Department of Applied Mathematics and Computer Sciences, Ghent University, 281 (S9) Krijgslaan, 9000 Ghent, Belgium.
Stat Methods Med Res. 2012 Feb;21(1):7-30. doi: 10.1177/0962280210387717. Epub 2010 Nov 12.
Standard variable selection procedures, primarily developed for the construction of outcome prediction models, are routinely applied when assessing exposure effects in observational studies. We argue that this tradition is sub-optimal and prone to yield bias in exposure effect estimators as well as their corresponding uncertainty estimators. We weigh the pros and cons of confounder-selection procedures and propose a procedure directly targeting the quality of the exposure effect estimator. We further demonstrate that certain strategies for inferring causal effects have the desirable features (a) of producing (approximately) valid confidence intervals, even when the confounder-selection process is ignored, and (b) of being robust against certain forms of misspecification of the association of confounders with both exposure and outcome.
标准的变量选择程序主要是为构建结果预测模型而开发的,在观察性研究中评估暴露效应时通常会用到。我们认为这种传统方法不太理想,容易导致暴露效应估计值及其相应不确定性估计值产生偏差。我们权衡了混杂因素选择程序的利弊,并提出了一种直接针对暴露效应估计值质量的程序。我们进一步证明,某些推断因果效应的策略具有以下理想特征:(a)即使忽略混杂因素选择过程,也能产生(近似)有效的置信区间;(b)能够抵抗混杂因素与暴露和结果之间的关联的某些形式的误设定。