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Nathanaël Lapidus

Publications and source records attributed to Nathanaël Lapidus.

2 recordsLinked to original sources

Partitioning Time in Target Trial Emulation

In target trial emulation, the treatment strategies that patients follow are inferred from the treatments they actually receive in routine care. However, in most settings, the outcome may preclude the observation of planned treatment, giving rise to immortal time bias through misclassification of treatment strategy, while markers of treatment response may influence subsequent treatment decisions, giving rise to time-varying confounding. A key step toward unbiased treatment effect estimation is to partition follow-up into sufficiently short time intervals to unfold the feedback relationships involving treatment and represent the resulting causal relations with a directed acyclic graph. In this study, we present the possible within-interval causal orderings induced by this partitioning, discuss their causal implications, and assess their plausibility across clinical settings. For each causal ordering, we derive the corresponding g-formula. Using ancestral multi-world networks and simulations, we show that the standard cloning-censoring-weighting estimator is invalid when treatment affects the outcome within a time interval, and we propose a modified version of the method that restores its validity in this setting. Finally, we analyze the consequences of choosing time intervals that are either excessively wide or excessively narrow, thereby formally establishing the need for time partitioning and providing practical guidance for selecting an appropriate partition based on the clinical setting.

stat.ME↗

Prior-Data Fitted Networks for Causal Inference: a Simulation Study with Real-World Scenarios

Prior-Data Fitted Networks (PFNs) represent a paradigm shift in tabular data prediction. We present the principles of this new paradigm and evaluate two PFNs for estimating the average treatment effect (ATE) of a binary treatment on a binary outcome, using simulated clinical scenarios based on real-world data. We assessed TabPFN combined with causal inference procedures (g-computation and inverse probability of treatment weighting), and CausalPFN, a PFN that directly provides an ATE estimate with a credible interval. Confidence intervals for the TabPFN-based methods were derived using bootstrap resampling. We found that computation times for TabPFN were prohibitive for routine causal inference, particularly because of the need for bootstrapping to yield confidence intervals. Moreover, g-computation with TabPFN produced a highly biased estimator, partially corrected by fitting separate models for each treatment group (T-learner). CausalPFN, by contrast, was computationally efficient but exhibited poor coverage of its 95% credible interval for the ATE, due to both estimation bias and inadequate uncertainty quantification. Beyond automating model specification, some PFN variants - like CausalPFN - attempt to automate causal modeling. In the settings we evaluated, CausalPFN performed poorly. However, new algorithms of this kind continue to be developed, and their application to causal inference tasks requires further investigation.

stat.AP↗