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Pål Christie Ryalen

Publications and source records attributed to Pål Christie Ryalen.

4 recordsLinked to original sources

On causal inference with marked point process data

We define dynamic treatment regimes and associated potential outcomes for data described by marked point processes (MPPs). These definitions motivate MPP analogues of the commonly used consistency, exchangeability, and positivity conditions that are sufficient for identifying effects in MPP data structures. The conditions are formulated based on martingale theory, which allows us to derive explicit identifying assumptions for data described by stochastic processes. The definitions and conditions align with well-established discrete-time results in important special cases. Thus, this work bridges the large literatures on survival (event history) analysis with counting processes in continuous time and causal inference with variables in discrete-time. After formulating a set of identification conditions, we derive and characterize marginal g-formulas. The g-formulas are generally different from those studied in related works, though they coincide in important special cases. We relate our findings to previous work on causal inference with (counting) processes, the classical survival literature, and the discrete-time causal inference literature.

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Transforming cumulative hazard estimates

Time to event outcomes are often evaluated on the hazard scale, but interpreting hazards may be difficult. Recently, there has been concern in the causal inference literature that hazards actually have a built in selection-effect that prevents simple causal interpretations. This is even a problem in randomized controlled trials, where hazard ratios have become a standard measure of treatment effects. Modeling on the hazard scale is nevertheless convenient, e.g. to adjust for covariates. Using hazards for intermediate calculations may therefore be desirable. Here, we provide a generic method for transforming hazard estimates consistently to other scales at which these built in selection effects are avoided. The method is based on differential equations, and generalize a well known relation between the Nelson-Aalen and Kaplan-Meier estimators. Using the martingale central limit theorem we also find that covariances can be estimated consistently for a large class of estimators, thus allowing for rapid calculations of confidence intervals. Hence, given cumulative hazard estimates based on e.g. Aalen's additive hazard model, we can obtain many other parameters without much more effort. We present several examples and associated estimators. Coverage and convergence speed is explored using simulations, suggesting that reliable estimates can be obtained in real-life scenarios.

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The additive hazard estimator is consistent for continuous-time marginal structural models

Marginal structural models (MSMs) allow for causal analysis of longitudinal data. The MSMs were originally developed as discrete time models. Recently, continuous-time MSMs were presented as a conceptually appealing alternative for survival analysis. In applied analyses, it is often assumed that the theoretical treatment weights are known, but these weights are usually unknown and must be estimated from the data. Here we provide a sufficient condition for a class of continuous-time MSMs to be consistent even when the weights are estimated, and we show how additive hazard models can be used to estimate such weights. Our results suggest that the continuous-time weights perform better than IPTW when the underlying treatment process is continuous. Furthermore, we may wish to transform effect estimates of hazards to other scales that are easier to interpret causally. We show that a general transformation strategy can be used on weighted cumulative hazard estimates to obtain a range of other parameters in survival analysis, and demonstrate how this strategy can be applied on data using our R packages ahw and transform.hazards.

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On null hypotheses in survival analysis

The conventional nonparametric tests in survival analysis, such as the log-rank test, assess the null hypothesis that the hazards are equal at all times. However, hazards are hard to interpret causally, and other null hypotheses are more relevant in many scenarios with survival outcomes. To allow for a wider range of null hypotheses, we present a generic approach to define test statistics. This approach utilizes the fact that a wide range of common parameters in survival analysis can be expressed as solutions of differential equations. Thereby we can test hypotheses based on survival parameters that solve differential equations driven by cumulative hazards, and it is easy to implement the tests on a computer. We present simulations, suggesting that our tests perform well for several hypotheses in a range of scenarios. Finally, we use our tests to evaluate the effect of adjuvant chemotherapies in patients with colon cancer, using data from a randomised controlled trial.

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