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Saurabh Bhandari

Publications and source records attributed to Saurabh Bhandari.

5 recordsLinked to original sources

Causal mediation analysis for zero-inflated longitudinal data in the presence of treatment non-compliance and multiple mediators

Understanding whether a digital marketing campaign is effective is central to designing effective customer engagement strategies. We analyze a large-scale, longitudinal promotional email campaign conducted by a U.S.\ retailer to evaluate how value-added incentives, such as free shipping, compare with traditional price discounts in influencing customer purchasing behavior. The analysis is complicated by non-compliance, due to not opening emails, multiple longitudinal mediators, and zero-inflated mediators and purchase outcomes. To address these challenges, we develop a Bayesian causal mediation framework based on enriched Dirichlet process mixture models and estimate the causal estimands using a scalable G-computation algorithm. We show that analyses ignoring email-opening behavior substantially attenuate estimated effects. Value-added incentives consistently outperform price discounts, yielding higher estimated potential purchase amounts, with benefits accumulating over time. We design an individualized sequential emailing strategy that optimizes expected purchase count in the observed data.

stat.ME

Semi-Parametric Bayesian Additive Regression Trees for Risk Prediction with High-Dimensional Epigenetic Signatures and Low-Dimensional Covariates

In the era of precision medicine, genome-wide epigenetic modifications offer rich data that could inform risk prediction. However, these data are high-dimensional and exhibit complex dependence structures, which makes it difficult to jointly model them with low-dimensional covariates when the goal is to obtain interpretable effect estimates for covariate adjustment. Standard Bayesian additive regression trees (BART) provide strong predictive performance but treat all predictors uniformly within the tree ensemble, obscuring the contributions of significant covariates and complicating variable selection in high-dimensional settings. We propose a semi-parametric BART model (spBART) that addresses this limitation by modeling low-dimensional covariates through a parametric component with interpretable coefficients, while capturing complex nonlinear associations among high-dimensional predictors through the tree ensemble. To perform stable variable selection, we develop a cross-validation-based procedure that aggregates posterior inclusion probabilities across folds and applies Bayesian false discovery rate control. We apply the proposed method to a pooled case--control analysis of high-dimensional genome-wide 5-hydroxymethylcytosine profiles derived from circulating cell-free DNA in two multiple myeloma studies ($N = 869$). The approach identifies a parsimonious set of candidate loci and achieves strong out-of-sample discrimination (AUC $= 0.96$) in a held-out validation set. Overall, spBART provides a unified framework for combining interpretable covariate inference with flexible modeling and variable selection in high-dimensional biomedical studies.

stat.AP

Causal mediation analysis for longitudinal and survival data in continuous time using Bayesian non-parametric joint models

Observational cohort data is an important source of information for understanding the causal effects of treatments on survival and the degree to which these effects are mediated through changes in disease-related risk factors. However, these analyses are often complicated by irregular data collection intervals and the presence of longitudinal confounders and mediators. We propose a causal mediation framework that jointly models longitudinal exposures, confounders, mediators, and time-to-event outcomes as continuous functions of age. This framework for longitudinal covariate trajectories enables statistical inference even at ages where the subject's covariate measurements are unavailable. The observed data distribution in our framework is modeled using an enriched Dirichlet process mixture (EDPM) model. Using data from the Atherosclerosis Risk in Communities cohort study, we apply our methods to assess how medication -- prescribed to target cardiovascular disease (CVD) risk factors -- affects the time-to-CVD death.

stat.ME

Integrating tumor burden with survival outcome for treatment effect evaluation in oncology trials

In early-phase cancer clinical trials, the limited availability of data presents significant challenges in developing a framework to efficiently quantify treatment effectiveness. To address this, we propose a novel utility-based Bayesian approach for assessing treatment effects in these trials, where data scarcity is a major concern. Our approach synthesizes tumor burden, a key biomarker for evaluating patient response to oncology treatments, and survival outcome, a widely used endpoint for assessing clinical benefits, by jointly modeling longitudinal and survival data. The proposed method, along with its novel estimand, aims to efficiently capture signals of treatment efficacy in early-phase studies and holds potential for development as an endpoint in Phase 3 confirmatory studies. We conduct simulations to investigate the frequentist characteristics of the proposed estimand in a simple setting, which demonstrate relatively controlled Type I error rates when testing the treatment effect on outcomes.

stat.ME

A Bayesian semi-parametric approach to causal mediation for longitudinal mediators and time-to-event outcomes with application to a cardiovascular disease cohort study

Causal mediation analysis of observational data is an important tool for investigating the potential causal effects of medications on disease-related risk factors, and on time-to-death (or disease progression) through these risk factors. However, when analyzing data from a cohort study, such analyses are complicated by the longitudinal structure of the risk factors and the presence of time-varying confounders. Leveraging data from the Atherosclerosis Risk in Communities (ARIC) cohort study, we develop a causal mediation approach, using (semi-parametric) Bayesian Additive Regression Tree (BART) models for the longitudinal and survival data. Our framework allows for time-varying exposures, confounders, and mediators, all of which can either be continuous or binary. We also identify and estimate direct and indirect causal effects in the presence of a competing event. We apply our methods to assess how medication, prescribed to target cardiovascular disease (CVD) risk factors, affects the time-to-CVD death.

stat.ME