arXiv subjects

Yingchun Zhou

Publications and source records attributed to Yingchun Zhou.

9 recordsLinked to original sources

arXiv2026

Estimating causal effects of continuous-time dynamic treatments with unmeasured confounders

Modern medical research demands specialized causal inference methods evaluating complex continuous-time dynamic treatment regimens using observational data. For instance, obtaining the causal effects of intravenous administration, a continuous process involving dynamic adjustments of the treatment dose, can guide clinicians on drug use. However, the existing causal inference frameworks in longitudinal studies typically assume that time advances in discrete time steps. Therefore, this paper proposes a new methodology to estimate the causal effects of continuous-time dynamic treatments in the presence of unmeasured confounding. Unmeasured confounding is incorporated into estimating continuous-time Marginal Structural Models from a Bayesian perspective. Simulation demonstrates that compared to existing methods, the proposed approach can provide approximately unbiased estimates for target causal parameters across three degrees of confounding. The proposed method is applied to analyze the causal relationship between the intravenous oxytocin administration process and postpartum hemorrhage, leading to meaningful results that may guide clinicians in using oxytocin.

stat.ME↗

arXiv2025

Functional Mixed effects Model for Joint Analysis of Longitudinal and Cross-Sectional Growth Data

A new method is proposed to perform joint analysis of longitudinal and cross-sectional growth data. Clustering is first performed to group similar subjects in cross-sectional data to form a pseudo longitudinal data set, then the pseudo longitudinal data and real longitudinal data are combined and analyzed by using a functional mixed effects model. To account for the variational difference between pseudo and real longitudinal growth data, it is assumed that the covariance functions of the random effects and the variance functions of the measurement errors for pseudo and real longitudinal data can be different. Various simulation studies and real data analysis demonstrate the good performance of the method.

stat.ME↗

arXiv2025

Self Balancing Neural Network: A Novel Method to Estimate Average Treatment Effect

In observational studies, confounding variables affect both treatment and outcome. Moreover, instrumental variables also influence the treatment assignment mechanism. This situation sets the study apart from a standard randomized controlled trial, where the treatment assignment is random. Due to this situation, the estimated average treatment effect becomes biased. To address this issue, a standard approach is to incorporate the estimated propensity score when estimating the average treatment effect. However, these methods incur the risk of misspecification in propensity score models. To solve this issue, a novel method called the "Self balancing neural network" (Sbnet), which lets the model itself obtain its pseudo propensity score from the balancing net, is proposed in this study. The proposed method estimates the average treatment effect by using the balancing net as a key part of the feedforward neural network. This formulation resolves the estimation of the average treatment effect in one step. Moreover, the multi-pseudo propensity score framework, which is estimated from the diversified balancing net and used for the estimation of the average treatment effect, is presented. Finally, the proposed methods are compared with state-of-the-art methods on three simulation setups and real-world datasets. It has been shown that the proposed self-balancing neural network shows better performance than state-of-the-art methods.

stat.ML↗

arXiv2025

Optimizing Real-Time Oxytocin Administration to Prevent Postpartum Hemorrhage: A Bayesian Approach to Dynamic Treatment Regimes

Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality worldwide. Oxytocin, though widely recognized for facilitating labor, is also the primary pharmacological intervention for PPH prevention. However, current dosing protocols lack personalization and fail to account for real-time physiological changes during labor. Moreover, standard dynamic treatment regime (DTR) methods cannot accommodate the continuous monitoring and adjustment. To address this, we propose a semiparametric Bayesian method for estimating an optimal treatment regime in real-time, which allows for the existence of latent individual-level variables. Specifically, random real-time DTRs are defined through interventional parameters, optimized by minimizing posterior predictive loss. We further introduce a "physician-in-the-loop" framework to align optimal strategies with clinical expertise. In an application to Consortium on Safe Labor data, the proposed method achieved consistently lower estimated blood loss than other competing methods. The learned policy recommends earlier initiation, rapid dose escalation, and more frequent titration for parturients with higher BMI, alongside increased adjustments relative to cervical dilation and the interval since the last dose change. Simulation studies demonstrate robust performance and computational efficiency, especially when unmeasured patient factors influence outcomes and covariates. Supplementary materials provides a standardized description of the materials available for reproducing the work.

