations in causal inference. While well-studied with single-timepoint data, standard methods do not easily generalize to address non-baseline positivity violations in longitudinal data, and remain vulnerable to such violations. In this paper, we extend weighting and trimming to longitudinal data via stochastic ``flip'' interventions, which maintain the treatment status of subjects who would have received…

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Identification and estimation of causal effects using non-concurrent controls in platform trials

平台试验中利用非同期对照识别与估计因果效应

Platform trials are multi-arm designs that simultaneously evaluate multiple treatments for a single disease within the same overall trial structure. Unlike traditional randomized controlled trials, they allow treatment arms to enter and exit the trial at distinct times while maintaining a control arm throughout. This control arm comprises both concurrent controls, where participants are randomized concurrently to either the treatment or control arm, and non-concurrent…

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Improving efficiency in transporting average treatment effects

提高平均处理效应跨人群迁移的估计效率

We develop flexible, semiparametric estimators of the average treatment effect (ATE) transported to a new population ("target population") that offer potential efficiency gains. Transport may be of value when the ATE may differ across populations. We consider the setting where differences in the ATE are due to differences in the distribution of baseline covariates that modify the treatment effect ("effect modifiers"). First, we propose a collaborative one-step semiparametric…

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Studying continuous, time-varying, and/or complex exposures using longitudinal modified treatment policies

用纵向修正处理政策研究连续、时变及复杂暴露

This tutorial discusses methodology for causal inference using longitudinal modified treatment policies. This method facilitates the mathematical formalization, identification, and estimation of many novel parameters, and mathematically generalizes many commonly used parameters, such as the average treatment effect. Longitudinal modified treatment policies apply to a wide variety of exposures, including binary, multivariate, and continuous, and can accommodate time-varying…

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All models are wrong, but which are useful? Comparing parametric and nonparametric estimation of causal effects in finite samples

模型皆有误,何者有用?有限样本中参数与非参数因果效应估计的比较

There is a long-standing debate in the statistical, epidemiological and econometric fields as to whether nonparametric estimation that uses data-adaptive methods, like machine learning algorithms in model fitting, confer any meaningful advantage over simpler, parametric approaches in real-world, finite sample estimation of causal effects. We address the question: when trying to estimate the effect of a treatment on an outcome, across a universe of reasonable data…

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Nonparametric estimators of interventional (transported) direct and indirect effects that accommodate multiple mediators and multiple intermediate confounders

容许多个中介与多个中间混杂因素的干预型及可迁移直接、间接效应非参数估计

Mediation analysis is appealing for its ability to improve understanding of the mechanistic drivers of causal effects, but real-world data complexities challenge its successful implementation, including: 1) the existence of post-exposure variables that also affect mediators and outcomes (thus, confounding the mediator-outcome relationship), that may also be 2) multivariate, and 3) the existence of multivariate mediators. Interventional direct and indirect effects (IDE/IIE)…

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Efficient and flexible estimation of natural mediation effects under intermediate confounding and monotonicity constraints

中间混杂与单调性约束下自然中介效应的高效灵活估计

Natural direct and indirect effects are mediational estimands that decompose the average treatment effect and describe how outcomes would be affected by contrasting levels of a treatment through changes induced in mediator values (in the case of the indirect effect) or not through induced changes in the mediator values (in the case of the direct effect). Natural direct and indirect effects are not generally point-identifiable in the presence of a treatment-induced…

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Causal mediation with instrumental variables

工具变量下的因果中介分析

Mediation analysis is a strategy for understanding the mechanisms by which treatments or interventions affect later outcomes. Mediation analysis is frequently applied in randomized trial settings, but typically assumes: a) that randomized assignment is the exposure of interest as opposed to actual take-up of the intervention, and b) no unobserved confounding of the mediator-outcome relationship. In contrast to the rich literature on instrumental variable (IV) methods to…

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When the ends don't justify the means: Learning a treatment strategy to prevent harmful indirect effects

当结果不足以证明手段合理:学习避免有害间接效应的治疗策略

There is a growing literature on finding so-called optimal treatment rules, which are rules by which to assign treatment to individuals based on an individual's characteristics, such that a desired outcome is maximized. A related goal entails identifying individuals who are predicted to have a harmful indirect effect (the effect of treatment on an outcome through mediators) even in the presence of an overall beneficial effect of the treatment on the outcome. In some cases,…

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