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Enrico Giudice

Publications and source records attributed to Enrico Giudice.

6 recordsLinked to original sources

Pseudo-value Based Mean Cumulative Count Regression

The mean cumulative function (MCF) summarizes how events accumulate over time for a recurrent or multi-component endpoint. The MCF, and its integral over a given time horizon, the area under the MCF (AUMCF), provide interpretable summaries of recurrent-event burden in the presence of right-censoring and terminal events. Existing approaches for these estimands have focused primarily on nonparametric treatment comparisons, covariate-adjusted augmentation, and linearized test statistics. Herein, we propose a pseudo-value-based regression approach for estimating covariate effects on the MCF and AUMCF at a fixed truncation time. The proposed method uses influence-function-based pseudo-values as regression outcomes, allowing estimation with standard generalized estimating equation machinery and, under an identity link, ordinary least squares. Through simulation studies, we evaluate estimation accuracy, confidence interval coverage, type I error control, and power across a range of recurrent-event settings. We demonstrate the utility of the proposed covariate adjustment procedure through an application to the ORATORIO clinical trial, evaluating the safety and efficacy of ocrelizumab for the treatment of primary progressive multiple sclerosis. Overall, pseudo-value-based regression provides a simple and interpretable framework for modeling covariate effects on cumulative recurrent-event burden over time.

stat.ME

Revealing the Truth: Calculating True Values in Causal Inference Simulation Studies via Gaussian Quadrature

Simulation studies are used to understand the properties of statistical methods. A key luxury in many simulation studies is knowledge of the true value (i.e. the estimand) being targeted. With this oracle knowledge in-hand, the researcher conducting the simulation study can assess across repeated realizations of the data how well a given method recovers the truth. In causal inference simulation studies, the truth is rarely a simple parameter of the statistical model chosen to generate the data. Instead, the estimand is often an average treatment effect, marginalized over the distribution of confounders and/or mediators. Luckily, these variables are often generated from common distributions such as the normal, uniform, exponential, or gamma. For all these distributions, Gaussian quadratures provide efficient and accurate calculation for integrands with integral kernels that stem from known probability density functions. We demonstrate through four applications how to use Gaussian quadrature to accurately and efficiently compute the true causal estimand. We also compare the pros and cons of Gauss-Hermite quadrature to Monte Carlo integration approaches, which we use as benchmarks. Overall, we demonstrate that the Gaussian quadrature is an accurate tool with negligible computation time, yet is underused for calculating the true causal estimands in simulation studies.

stat.ME

Simplifying Causal Mediation Analysis for Time-to-Event Outcomes using Pseudo-Values

Mediation analysis for survival outcomes is challenging. Most existing methods quantify the treatment effect using the hazard ratio (HR) and attempt to decompose the HR into the direct effect of treatment plus an indirect, or mediated, effect. However, the HR is not expressible as an expectation, which complicates this decomposition, both in terms of estimation and interpretation. Here, we present an alternative approach which leverages pseudo-values to simplify estimation and inference. Pseudo-values take censoring into account during their construction, and once derived, can be modeled in the same way as any continuous outcome. Thus, pseudo-values enable mediation analysis for a survival outcome to fit seamlessly into standard mediation software (e.g. CMAverse in R). Pseudo-values are easy to calculate via a leave-one-observation-out procedure (i.e. jackknifing) and the calculation can be accelerated when the influence function of the estimator is known. Mediation analysis for causal effects defined by survival probabilities, restricted mean survival time, and cumulative incidence functions - in the presence of competing risks - can all be performed within this framework. Extensive simulation studies demonstrate that the method is unbiased across 324 scenarios/estimands and controls the type-I error at the nominal level under the null of no mediation. We illustrate the approach using data from the PARADIGMS clinical trial for the treatment of pediatric multiple sclerosis using fingolimod. In particular, we evaluate whether an imaging biomarker lies on the causal path between treatment and time-to-relapse, which aids in justifying this biomarker as a surrogate outcome. Our approach greatly simplifies mediation analysis for survival data and provides a decomposition of the total effect that is both intuitive and interpretable.

stat.ME

Bayesian Causal Inference with Gaussian Process Networks

Causal discovery and inference from observational data is an essential problem in statistics posing both modeling and computational challenges. These are typically addressed by imposing strict assumptions on the joint distribution such as linearity. We consider the problem of the Bayesian estimation of the effects of hypothetical interventions in the Gaussian Process Network (GPN) model, a flexible causal framework which allows describing the causal relationships nonparametrically. We detail how to perform causal inference on GPNs by simulating the effect of an intervention across the whole network and propagating the effect of the intervention on downstream variables. We further derive a simpler computational approximation by estimating the intervention distribution as a function of local variables only, modeling the conditional distributions via additive Gaussian processes. We extend both frameworks beyond the case of a known causal graph, incorporating uncertainty about the causal structure via Markov chain Monte Carlo methods. Simulation studies show that our approach is able to identify the effects of hypothetical interventions with non-Gaussian, non-linear observational data and accurately reflect the posterior uncertainty of the causal estimates. Finally we compare the results of our GPN-based causal inference approach to existing methods on a dataset of $A.~thaliana$ gene expressions.

stat.ML

A Bayesian Take on Gaussian Process Networks

Gaussian Process Networks (GPNs) are a class of directed graphical models which employ Gaussian processes as priors for the conditional expectation of each variable given its parents in the network. The model allows the description of continuous joint distributions in a compact but flexible manner with minimal parametric assumptions on the dependencies between variables. Bayesian structure learning of GPNs requires computing the posterior over graphs of the network and is computationally infeasible even in low dimensions. This work implements Monte Carlo and Markov Chain Monte Carlo methods to sample from the posterior distribution of network structures. As such, the approach follows the Bayesian paradigm, comparing models via their marginal likelihood and computing the posterior probability of the GPN features. Simulation studies show that our method outperforms state-of-the-art algorithms in recovering the graphical structure of the network and provides an accurate approximation of its posterior distribution.

stat.ML

The Dual PC Algorithm and the Role of Gaussianity for Structure Learning of Bayesian Networks

Learning the graphical structure of Bayesian networks is key to describing data-generating mechanisms in many complex applications but poses considerable computational challenges. Observational data can only identify the equivalence class of the directed acyclic graph underlying a Bayesian network model, and a variety of methods exist to tackle the problem. Under certain assumptions, the popular PC algorithm can consistently recover the correct equivalence class by reverse-engineering the conditional independence (CI) relationships holding in the variable distribution. The dual PC algorithm is a novel scheme to carry out the CI tests within the PC algorithm by leveraging the inverse relationship between covariance and precision matrices. By exploiting block matrix inversions we can also perform tests on partial correlations of complementary (or dual) conditioning sets. The multiple CI tests of the dual PC algorithm proceed by first considering marginal and full-order CI relationships and progressively moving to central-order ones. Simulation studies show that the dual PC algorithm outperforms the classic PC algorithm both in terms of run time and in recovering the underlying network structure, even in the presence of deviations from Gaussianity. Additionally, we show that the dual PC algorithm applies for Gaussian copula models, and demonstrate its performance in that setting.

stat.ML