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Estimating causal effects from epidemiological data

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TLDR
This article reviews a condition that permits the estimation of causal effects from observational data, and two methods—standardisation and inverse probability weighting—to estimate population causal effects under that condition.
Abstract
In ideal randomised experiments, association is causation: association measures can be interpreted as effect measures because randomisation ensures that the exposed and the unexposed are exchangeable. On the other hand, in observational studies, association is not generally causation: association measures cannot be interpreted as effect measures because the exposed and the unexposed are not generally exchangeable. However, observational research is often the only alternative for causal inference. This article reviews a condition that permits the estimation of causal effects from observational data, and two methods -- standardisation and inverse probability weighting -- to estimate population causal effects under that condition. For simplicity, the main description is restricted to dichotomous variables and assumes that no random error attributable to sampling variability exists. The appendix provides a generalisation of inverse probability weighting.

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Citations
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Journal ArticleDOI

Constructing Inverse Probability Weights for Marginal Structural Models

TL;DR: The authors describe possible tradeoffs that an epidemiologist may encounter when attempting to make inferences and weight truncation is presented as an informal and easily implemented method to deal with these tradeoffs.
Journal ArticleDOI

Doubly Robust Estimation of Causal Effects

TL;DR: The authors present a conceptual overview of doubly robust estimation, a simple worked example, results from a simulation study examining performance of estimated and bootstrapped standard errors, and a discussion of the potential advantages and limitations of this method.
Journal ArticleDOI

Generalizing Evidence From Randomized Clinical Trials to Target Populations The ACTG 320 Trial

TL;DR: In this article, the authors illustrate a model-based method to standardize observed trial results to a specified target population using a seminal human immunodeficiency virus (HIV) treatment trial, and provide Monte Carlo simulation evidence supporting the method.
Book ChapterDOI

Estimation of the causal effects of time-varying exposures

TL;DR: This book contains information obtained from authentic and highly regarded sources and the authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained.
Journal ArticleDOI

Bias formulas for sensitivity analysis of unmeasured confounding for general outcomes, treatments, and confounders

TL;DR: The potential outcomes framework is used to derive a general class of sensitivity-analysis formulas for outcomes, treatments, and measured and unmeasured confounding variables that may be categorical or continuous.
References
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Journal ArticleDOI

Estimating causal effects of treatments in randomized and nonrandomized studies.

TL;DR: A discussion of matching, randomization, random sampling, and other methods of controlling extraneous variation is presented in this paper, where the objective is to specify the benefits of randomization in estimating causal effects of treatments.
Journal ArticleDOI

A generalization of sampling without replacement from a finite universe.

TL;DR: In this paper, two sampling schemes are discussed in connection with the problem of determining optimum selection probabilities according to the information available in a supplementary variable, which is a general technique for the treatment of samples drawn without replacement from finite universes when unequal selection probabilities are used.
Journal ArticleDOI

A new approach to causal inference in mortality studies with a sustained exposure period—application to control of the healthy worker survivor effect

TL;DR: A graphical approach to the identification and computation of causal parameters in mortality studies with sustained exposure periods is offered and an adverse effect of arsenic exposure on all-cause and lung cancer mortality which standard methods fail to detect is found.
Journal ArticleDOI

Methotrexate and mortality in patients with rheumatoid arthritis: a prospective study.

TL;DR: The data indicate that methotrexate may provide a substantial survival benefit, largely by reducing cardiovascular mortality, which would set a standard against which new disease-modifying antirheumatic drugs could be compared.
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