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Randomization inference for stepped-wedge designs with noncompliance with application to a palliative care pragmatic trial

存在不依从时阶梯楔形设计的随机化推断:姑息治疗试验应用

While palliative care is increasingly commonly delivered to hospitalized patients with serious illnesses, few studies have estimated its causal effects. Courtright et al. (2016) adopted a stepped-wedge cluster-randomized design to assess the effect of palliative care on a patient-centered outcome. The randomized intervention was a nudge to administer palliative care but did not guarantee receipt of palliative care, resulting in noncompliance. A subsequent analysis using…

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Randomization-Based Inference for Average Treatment Effects in Inexactly Matched Observational Studies

非精确匹配观察研究中平均处理效应的随机化推断

Matching is a widely used causal inference design that aims to approximate a randomized experiment using observational data by forming matched sets of treated and control units based on similarities in their covariates. Ideally, treated units are exactly matched with controls on these covariates, enabling randomization-based inference for treatment effects as in a randomized experiment, under the assumption of no unobserved covariates. However, inexact matching often occurs,…

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A sensitivity analysis for the average derivative effect

平均导数效应的敏感性分析

In observational studies, exposures are often continuous rather than binary or discrete. At the same time, sensitivity analysis is an important tool that can help determine the robustness of a causal conclusion to a certain level of unmeasured confounding, which can never be ruled out in an observational study. Sensitivity analysis approaches for continuous exposures have now been proposed for several causal estimands. In this article, we focus on the average derivative…

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A Differential Effect Approach to Partial Identification of Treatment Effects

用差异效应部分识别处理效应

We consider identification and inference for the average treatment effect and heterogeneous treatment effect conditional on observable covariates in the presence of unmeasured confounding. Since point identification of these treatment effects is not achievable without strong assumptions, we obtain bounds on these treatment effects by leveraging differential effects, a tool that allows for using a second treatment to learn the effect of the first treatment. The differential…

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Bridging the Gap Between Design and Analysis: Randomization Inference and Sensitivity Analysis for Matched Observational Studies with Treatment Doses

衔接设计与分析:处理剂量匹配观察研究的随机化推断与敏感性分析

Matching is a commonly used causal inference study design in observational studies. Through matching on measured confounders between different treatment groups, valid randomization inferences can be conducted under the no unmeasured confounding assumption, and sensitivity analysis can be further performed to assess sensitivity of randomization inference results to potential unmeasured confounding. However, for many common matching designs, there is still a lack of valid…

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Sensitivity Analysis for Matched Observational Studies with Continuous Exposures and Binary Outcomes

连续暴露与二元结局匹配观察研究的敏感性分析

Matching is one of the most widely used study designs for adjusting for measured confounders in observational studies. However, unmeasured confounding may exist and cannot be removed by matching. Therefore, a sensitivity analysis is typically needed to assess a causal conclusion's sensitivity to unmeasured confounding. Sensitivity analysis frameworks for binary exposures have been well-established for various matching designs and are commonly used in various studies.…

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Proximal Causal Inference without Uniqueness Assumptions

不要求解唯一性的近端因果推断

We consider identification and inference about a counterfactual outcome mean when there is unmeasured confounding using tools from proximal causal inference (Miao et al. [2018], Tchetgen Tchetgen et al. [2020]). Proximal causal inference requires existence of solutions to at least one of two integral equations. We motivate the existence of solutions to the integral equations from proximal causal inference by demonstrating that, assuming the existence of a solution to one of…

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