Irons Nicholas J, Cinelli Carlos
Department of Statistics and Leverhulme Centre for Demographic Science, University of Oxford, Oxford, UK.
Department of Statistics, University of Washington, Seattle, USA.
Bayesian Anal. 2025 Jan 28. doi: 10.1214/25-BA1506.
We introduce the BREASE framework for the Bayesian analysis of randomized controlled trials with binary treatment and outcome. Approaching the problem from a causal inference perspective, we propose parameterizing the likelihood in terms of the aseline isk, fficacy, and dverse ide ffects of the treatment, along with a flexible, yet intuitive and tractable jointly independent beta prior distribution on these parameters, which we show to be a generalization of the Dirichlet prior for the joint distribution of potential outcomes. Our approach has a number of desirable characteristics when compared to current mainstream alternatives: (i) it naturally induces prior dependence between expected outcomes in the treatment and control groups; (ii) as the baseline risk, efficacy and risk of adverse side effects are quantities commonly present in the clinicians' vocabulary, the hyperparameters of the prior are directly interpretable, thus facilitating the elicitation of prior knowledge and sensitivity analysis; and (iii) we provide analytical formulae for the marginal likelihood, Bayes factor, and other posterior quantities, as well as an exact posterior sampling algorithm and an accurate and fast data-augmented Gibbs sampler in cases where traditional MCMC fails. Empirical examples demonstrate the utility of our methods for estimation, hypothesis testing, and sensitivity analysis of treatment effects.
我们介绍了用于对具有二元治疗和结果的随机对照试验进行贝叶斯分析的BREASE框架。从因果推断的角度来处理这个问题,我们建议根据治疗的基线风险、疗效和不良副作用对似然进行参数化,同时对这些参数采用灵活、直观且易于处理的联合独立贝塔先验分布,我们证明这是潜在结果联合分布的狄利克雷先验的一种推广。与当前的主流替代方法相比,我们的方法具有许多理想的特性:(i)它自然地在治疗组和对照组的预期结果之间诱导先验依赖性;(ii)由于基线风险、疗效和不良副作用风险是临床医生常用词汇中常见的量,先验的超参数是直接可解释的,从而便于先验知识的引出和敏感性分析;(iii)我们提供了边际似然、贝叶斯因子和其他后验量的解析公式,以及在传统马尔可夫链蒙特卡罗(MCMC)方法失败的情况下的精确后验采样算法和准确快速的数据增强吉布斯采样器。实证例子证明了我们的方法在治疗效果估计、假设检验和敏感性分析方面的实用性。