arXiv subjects

Chanmin Kim

Publications and source records attributed to Chanmin Kim.

8 recordsLinked to original sources

arXiv2026

Estimating Causal Treatment Effects in Placebo-Controlled Randomized Clinical Trials When High Placebo Response is Anticipated

In placebo-controlled randomized clinical trials (RCTs), the placebo response significantly modifies treatment effects and diminishes the intention-to-treat (ITT) treatment effect, $\Delta_{ITT}$. This study presents a novel two-stage framework for estimating the standardized causal treatment effect, $\Delta_{STD}$, among the ITT population, under the assumption that their placebo responses are similar to the levels of self-administering medication at home. The first stage employs a real-world, pragmatic, single-blinded placebo lead-in to measure placebo responses to levels expected during routine at-home use. This is achieved by preserving the participants' expectations and controlling for trial-related factors that inflate the responses. In the second stage, a double-blinded randomized phase is used to estimate the conditional average treatment effect (CATE) as a function of placebo response levels and other important effect modifiers. To facilitate CATE estimation, the prognostic scores, defined as the expected placebo responses, are used for dimension reduction. The causal estimand $\Delta_{STD}$ is computed by integrating the CATE function over the distribution of the expected placebo response levels from stage one and other modifiers. We further derive theoretical values for $\Delta_{ITT}-\Delta_{STD}$ to quantify the underestimated treatment benefit due to high placebo responses. The validity and statistical performance of the proposed framework are evaluated through comprehensive simulations.

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arXiv2026

High-Dimensional Mediation Analysis for Generalized Linear Models Using Bayesian Variable Selection Guided by Mediator Correlation

High-dimensional mediation analysis aims to identify mediating pathways and to estimate indirect effects linking an exposure to an outcome. In this paper, we propose a Bayesian framework to address key challenges in these analyses, including high dimensionality, complex dependence among omics mediators, and non-continuous outcomes. Furthermore, commonly used approaches assume independent mediators or ignore correlations in the selection stage, which can reduce power when mediators are highly correlated. Addressing these challenges leads to a non-Gaussian likelihood and specialized selection priors, which in turn require efficient and adaptive posterior computation. Our proposed framework selects active pathways under generalized linear models while accounting for mediator dependence. Specifically, the mediators are modeled using a multivariate distribution, exposure-mediator selection is guided by a Markov random field prior on inclusion indicators, and mediator-outcome activation is restricted to mediators supported in the exposure-mediator model through a sequential subsetting Bernoulli prior. Simulation studies show improved operating characteristics in correlated-mediator settings, with appropriate error control under the global null and stable performance under model misspecification. We illustrate the method using real-world metabolomics data to study metabolites that mediate the association between adherence to the Alternate Mediterranean Diet score and two cardiometabolic outcomes.

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arXiv2024

Bayesian Variable Selection for High-Dimensional Mediation Analysis: Application to Metabolomics Data in Epidemiological Studies

In epidemiological research, causal models incorporating potential mediators along a pathway are crucial for understanding how exposures influence health outcomes. This work is motivated by integrated epidemiological and blood biomarker studies, investigating the relationship between long-term adherence to a Mediterranean diet and cardiometabolic health, with plasma metabolomes as potential mediators. Analyzing causal mediation in such high-dimensional omics data presents substantial challenges, including complex dependencies among mediators and the need for advanced regularization or Bayesian techniques to ensure stable and interpretable estimation and selection of indirect effects. To this end, we propose a novel Bayesian framework for identifying active pathways and estimating indirect effects in the presence of high-dimensional multivariate mediators. Our approach adopts a multivariate stochastic search variable selection method, tailored for such complex mediation scenarios. Central to our method is the introduction of a set of priors for the selection: a Markov random field prior and sequential subsetting Bernoulli priors. The first prior's Markov property leverages the inherent correlations among mediators, thereby increasing power to detect mediated effects. The sequential subsetting aspect of the second prior encourages the simultaneous selection of relevant mediators and their corresponding indirect effects from the two model parts, providing a more coherent and efficient variable selection framework, specific to mediation analysis. Comprehensive simulation studies demonstrate that the proposed method provides superior power in detecting active mediating pathways. We further illustrate the practical utility of the method through its application to metabolome data from two cohort studies, highlighting its effectiveness in real data setting.

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arXiv2024

Bayesian Nonparametric Trees for Principal Causal Effects

Principal stratification analysis evaluates how causal effects of a treatment on a primary outcome vary across strata of units defined by their treatment effect on some intermediate quantity. This endeavor is substantially challenged when the intermediate variable is continuously scaled and there are infinitely many basic principal strata. We employ a Bayesian nonparametric approach to flexibly evaluate treatment effects across flexibly-modeled principal strata. The approach uses Bayesian Causal Forests (BCF) to simultaneously specify two Bayesian Additive Regression Tree models; one for the principal stratum membership and one for the outcome, conditional on principal strata. We show how the capability of BCF for capturing treatment effect heterogeneity is particularly relevant for assessing how treatment effects vary across the surface defined by continuously-scaled principal strata, in addition to other benefits relating to targeted selection and regularization-induced confounding. The capabilities of the proposed approach are illustrated with a simulation study, and the methodology is deployed to investigate how causal effects of power plant emissions control technologies on ambient particulate pollution vary as a function of the technologies' impact on sulfur dioxide emissions.

