Generalizing Causal Inferences from Individuals in Randomized Trials to All Trial-Eligible Individuals

  • Issa J. Dahabreh
    Center for Evidence Synthesis in Health, Brown University School of Public Health , Providence, Rhode Island
  • Sarah E. Robertson
    Center for Evidence Synthesis in Health, Brown University School of Public Health , Providence, Rhode Island
  • Eric J. Tchetgen
    Department of Statistics, Wharton Business School, University of Pennsylvania , Philadelphia, Pennsylvania
  • Elizabeth A. Stuart
    Departments of Mental Health, Biostatistics, and Health Policy and Management, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland
  • Miguel A. Hernán
    Department of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, Massachusetts

抄録

<jats:title>Abstract</jats:title> <jats:p>We consider methods for causal inference in randomized trials nested within cohorts of trial-eligible individuals, including those who are not randomized. We show how baseline covariate data from the entire cohort, and treatment and outcome data only from randomized individuals, can be used to identify potential (counterfactual) outcome means and average treatment effects in the target population of all eligible individuals. We review identifiability conditions, propose estimators, and assess the estimators' finite-sample performance in simulation studies. As an illustration, we apply the estimators in a trial nested within a cohort of trial-eligible individuals to compare coronary artery bypass grafting surgery plus medical therapy vs. medical therapy alone for chronic coronary artery disease.</jats:p>

収録刊行物

  • Biometrics

    Biometrics 75 (2), 685-694, 2018-11-29

    Oxford University Press (OUP)

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