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Edward H. Kennedy

Publications and source records attributed to Edward H. Kennedy.

At least 73 records · Page 4Linked to original sources

Comment on "Statistical Modeling: The Two Cultures" by Leo Breiman

Motivated by Breiman's rousing 2001 paper on the "two cultures" in statistics, we consider the role that different modeling approaches play in causal inference. We discuss the relationship between model complexity and causal (mis)interpretation, the relative merits of plug-in versus targeted estimation, issues that arise in tuning flexible estimators of causal effects, and some outstanding cultural divisions in causal inference.

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Semiparametric counterfactual density estimation

Causal effects are often characterized with averages, which can give an incomplete picture of the underlying counterfactual distributions. Here we consider estimating the entire counterfactual density and generic functionals thereof. We focus on two kinds of target parameters. The first is a density approximation, defined by a projection onto a finite-dimensional model using a generalized distance metric, which includes f-divergences as well as $L_p$ norms. The second is the distance between counterfactual densities, which can be used as a more nuanced effect measure than the mean difference, and as a tool for model selection. We study nonparametric efficiency bounds for these targets, giving results for smooth but otherwise generic models and distances. Importantly, we show how these bounds connect to means of particular non-trivial functions of counterfactuals, linking the problems of density and mean estimation. We go on to propose doubly robust-style estimators for the density approximations and distances, and study their rates of convergence, showing they can be optimally efficient in large nonparametric models. We also give analogous methods for model selection and aggregation, when many models may be available and of interest. Our results all hold for generic models and distances, but throughout we highlight what happens for particular choices, such as $L_2$ projections on linear models, and KL projections on exponential families. Finally we illustrate by estimating the density of CD4 count among patients with HIV, had all been treated with combination therapy versus zidovudine alone, as well as a density effect. Our results suggest combination therapy may have increased CD4 count most for high-risk patients. Our methods are implemented in the freely available R package npcausal on GitHub.

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Doubly Robust Nonparametric Instrumental Variable Estimators for Survival Outcomes

Instrumental variable (IV) methods allow us the opportunity to address unmeasured confounding in causal inference. However, most IV methods are only applicable to discrete or continuous outcomes with very few IV methods for censored survival outcomes. In this work we propose nonparametric estimators for the local average treatment effect on survival probabilities under both nonignorable and ignorable censoring. We provide an efficient influence function-based estimator and a simple estimation procedure when the IV is either binary or continuous. The proposed estimators possess double-robustness properties and can easily incorporate nonparametric estimation using machine learning tools. In simulation studies, we demonstrate the flexibility and efficiency of our proposed estimators under various plausible scenarios. We apply our method to the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial for estimating the causal effect of screening on survival probabilities and investigate the causal contrasts between the two interventions under different censoring assumptions.

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Discussion of "On nearly assumption-free tests of nominal confidence interval coverage for causal parameters estimated by machine learning"

We congratulate the authors on their exciting paper, which introduces a novel idea for assessing the estimation bias in causal estimates. Doubly robust estimators are now part of the standard set of tools in causal inference, but a typical analysis stops with an estimate and a confidence interval. The authors give an approach for a unique type of model-checking that allows the user to check whether the bias is sufficiently small with respect to the standard error, which is generally required for confidence intervals to be reliable.

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Efficient nonparametric causal inference with missing exposure information

Missing exposure information is a very common feature of many observational studies. Here we study identifiability and efficient estimation of causal effects on vector outcomes, in such cases where treatment is unconfounded but partially missing. We consider a missing at random setting where missingness in treatment can depend not only on complex covariates, but also on post-treatment outcomes. We give a new identifying expression for average treatment effects in this setting, along with the efficient influence function for this parameter in a nonparametric model, which yields a nonparametric efficiency bound. We use this latter result to construct nonparametric estimators that are less sensitive to the curse of dimensionality than usual, e.g., by having faster rates of convergence than the complex nuisance estimators they rely on. Further we show that these estimators can be root-n consistent and asymptotically normal under weak nonparametric conditions, even when constructed using flexible machine learning. Finally we apply these results to the problem of causal inference with a partially missing instrumental variable.