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arXiv2022

Bayesian Nonparametric Adjustment of Confounding

Analysis of observational studies increasingly confronts the challenge of determining which of a possibly high-dimensional set of available covariates are required to satisfy the assumption of ignorable treatment assignment for estimation of causal effects. We propose a Bayesian nonparametric approach that simultaneously 1) prioritizes inclusion of adjustment variables in accordance with existing principles of confounder selection; 2) estimates causal effects in a manner that permits complex relationships among confounders, exposures, and outcomes; and 3) provides causal estimates that account for uncertainty in the nature of confounding. The proposal relies on specification of multiple Bayesian Additive Regression Trees models, linked together with a common prior distribution that accrues posterior selection probability to covariates on the basis of association with both the exposure and the outcome of interest. A set of extensive simulation studies demonstrates that the proposed method performs well relative to similarly-motivated methodologies in a variety of scenarios. We deploy the method to investigate the causal effect of emissions from coal-fired power plants on ambient air pollution concentrations, where the prospect of confounding due to local and regional meteorological factors introduces uncertainty around the confounding role of a high-dimensional set of measured variables. Ultimately, we show that the proposed method produces more efficient and more consistent results across adjacent years than alternative methods, lending strength to the evidence of the causal relationship between SO2 emissions and ambient particulate pollution.

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arXiv2019

A Source-Oriented Approach to Coal Power Plant Emissions Health Effects

There is increasing focus on whether air pollution originating from different sources has different health implications. In particular, recent evidence suggests that fine particulate matter (PM2.5) with chemical tracers suggesting coal combustion origins is especially harmful. Augmenting this knowledge with estimates from causal inference methods to identify the health impacts of PM2.5 derived from specific point sources of coal combustion would be an important step towards informing specific, targeted interventions. We investigated the effect of high-exposure to coal combustion emissions from 783 coal-fired power generating units on ischemic heart disease (IHD) hospitalizations in over 19 million Medicare beneficiaries residing at 21,351 ZIP codes in the eastern United States. We used InMAP, a newly-developed, reduced-complexity air quality model to classify each ZIP code as either a high-exposed or control location. Our health outcomes analysis uses a causal inference method - propensity score matching - to adjust for potential confounders of the relationship between exposure and IHD. We fit separate Poisson regression models to the matched data in each geographic region to estimate the incidence rate ratio for IHD comparing high-exposed to control locations. High exposure to coal power plant emissions and IHD were positively associated in the Northeast (IRR = 1.08, 95% CI = 1.06, 1.09) and the Southeast (IRR = 1.06, 95% CI = 1.04, 1.08). No significant association was found in the Industrial Midwest (IRR = 1.02, 95% CI = 1.00, 1.04), likely the result of small exposure contrasts between high-exposed and control ZIP codes in that region. This study provides targeted evidence of the association between emissions from specific coal power plants and IHD hospitalizations among Medicare beneficiaries.

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arXiv2019

Bayesian Methods for Multiple Mediators: Relating Principal Stratification and Causal Mediation in the Analysis of Power Plant Emission Controls

Emission control technologies installed on power plants are a key feature of many air pollution regulations in the US. While such regulations are predicated on the presumed relationships between emissions, ambient air pollution, and human health, many of these relationships have never been empirically verified. The goal of this paper is to develop new statistical methods to quantify these relationships. We frame this problem as one of mediation analysis to evaluate the extent to which the effect of a particular control technology on ambient pollution is mediated through causal effects on power plant emissions. Since power plants emit various compounds that contribute to ambient pollution, we develop new methods for multiple intermediate variables that are measured contemporaneously, may interact with one another, and may exhibit joint mediating effects. Specifically, we propose new methods leveraging two related frameworks for causal inference in the presence of mediating variables: principal stratification and causal mediation analysis. We define principal effects based on multiple mediators, and also introduce a new decomposition of the total effect of an intervention on ambient pollution into the natural direct effect and natural indirect effects for all combinations of mediators. Both approaches are anchored to the same observed-data models, which we specify with Bayesian nonparametric techniques. We provide assumptions for estimating principal causal effects, then augment these with an additional assumption required for causal mediation analysis. The two analyses, interpreted in tandem, provide the first empirical investigation of the presumed causal pathways that motivate important air quality regulatory policies.

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arXiv2019

Bayesian Longitudinal Causal Inference in the Analysis of the Public Health Impact of Pollutant Emissions

Pollutant emissions from coal-burning power plants have been deemed to adversely impact ambient air quality and public health conditions. Despite the noticeable reduction in emissions and the improvement of air quality since the Clean Air Act (CAA) became the law, the public-health benefits from changes in emissions have not been widely evaluated yet. In terms of the chain of accountability (HEI Accountability Working Group, 2003), the link between pollutant emissions from the power plants (SO2) and public health conditions (respiratory diseases) accounting for changes in ambient air quality (PM2.5) is unknown. We provide the first assessment of the longitudinal effect of specific pollutant emission (SO2) on public health outcomes that is mediated through changes in the ambient air quality. It is of particular interest to examine the extent to which the effect that is mediated through changes in local ambient air quality differs from year to year. In this paper, we propose a Bayesian approach to estimate novel causal estimands: time-varying mediation effects in the presence of mediators and responses measured every year. We replace the commonly invoked sequential ignorability assumption with a new set of assumptions which are sufficient to identify the distributions of the natural indirect and direct effects in this setting.

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