Lee Seungyeon, Liu Ruoqi, Song Wenyu, Li Lang, Zhang Ping
The Ohio State University, USA.
Harvard Medical School, USA.
ACM Trans Intell Syst Technol. 2025 Jun;16(3). doi: 10.1145/3718097. Epub 2025 Jun 10.
Precise estimation of treatment effects is crucial for accurately evaluating the intervention. While deep learning models have exhibited promising performance in learning counterfactual representations for treatment effect estimation (TEE), a major limitation in most of these models is that they often overlook the diversity of treatment effects across potential subgroups that have varying treatment effects and characteristics, treating the entire population as a homogeneous group. This limitation restricts the ability to precisely estimate treatment effects and provide targeted treatment recommendations. In this paper, we propose a novel treatment effect estimation model, named SubgroupTE, which incorporates subgroup identification in TEE. SubgroupTE identifies heterogeneous subgroups with different responses and more precisely estimates treatment effects by considering subgroup-specific treatment effects in the estimation process. In addition, we introduce an expectation-maximization (EM)-based training process that iteratively optimizes estimation and subgrouping networks to improve both estimation and subgroup identification. Comprehensive experiments on the synthetic and semi-synthetic datasets demonstrate the outstanding performance of SubgroupTE compared to the existing works for treatment effect estimation and subgrouping models. Additionally, a real-world study demonstrates the capabilities of SubgroupTE in enhancing targeted treatment recommendations for patients with opioid use disorder (OUD) by incorporating subgroup identification with treatment effect estimation.
准确估计治疗效果对于准确评估干预措施至关重要。虽然深度学习模型在学习用于治疗效果估计(TEE)的反事实表示方面表现出了有前景的性能,但大多数此类模型的一个主要局限性在于,它们常常忽视了具有不同治疗效果和特征的潜在亚组之间治疗效果的多样性,将整个人口视为一个同质群体。这一局限性限制了精确估计治疗效果并提供针对性治疗建议的能力。在本文中,我们提出了一种新颖的治疗效果估计模型,名为SubgroupTE,它在TEE中纳入了亚组识别。SubgroupTE识别具有不同反应的异质亚组,并通过在估计过程中考虑亚组特定的治疗效果来更精确地估计治疗效果。此外,我们引入了一种基于期望最大化(EM)的训练过程,该过程迭代优化估计和亚组划分网络,以同时改进估计和亚组识别。在合成和半合成数据集上进行的综合实验表明,与现有的治疗效果估计和亚组划分模型相比,SubgroupTE具有出色的性能。此外,一项实际研究表明,SubgroupTE通过将亚组识别与治疗效果估计相结合,能够增强对阿片类药物使用障碍(OUD)患者的针对性治疗建议。