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History-Adjusted Marginal Structural Models: Optimal Treatment Strategies, Maya L. Petersen, Mark J. Van Der Laan
History-Adjusted Marginal Structural Models: Optimal Treatment Strategies, Maya L. Petersen, Mark J. Van Der Laan
U.C. Berkeley Division of Biostatistics Working Paper Series
Much of clinical medicine involves choosing a future treatment plan that is expected to optimize a patient's long-term outcome, and modifying this treatment plan over time in response to changes in patient characteristics. However, dynamic treatment regimens, or decision rules for altering treatment in response to time-varying covariates, are rarely estimated based on observational data. In a companion paper, we introduced a generalization of Marginal Structural Models, named History-Adjusted Marginal Structural Models, that estimate modification of causal effects by time-varying covariates. Here, we illustrate how History-Adjusted Marginal Structural Models can be used to identify a specific type of optimal dynamic …
History-Adjusted Marginal Structural Models And Statically-Optimal Dynamic Treatment Regimes, Mark J. Van Der Laan, Maya L. Petersen
History-Adjusted Marginal Structural Models And Statically-Optimal Dynamic Treatment Regimes, Mark J. Van Der Laan, Maya L. Petersen
U.C. Berkeley Division of Biostatistics Working Paper Series
Marginal structural models (MSM) provide a powerful tool for estimating the causal effect of a treatment. These models, introduced by Robins, model the marginal distributions of treatment-specific counterfactual outcomes, possibly conditional on a subset of the baseline covariates. Marginal structural models are particularly useful in the context of longitudinal data structures, in which each subject's treatment and covariate history are measured over time, and an outcome is recorded at a final time point. However, the utility of these models for some applications has been limited by their inability to incorporate modification of the causal effect of treatment by time-varying covariates. …