Vegetabile Brian G, Ann Griffin Beth, Coffman Donna L, Cefalu Matthew, Robbins Michael W, McCaffrey Daniel F
RAND Corporation, Santa Monica, CA.
Temple University, Philadelphia, PA.
Health Serv Outcomes Res Methodol. 2021 Mar;21(1):69-110. doi: 10.1007/s10742-020-00236-2. Epub 2021 Feb 13.
Weighted estimators are commonly used for estimating exposure effects in observational settings to establish causal relations. These estimators have a long history of development when the exposure of interest is binary and where the weights are typically functions of an estimated propensity score. Recent developments in optimization-based estimators for constructing weights in binary exposure settings, such as those based on entropy balancing, have shown more promise in estimating treatment effects than those methods that focus on the direct estimation of the propensity score using likelihood-based methods. This paper explores recent developments of entropy balancing methods to continuous exposure settings and the estimation of population dose-response curves using nonparametric estimation combined with entropy balancing weights, focusing on factors that would be important to applied researchers in medical or health services research. The methods developed here are applied to data from a study assessing the effect of non-randomized components of an evidence-based substance use treatment program on emotional and substance use clinical outcomes.
加权估计器常用于观察性研究中估计暴露效应,以建立因果关系。当感兴趣的暴露为二元变量且权重通常是估计倾向得分的函数时,这些估计器有着悠久的发展历史。在二元暴露设置中基于优化构建权重的估计器,如基于熵平衡的估计器,其最新进展表明,在估计治疗效果方面,比那些使用基于似然性方法直接估计倾向得分的方法更具前景。本文探讨了熵平衡方法在连续暴露设置中的最新进展,以及使用非参数估计结合熵平衡权重估计总体剂量反应曲线,重点关注对医学或卫生服务研究中的应用研究人员至关重要的因素。本文所开发的方法应用于一项研究的数据,该研究评估了循证物质使用治疗项目的非随机组成部分对情绪和物质使用临床结果的影响。