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arXiv 2602.05022stat.ME
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双变量重要性匹配以估计事件概率和时间的因果效应

Double Variable Importance Matching to Estimate Distinct Causal Effects on Event Probability and Timing

Department of Biostatistics & Bioinformatics, Duke University(杜克大学生物统计与生物信息学系)

Yuqi Li, Quinn Lanners, Matthew M. Engelhard

AI总结:

本文提出基于匹配的框架,通过区分治愈和非治愈个体,估计时间到事件数据中治疗对治愈概率和事件时间的异质治疗效应。

摘要:

在许多临床情境中,估计时间到事件数据中治疗的效应变得复杂,不仅因为混杂、删失和异质性,还因为存在一个治愈亚群,其中感兴趣的事件 never 发生。在这种情况下,治疗可能对(1)被治愈的概率和(2)非治愈个体的事件时间有不同影响。标准的生存分析和因果推断方法通常不区分治愈和非治愈个体,模糊了治疗对治愈概率和事件时间的机制差异。为了解决这些挑战,我们提出了一种基于匹配的框架,构建不同的匹配组以分别估计异质治疗效应(HTE)在治愈概率和事件时间上的影响。我们使用混合治愈模型来识别两个估计量的特征重要性,这反过来又指导了在高维空间中匹配的加权距离度量。在匹配组内,Kaplan-Meier估计器提供治愈概率和预期事件时间的估计,从而推导出个体层面的治疗效应。我们提供了估计器一致性和距离度量最优性的理论保证,在等规模约束下。我们进一步将估计误差分解为删失、模型拟合和不可约噪声的贡献。模拟和真实世界数据分析表明,我们的方法在时间到事件设置中提供了可解释和稳健的HTE估计。

英文摘要:

In many clinical contexts, estimating effects of treatment in time-to-event data is complicated not only by confounding, censoring, and heterogeneity, but also by the presence of a cured subpopulation in which the event of interest never occurs. In such settings, treatment may have distinct effects on (1) the probability of being cured and (2) the event timing among non-cured individuals. Standard survival analysis and causal inference methods typically do not separate cured from non-cured individuals, obscuring distinct treatment mechanisms on cure probability and event timing. To address these challenges, we propose a matching-based framework that constructs distinct match groups to estimate heterogeneous treatment effects (HTE) on cure probability and event timing, respectively. We use mixture cure models to identify feature importance for both estimands, which in turn informs weighted distance metrics for matching in high-dimensional spaces. Within matched groups, Kaplan-Meier estimators provide estimates of cure probability and expected time to event, from which individual-level treatment effects are derived. We provide theoretical guarantees for estimator consistency and distance metric optimality under an equal-scale constraint. We further decompose estimation error into contributions from censoring, model fitting, and irreducible noise. Simulations and real-world data analyses demonstrate that our approach delivers interpretable and robust HTE estimates in time-to-event settings.

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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