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Counterfactual Risk Assessments, Evaluation, and Fairness

Algorithmic risk assessments are increasingly used to help humans make decisions in high-stakes settings, such as medicine, criminal justice and education. In each of these cases, the purpose of the risk assessment tool is to inform actions, such as medical treatments or release conditions, often with the aim of reducing the likelihood of an adverse event such as hospital readmission or recidivism. Problematically, most tools are trained and evaluated on historical data in which the outcomes observed depend on the historical decision-making policy. These tools thus reflect risk under the historical policy, rather than under the different decision options that the tool is intended to inform. Even when tools are constructed to predict risk under a specific decision, they are often improperly evaluated as predictors of the target outcome. Focusing on the evaluation task, in this paper we define counterfactual analogues of common predictive performance and algorithmic fairness metrics that we argue are better suited for the decision-making context. We introduce a new method for estimating the proposed metrics using doubly robust estimation. We provide theoretical results that show that only under strong conditions can fairness according to the standard metric and the counterfactual metric simultaneously hold. Consequently, fairness-promoting methods that target parity in a standard fairness metric may --- and as we show empirically, do --- induce greater imbalance in the counterfactual analogue. We provide empirical comparisons on both synthetic data and a real world child welfare dataset to demonstrate how the proposed method improves upon standard practice.

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A nonparametric projection-based estimator for the probability of causation, with application to water sanitation in Kenya

Current estimation methods for the probability of causation (PC) make strong parametric assumptions or are inefficient. We derive a nonparametric influence-function-based estimator for a projection of PC, which allows for simple interpretation and valid inference by making weak structural assumptions. We apply our estimator to real data from an experiment in Kenya, which found, by estimating the average treatment effect, that protecting water springs reduces childhood disease. However, before scaling up this intervention, it is important to determine whether it was the exposure, and not something else, that caused the outcome. Indeed, we find that some children, who were exposed to a high concentration of bacteria in drinking water and had a diarrheal disease, would likely have contracted the disease absent the exposure since the estimated PC for an average child in this study is 0.12 with a 95% confidence interval of (0.11, 0.13). Our nonparametric method offers researchers a way to estimate PC, which is essential if one wishes to determine not only the average treatment effect, but also whether an exposure likely caused the observed outcome.

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Visually Communicating and Teaching Intuition for Influence Functions

Estimators based on influence functions (IFs) have been shown to be effective in many settings, especially when combined with machine learning techniques. By focusing on estimating a specific target of interest (e.g., the average effect of a treatment), rather than on estimating the full underlying data generating distribution, IF-based estimators are often able to achieve asymptotically optimal mean-squared error. Still, many researchers find IF-based estimators to be opaque or overly technical, which makes their use less prevalent and their benefits less available. To help foster understanding and trust in IF-based estimators, we present tangible, visual illustrations of when and how IF-based estimators can outperform standard ``plug-in'' estimators. The figures we show are based on connections between IFs, gradients, linear approximations, and Newton-Raphson.

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Causal Inference for Comprehensive Cohort Studies

In a comprehensive cohort study of two competing treatments (say, A and B), clinically eligible individuals are first asked to enroll in a randomized trial and, if they refuse, are then asked to enroll in a parallel observational study in which they can choose treatment according to their own preference. We consider estimation of two estimands: (1) comprehensive cohort causal effect -- the difference in mean potential outcomes had all patients in the comprehensive cohort received treatment A vs. treatment B and (2) randomized trial causal effect -- the difference in mean potential outcomes had all patients enrolled in the randomized trial received treatment A vs. treatment B. For each estimand, we consider inference under various sets of unconfoundedness assumptions and construct semiparametric efficient and robust estimators. These estimators depend on nuisance functions, which we estimate, for illustrative purposes, using generalized additive models. Using the theory of sample splitting, we establish the asymptotic properties of our proposed estimators. We also illustrate our methodology using data from the Bypass Angioplasty Revascularization Investigation (BARI) randomized trial and observational registry to evaluate the effect of percutaneous transluminal coronary balloon angioplasty versus coronary artery bypass grafting on 5-year mortality. To evaluate the finite sample performance of our estimators, we use the BARI dataset as the basis of a realistic simulation study.

