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Demystify Doubly-Robust Estimation: The Role of Overlap

理解双重稳健估计:协变量重叠的作用

The doubly-robust (DR) estimator is popular for evaluating causal effects in observational studies and is often perceived as more desirable than inverse probability weighting (IPW) or outcome modeling alone because it provides extra protection against model misspecification. However, double robustness is an asymptotic property that may not hold in finite samples. We investigate how the finite sample performance of the DR estimator depends on the degree of covariate overlap…

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What is Overlap Weighting, How Has it Evolved, and When to Use It for Causal Inference?

重叠加权是什么、如何发展及何时用于因果推断

The growing availability of large health databases has expanded the use of observational studies for comparative effectiveness research. Unlike randomized trials, observational studies must adjust for systematic differences in patient characteristics between treatment groups. Propensity score methods, including matching, weighting, stratification, and regression adjustment, address this issue by creating groups that are comparable with respect to measured covariates. Among…

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Improving Variance and Confidence Interval Estimation in Small-Sample Propensity Score Analyses: Bootstrap vs. Asymptotic Methods

小样本倾向得分分析的方差与置信区间:自助法和渐近方法比较

Propensity score (PS) methods are widely used to estimate treatment effects in non-randomized studies. Variance is typically estimated using sandwich or bootstrap methods, which can either treat the PS as estimated or fixed. The latter is thought to be conservative. Comparisons between the sandwich and bootstrap estimators have been compared in moderate to large sample sizes, favoring the bootstrap estimator. With the growing interest in treatments for rare disease and…

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Covariate adjustment in subgroup analyses of randomized clinical trials: A propensity score approach

随机临床试验亚组分析中的协变量调整:倾向得分方法

Background: Subgroup analyses are frequently conducted in randomized clinical trials to assess evidence of heterogeneous treatment effect across patient subpopulations. Although randomization balances covariates within subgroups in expectation, chance imbalance may be amplified in small subgroups and harm the precision. Covariate adjustment in overall analysis of RCT is often conducted, via either ANCOVA or propensity score weighting, but for subgroup analysis has been…

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