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arXiv 2412.09697stat.ME
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一种基于随机化的时变治疗效应评估方法

A Randomization-Based Method for Evaluating Time-Varying Treatment Effects

Sangjin Lee, Kwonsang Lee

AI总结:

本文提出基于随机化的配对删失结局检验,利用伪观测构建特定时间得分以分析治疗效应的时间变化与长期效应,并配套敏感性分析方法,通过KLoSA匹配队列研究社会参与对生存的影响。

摘要:

配对删失结局的检验已得到广泛研究,其中一些检验在基于随机化的推断框架下具备理论依据。这些检验主要用于检测整个随访期内的总体治疗效应,但对于效应何时显现以及如何随时间变化只能提供有限认识。本文提出了新的基于随机化的配对删失结局检验,可同时对治疗效应进行特定时间分析和长期分析。这些检验利用特定时间得分,通过伪观测获得,用于量化每个个体在固定时间对样本生存的影响。此外,我们开发了相应的敏感性分析方法,以处理观察性研究中潜在的未测量混杂;在此类研究中,随机化往往缺乏支持。为说明我们的方法如何更全面地分析时变治疗效应,我们将其应用于一项使用韩国老龄化纵向研究(Korean Longitudinal Study of Aging,KLoSA)数据的匹配队列研究,重点考察社会参与对生存的影响。

英文摘要:

Tests for paired censored outcomes have been extensively studied, with some justified in the context of randomization-based inference. These tests are primarily designed to detect an overall treatment effect across the entire follow-up period, providing limited insight into when the effect manifests and how it changes over time. In this article, we introduce new randomization-based tests for paired censored outcomes that enable both time-specific and long-term analysis of a treatment effect. The tests utilize time-specific scores, quantifying each individual's impact on sample survival at a fixed time, obtained via pseudo-observations. Moreover, we develop corresponding sensitivity analysis methods to address potential unmeasured confounding in observational studies where randomization often lacks support. To illustrate how our methods can provide a fuller analysis of a time-varying treatment effect, we apply them to a matched cohort study using data from the Korean Longitudinal Study of Aging (KLoSA), focusing on the effect of social engagement on survival.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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