Jo Booil, Stuart Elizabeth A
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305-5795, USA.
Stat Med. 2009 Oct 15;28(23):2857-75. doi: 10.1002/sim.3669.
We examine the practicality of propensity score methods for estimating causal treatment effects conditional on intermediate posttreatment outcomes (principal effects) in the context of randomized experiments. In particular, we focus on the sensitivity of principal causal effect estimates to violation of principal ignorability, which is the primary assumption that underlies the use of propensity score methods to estimate principal effects. Under principal ignorability (PI), principal strata membership is conditionally independent of the potential outcome under control given the pre-treatment covariates; i.e. there are no differences in the potential outcomes under control across principal strata given the observed pretreatment covariates. Under this assumption, principal scores modeling principal strata membership can be estimated based solely on the observed covariates and used to predict strata membership and estimate principal effects. While this assumption underlies the use of propensity scores in this setting, sensitivity to violations of it has not been studied rigorously. In this paper, we explicitly define PI using the outcome model (although we do not actually use this outcome model in estimating principal scores) and systematically examine how deviations from the assumption affect estimates, including how the strength of association between principal stratum membership and covariates modifies the performance. We find that when PI is violated, very strong covariate predictors of stratum membership are needed to yield accurate estimates of principal effects.
我们研究了倾向得分方法在随机试验背景下估计基于治疗后中间结果(主效应)的因果治疗效应的实用性。特别地,我们关注主因果效应估计对主可忽略性假设违背的敏感性,主可忽略性是使用倾向得分方法估计主效应的主要假设。在主可忽略性(PI)假设下,给定预处理协变量时,主分层成员身份与对照下的潜在结果条件独立;即,给定观察到的预处理协变量,主分层之间对照下的潜在结果没有差异。在此假设下,仅基于观察到的协变量就可以估计对主分层成员身份进行建模的主得分,并用于预测分层成员身份和估计主效应。虽然此假设是在这种情况下使用倾向得分的基础,但对其违背的敏感性尚未得到严格研究。在本文中,我们使用结果模型明确地定义了PI(尽管我们在估计主得分时实际上并未使用此结果模型),并系统地研究了与该假设的偏差如何影响估计,包括主分层成员身份与协变量之间的关联强度如何改变估计性能。我们发现,当PI被违背时,需要非常强的分层成员身份协变量预测因子才能准确估计主效应。