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Tran Trong Khoi Le

Publications and source records attributed to Tran Trong Khoi Le.

4 recordsLinked to original sources

On the magnitude, sign and ranking of recanting-twin path-specific effects

The framework of recanting twin path-specific effects has recently been propose to address the issue of intermediate confounding in causal mediation analysis, enabling the decomposition of the average treatment effect into identifiable fine-grained path-specific effects (PSEs). An open question, however, is the extent to which recanting-twin PSEs reflect the direction and relative magnitude of their corresponding natural PSEs. In this paper, we systematically characterize the behaviors of the recanting-twin PSEs in terms of magnitude, sign and ranking, benchmarking against natural PSEs. To achieve this, we first derive non-parametric, identifiable upper and lower bounds for the absolute difference between recanting-twin and natural PSEs in binary outcome settings. These bounds provide a practical way to assess whether discrepancies in magnitude between the two types of effects are substantial, thereby facilitating the use of recanting-twin PSEs as informative approximations of their natural counterparts. A simulation study is then conducted to evaluate frequency of disagreements in sign and ranking between recanting-twin and natural effects in non-linear, non-monotonic scenarios. Across four scenarios and 320 numerical settings, we find that disagreement ranges from 15% to 56% for ranking and from 5% to 43% for sign. Disagreement is strongly influenced by the non-observable correlation between counterfactual values of the intermediate confounder, suggesting that caution is needed when interpreting the magnitude and ranking of recanting-twin PSEs, and motivating future work to identify conditions under which the two types of PSEs yield consistent conclusions when non-monotonicity presents.

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Instrumented difference-in-differences under case-control sampling

Case-control designs are fundamental in epidemiology for the efficient study of rare outcomes. Although instrumental variable (IV) methods have been extended to this setting to address unmeasured confounding, they typically rely on the exclusion restriction assumption, which may be violated when the IV candidates directly affect the outcome through pathways independent of the exposure. In this paper, we propose a novel instrumented difference-in-differences (iDiD) approach tailored to case-control designs. Grounded in structural mean modeling, the proposed method accommodates IV candidates that have time-invariant direct effect on the outcome. When retrospective case-control datasets are collected, the candidate can still be used as a valid instrument on the trend scale when selection bias induced by retrospective sampling is efficiently taken into account. We assess finite-sample performance of this method through extensive simulations, then apply it to evaluate the risk of serious infection of biologic treatments for psoriasis, using French national claim database.

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Transportability of aggregate trial results to an external environment in causally interpretable meta-analysis

In evidence synthesis, multilevel modeling approaches (MMAs) are commonly employed to combine aggregate data (AD) and individual participant data (IPD). These approaches rely on an aggregate outcome model that is ideally obtained by integrating the prespecified individual- level outcome model over the covariate distribution observed in each eligible study. In non- linear settings, such an integration may however be analytically intractable and requires ap- proximations. In this paper, we propose a novel method for incorporating AD into causal meta-analysis of IPD studies that can overcome this challenge. Rather than relying on an ag- gregate outcome model that is difficult to be correctly formulated, we propose modeling the trial membership as a function of baseline covariates. This model allows one to estimate the individual-level outcome model in each AD study by leveraging IPD available in other trials, and then to transport the treatment effects estimated from both AD and IPD trials to an external target population, even when only aggregate covariate data are available for that population. Unlike previous proposals, we do not require pseudo-IPD to be generated from the aggregate data, which helps minimize bias due to incomplete information on the covariate distribution in each AD trial and in the target population.

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Integration of aggregated data in causally interpretable meta-analysis by inverse weighting

Obtaining causally interpretable meta-analysis results is challenging when there are differences in the distribution of effect modifiers between eligible trials. To overcome this, recent work on transportability methods has considered standardizing results of individual studies over the case-mix of a target population, prior to pooling them as in a classical random-effect meta-analysis. One practical challenge, however, is that case-mix standardization often requires individual participant data (IPD) on outcome, treatments and case-mix characteristics to be fully accessible in every eligible study, along with IPD case-mix characteristics for a random sample from the target population. In this paper, we aim to develop novel strategies to integrate aggregated-level data from eligible trials with non-accessible IPD into a causal meta-analysis, by extending moment-based methods frequently used for population-adjusted indirect comparison in health technology assessment. Since valid inference for these moment-based methods by M-estimation theory requires additional aggregated data that are often unavailable in practice, computational methods to address this concern are also developed. We assess the finite-sample performance of the proposed approaches by simulated data, and then apply these on real-world clinical data to investigate the effectiveness of risankizumab versus ustekinumab among patients with moderate to severe psoriasis.

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