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Paula Staudt

Publications and source records attributed to Paula Staudt.

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Overcoming Selection Bias in Statistical Studies With Amortized Bayesian Inference

Selection bias arises when the probability that an observation enters a dataset depends on variables related to the quantities of interest, leading to systematic distortions in estimation and uncertainty quantification. For example, in epidemiological or survey settings, individuals with certain outcomes may be more likely to be included, resulting in biased prevalence estimates with potentially substantial downstream impact. Classical corrections, such as inverse-probability weighting or explicit likelihood-based models of the selection process, rely on tractable likelihoods, which limits their applicability in complex stochastic models with latent dynamics or high-dimensional structure. Simulation-based inference enables Bayesian analysis without tractable likelihoods but typically assumes missingness at random and thus fails when selection depends on unobserved outcomes or covariates. Here, we develop a bias-aware simulation-based inference framework that explicitly incorporates selection into neural posterior estimation. By embedding the selection mechanism directly into the generative simulator, the approach enables amortized Bayesian inference without requiring tractable likelihoods. This recasting of selection bias as part of the simulation process allows us to both obtain debiased estimates and explicitly test for the presence of bias. The framework integrates diagnostics to detect discrepancies between simulated and observed data and to assess posterior calibration. The method recovers well-calibrated posterior distributions across three statistical applications with diverse selection mechanisms, including settings in which likelihood-based approaches yield biased estimates. These results recast the correction of selection bias as a simulation problem and establish simulation-based inference as a practical and testable strategy for parameter estimation under selection bias.

stat.ML

Temporal Trends in Incidence of Dementia in a Birth Cohorts Analysis of the Framingham Heart Study

Background: Dementia leads to a high burden of disability and the number of dementia patients worldwide doubled between 1990 and 2016. Nevertheless, some studies indicated a decrease in dementia risk which may be due to a bias caused by conventional analysis methods that do not adequately account for missing disease information due to death. Methods: This study re-examines potential trends in dementia incidence over four decades in the Framingham Heart Study. We apply a multistate modeling framework tailored to interval-censored illness-death data and define three non-overlapping birth cohorts (1915-1924, 1925-1934, and 1935-1944). Trends are evaluated based on both dementia prevalence and dementia risk, using age as the underlying timescale. Additionally, age-conditional dementia probabilities stratified by sex are estimated. Results: A total of 731 out of 3828 individuals were diagnosed with dementia. The multistate model analysis revealed no temporal decline in dementia risk across birth cohorts, irrespective of sex. When stratified by sex and adjusted for education, women consistently exhibited higher lifetime age-conditional risks (46%-50%) than men (30%-34%) over the study period. Conclusions: We recommend using a combination of multistate approach and separation into birth cohorts to adequately estimate trends of disease risk in cohort studies as well as to communicate patient-relevant outcomes such age-conditional disease risks.

stat.AP