Murphy S A, van der Laan M J, Robins J M
J Am Stat Assoc. 2001 Dec 1;96(456):1410-1423. doi: 10.1198/016214501753382327.
A dynamic treatment regime is a list of rules for how the level of treatment will be tailored through time to an individual's changing severity. In general, individuals who receive the highest level of treatment are the individuals with the greatest severity and need for treatment. Thus there is planned selection of the treatment dose. In addition to the planned selection mandated by the treatment rules, the use of staff judgment results in unplanned selection of the treatment level. Given observational longitudinal data or data in which there is unplanned selection, of the treatment level, the methodology proposed here allows the estimation of a mean response to a dynamic treatment regime under the assumption of sequential randomization.
动态治疗方案是一系列规则,规定了治疗水平如何随着时间根据个体病情严重程度的变化进行调整。一般来说,接受最高治疗水平的个体是病情最严重且最需要治疗的个体。因此,治疗剂量是经过规划选择的。除了治疗规则规定的规划选择外,工作人员的判断也会导致治疗水平的非规划选择。对于观察性纵向数据或存在治疗水平非规划选择的数据,本文提出的方法允许在序列随机化假设下估计对动态治疗方案的平均反应。