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Sharp instruments for classifying compliers and generalizing causal effects

It is well-known that, without restricting treatment effect heterogeneity, instrumental variable (IV) methods only identify "local" effects among compliers, i.e., those subjects who take treatment only when encouraged by the IV. Local effects are controversial since they seem to only apply to an unidentified subgroup; this has led many to denounce these effects as having little policy relevance. However, we show that such pessimism is not always warranted: it is possible in some cases to accurately predict who compliers are, and obtain tight bounds on more generalizable effects in identifiable subgroups. We propose methods for doing so and study their estimation error and asymptotic properties, showing that these tasks can in theory be accomplished even with very weak IVs. We go on to introduce a new measure of IV quality called "sharpness", which reflects the variation in compliance explained by covariates, and captures how well one can identify compliers and obtain tight bounds on identifiable subgroup effects. We develop an estimator of sharpness, and show that it is asymptotically efficient under weak conditions. Finally we explore finite-sample properties via simulation, and apply the methods to study canvassing effects on voter turnout. We propose that sharpness should be presented alongside strength to assess IV quality.

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Robust causal inference with continuous instruments using the local instrumental variable curve

Instrumental variables are commonly used to estimate effects of a treatment afflicted by unmeasured confounding, and in practice instruments are often continuous (e.g., measures of distance, or treatment preference). However, available methods for continuous instruments have important limitations: they either require restrictive parametric assumptions for identification, or else rely on modeling both the outcome and treatment process well (and require modeling effect modification by all adjustment covariates). In this work we develop the first semiparametric doubly robust estimators of the local instrumental variable effect curve, i.e., the effect among those who would take treatment for instrument values above some threshold and not below. In addition to being robust to misspecification of either the instrument or treatment/outcome processes, our approach also incorporates information about the instrument mechanism and allows for flexible data-adaptive estimation of effect modification. We discuss asymptotic properties under weak conditions, and use the methods to study infant mortality effects of neonatal intensive care units with high versus low technical capacity, using travel time as an instrument.

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Nonparametric causal effects based on incremental propensity score interventions

Most work in causal inference considers deterministic interventions that set each unit's treatment to some fixed value. However, under positivity violations these interventions can lead to non-identification, inefficiency, and effects with little practical relevance. Further, corresponding effects in longitudinal studies are highly sensitive to the curse of dimensionality, resulting in widespread use of unrealistic parametric models. We propose a novel solution to these problems: incremental interventions that shift propensity score values rather than set treatments to fixed values. Incremental interventions have several crucial advantages. First, they avoid positivity assumptions entirely. Second, they require no parametric assumptions and yet still admit a simple characterization of longitudinal effects, independent of the number of timepoints. For example, they allow longitudinal effects to be visualized with a single curve instead of lists of coefficients. After characterizing these incremental interventions and giving identifying conditions for corresponding effects, we also develop general efficiency theory, propose efficient nonparametric estimators that can attain fast convergence rates even when incorporating flexible machine learning, and propose a bootstrap-based confidence band and simultaneous test of no treatment effect. Finally we explore finite-sample performance via simulation, and apply the methods to study time-varying sociological effects of incarceration on entry into marriage.

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Paradoxes in instrumental variable studies with missing data and one-sided noncompliance

It is common in instrumental variable studies for instrument values to be missing, for example when the instrument is a genetic test in Mendelian randomization studies. In this paper we discuss two apparent paradoxes that arise in so-called single consent designs where there is one-sided noncompliance, i.e., where unencouraged units cannot access treatment. The first paradox is that, even under a missing completely at random assumption, a complete-case analysis is biased when knowledge of one-sided noncompliance is taken into account; this is not the case when such information is disregarded. This occurs because incorporating information about one-sided noncompliance induces a dependence between the missingness and treatment. The second paradox is that, although incorporating such information does not lead to efficiency gains without missing data, the story is different when instrument values are missing: there, incorporating such information changes the efficiency bound, allowing possible efficiency gains. This is because some of the missing values can be filled in, based on the fact that anyone who received treatment must have been encouraged by the instrument (since the unencouraged cannot access treatment).

