Variance estimators for weighted and stratified linear dose-response function estimators using generalized propensity score.

generalized propensity score observational study quantitative exposure variance estimator

Journal

Biometrical journal. Biometrische Zeitschrift
ISSN: 1521-4036
Titre abrégé: Biom J
Pays: Germany
ID NLM: 7708048

Informations de publication

Date de publication:
01 2022
Historique:
revised: 07 05 2021
received: 03 09 2020
accepted: 12 06 2021
pubmed: 31 7 2021
medline: 26 4 2022
entrez: 30 7 2021
Statut: ppublish

Résumé

Propensity score methods are widely used in observational studies for evaluating marginal treatment effects. The generalized propensity score (GPS) is an extension of the propensity score framework, historically developed in the case of binary exposures, for use with quantitative or continuous exposures. In this paper, we proposed variance estimators for treatment effect estimators on continuous outcomes. Dose-response functions (DRFs) were estimated through weighting on the inverse of the GPS, or using stratification. Variance estimators were evaluated using Monte Carlo simulations. Despite the use of stabilized weights, the variability of the weighted estimator of the DRF was particularly high, and none of the variance estimators (a bootstrap-based estimator, a closed-form estimator especially developed to take into account the estimation step of the GPS, and a sandwich estimator) were able to adequately capture this variability, resulting in coverages below the nominal value, particularly when the proportion of the variation in the quantitative exposure explained by the covariates was large. The stratified estimator was more stable, and variance estimators (a bootstrap-based estimator, a pooled linearized estimator, and a pooled model-based estimator) more efficient at capturing the empirical variability of the parameters of the DRF. The pooled variance estimators tended to overestimate the variance, whereas the bootstrap estimator, which intrinsically takes into account the estimation step of the GPS, resulted in correct variance estimations and coverage rates. These methods were applied to a real data set with the aim of assessing the effect of maternal body mass index on newborn birth weight.

Identifiants

pubmed: 34327720
doi: 10.1002/bimj.202000267
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

33-56

Informations de copyright

© 2021 Wiley-VCH GmbH.

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Auteurs

Valérie Garès (V)

Univ Rennes, INSA, CNRS, IRMAR - UMR 6625, F-35000, Rennes, France.

Guillaume Chauvet (G)

Univ Rennes, ENSAI, CNRS, IRMAR - UMR 6625, F-35000, Rennes, France.

David Hajage (D)

Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP, Hôpital Pitié-Salpêtrière, Département de Santé Publique, Centre de Pharmacoépidémiologie, Paris, France.

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