Evaluating Model Specification When Using the Parametric G-Formula in the Presence of Censoring

© The Author(s) 2023. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..

The noniterative conditional expectation (NICE) parametric g-formula can be used to estimate the causal effect of sustained treatment strategies. In addition to identifiability conditions, the validity of the NICE parametric g-formula generally requires the correct specification of models for time-varying outcomes, treatments, and confounders at each follow-up time point. An informal approach for evaluating model specification is to compare the observed distributions of the outcome, treatments, and confounders with their parametric g-formula estimates under the "natural course." In the presence of loss to follow-up, however, the observed and natural-course risks can differ even if the identifiability conditions of the parametric g-formula hold and there is no model misspecification. Here, we describe 2 approaches for evaluating model specification when using the parametric g-formula in the presence of censoring: 1) comparing factual risks estimated by the g-formula with nonparametric Kaplan-Meier estimates and 2) comparing natural-course risks estimated by inverse probability weighting with those estimated by the g-formula. We also describe how to correctly compute natural-course estimates of time-varying covariate means when using a computationally efficient g-formula algorithm. We evaluate the proposed methods via simulation and implement them to estimate the effects of dietary interventions in 2 cohort studies.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:192

Enthalten in:

American journal of epidemiology - 192(2023), 11 vom: 03. Nov., Seite 1887-1895

Sprache:

Englisch

Beteiligte Personen:

Chiu, Yu-Han [VerfasserIn]
Wen, Lan [VerfasserIn]
McGrath, Sean [VerfasserIn]
Logan, Roger [VerfasserIn]
Dahabreh, Issa J [VerfasserIn]
Hernán, Miguel A [VerfasserIn]

Links:

Volltext

Themen:

Censoring
Inverse probability weighting
Journal Article
Model misspecification
Noniterative conditional expectation parametric g-formula
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 09.11.2023

Date Revised 27.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/aje/kwad143

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358404967