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Discussion of "Data-driven confounder selection via Markov and Bayesian networks" by Jenny Häggström

In this discussion we consider why it is important to estimate causal effect parameters well even they are not identified, propose a partially identified approach for causal inference in the presence of colliders, point out an under-appreciated advantage of double robustness, discuss the relative difficulty of independence testing versus regression, and finally commend Häggström for her exploration of causal inference with high-dimensional confounding, while making a call for further research in this same vein.

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Survivor-complier effects in the presence of selection on treatment, with application to a study of prompt ICU admission

Pre-treatment selection or censoring (`selection on treatment') can occur when two treatment levels are compared ignoring the third option of neither treatment, in `censoring by death' settings where treatment is only defined for those who survive long enough to receive it, or in general in studies where the treatment is only defined for a subset of the population. Unfortunately, the standard instrumental variable (IV) estimand is not defined in the presence of such selection, so we consider estimating a new survivor-complier causal effect. Although this effect is generally not identified under standard IV assumptions, it is possible to construct sharp bounds. We derive these bounds and give a corresponding data-driven sensitivity analysis, along with nonparametric yet efficient estimation methods. Importantly, our approach allows for high-dimensional confounding adjustment, and valid inference even after employing machine learning. Incorporating covariates can tighten bounds dramatically, especially when they are strong predictors of the selection process. We apply the methods in a UK cohort study of critical care patients to examine the mortality effects of prompt admission to the intensive care unit, using ICU bed availability as an instrument.

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Semiparametric theory

In this paper we give a brief review of semiparametric theory, using as a running example the common problem of estimating an average causal effect. Semiparametric models allow at least part of the data-generating process to be unspecified and unrestricted, and can often yield robust estimators that nonetheless behave similarly to those based on parametric likelihood assumptions, e.g., fast rates of convergence to normal limiting distributions. We discuss the basics of semiparametric theory, focusing on influence functions.

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Estimating scaled treatment effects with multiple outcomes

In classical study designs, the aim is often to learn about the effects of a treatment or intervention on a single outcome; in many modern studies, however, data on multiple outcomes are collected and it is of interest to explore effects on multiple outcomes simultaneously. Such designs can be particularly useful in patient-centered research, where different outcomes might be more or less important to different patients. In this paper we propose scaled effect measures (via potential outcome notation) that translate effects on multiple outcomes to a common scale, using mean-variance and median-interquartile-range -based standardizations. We present efficient, nonparametric, doubly robust methods for estimating these scaled effects (and weighted average summary measures), and for testing the null hypothesis that treatment affects all outcomes equally. We also discuss methods for exploring how treatment effects depend on covariates (i.e., effect modification). In addition to describing efficiency theory for our estimands and the asymptotic behavior of our estimators, we illustrate the methods in a simulation study and a data analysis. Importantly, and in contrast to much of the literature concerning effects on multiple outcomes, our methods are nonparametric and can be used not only in randomized trials to yield increased efficiency, but also in observational studies with high-dimensional covariates to reduce confounding bias.

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Nonparametric methods for doubly robust estimation of continuous treatment effects

Continuous treatments (e.g., doses) arise often in practice, but many available causal effect estimators are limited by either requiring parametric models for the effect curve, or by not allowing doubly robust covariate adjustment. We develop a novel kernel smoothing approach that requires only mild smoothness assumptions on the effect curve, and still allows for misspecification of either the treatment density or outcome regression. We derive asymptotic properties and give a procedure for data-driven bandwidth selection. The methods are illustrated via simulation and in a study of the effect of nurse staffing on hospital readmissions penalties.

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