stat.ME↗

arXiv2023

Causal Mediation Analysis with a Three-Dimensional Image Mediator

Causal mediation analysis is increasingly abundant in biology, psychology, and epidemiology studies, etc. In particular, with the advent of the big data era, the issue of high-dimensional mediators is becoming more prevalent. In neuroscience, with the widespread application of magnetic resonance technology in the field of brain imaging, studies on image being a mediator emerged. In this study, a novel causal mediation analysis method with a three-dimensional image mediator is proposed. We define the average casual effects under the potential outcome framework, explore several sufficient conditions for the valid identification, and develop techniques for estimation and inference. To verify the effectiveness of the proposed method, a series of simulations under various scenarios is performed. Finally, the proposed method is applied to a study on the causal effect of mother$^{\prime}$s delivery mode on child$^{\prime}$s IQ development. It is found that the white matter in certain regions of the frontal-temporal areas has mediating effects.

stat.ME↗

arXiv2023

A New Covariate Selection Strategy for High Dimensional Data in Causal Effect Estimation with Multivariate Treatments

Selection of covariates is crucial in the estimation of average treatment effects given observational data with high or even ultra-high dimensional pretreatment variables. Existing methods for this problem typically assume sparse linear models for both outcome and univariate treatment, and cannot handle situations with ultra-high dimensional covariates. In this paper, we propose a new covariate selection strategy called double screening prior adaptive lasso (DSPAL) to select confounders and predictors of the outcome for multivariate treatments, which combines the adaptive lasso method with the marginal conditional (in)dependence prior information to select target covariates, in order to eliminate confounding bias and improve statistical efficiency. The distinctive features of our proposal are that it can be applied to high-dimensional or even ultra-high dimensional covariates for multivariate treatments, and can deal with the cases of both parametric and nonparametric outcome models, which makes it more robust compared to other methods. Our theoretical analyses show that the proposed procedure enjoys the sure screening property, the ranking consistency property and the variable selection consistency. Through a simulation study, we demonstrate that the proposed approach selects all confounders and predictors consistently and estimates the multivariate treatment effects with smaller bias and mean squared error compared to several alternatives under various scenarios. In real data analysis, the method is applied to estimate the causal effect of a three-dimensional continuous environmental treatment on cholesterol level and enlightening results are obtained.

stat.ME↗

arXiv2023

Weighted Euclidean balancing for a matrix exposure in estimating causal effect

In many scientific fields such as biology, psychology and sociology, there is an increasing interest in estimating the causal effect of a matrix exposure on an outcome. Covariate balancing is crucial in causal inference and both exact balancing and approximate balancing methods have been proposed in the past decades. However, due to the large number of constraints, it is difficult to achieve exact balance or to select the threshold parameters for approximate balancing methods when the treatment is a matrix. To meet these challenges, we propose the weighted Euclidean balancing method, which approximately balance covariates from an overall perspective. This method is also applicable to high-dimensional covariates scenario. Both parametric and nonparametric methods are proposed to estimate the causal effect of matrix treatment and theoretical properties of the two estimations are provided. Furthermore, the simulation results show that the proposed method outperforms other methods in various cases. Finally, the method is applied to investigating the causal relationship between children's participation in various training courses and their IQ. The results show that the duration of attending hands-on practice courses for children at 6-9 years old has a siginificantly positive impact on children's IQ.

stat.ME↗

arXiv2022

Causal Effect Estimation for Multivariate Continuous Treatments

Causal inference is widely used in various fields, such as biology, psychology and economics, etc. In observational studies, we need to balance the covariates before estimating causal effect. This study extends the one-dimensional entropy balancing method to multiple dimensions to balance the covariates. Both parametric and nonparametric methods are proposed to estimate the causal effect of multivariate continuous treatments and theoretical properties of the two estimations are provided. Furthermore, the simulation results show that the proposed method is better than other methods in various cases. Finally, we apply the method to analyze the impact of the duration and frequency of smoking on medical expenditure. The results show that the frequency of smoking increases medical expenditure significantly while the duration of smoking does not.

stat.ME↗

arXiv2010

Functional data analytic approach of modeling ECG T-wave shape to measure cardiovascular behavior

The T-wave of an electrocardiogram (ECG) represents the ventricular repolarization that is critical in restoration of the heart muscle to a pre-contractile state prior to the next beat. Alterations in the T-wave reflect various cardiac conditions; and links between abnormal (prolonged) ventricular repolarization and malignant arrhythmias have been documented. Cardiac safety testing prior to approval of any new drug currently relies on two points of the ECG waveform: onset of the Q-wave and termination of the T-wave; and only a few beats are measured. Using functional data analysis, a statistical approach extracts a common shape for each subject (reference curve) from a sequence of beats, and then models the deviation of each curve in the sequence from that reference curve as a four-dimensional vector. The representation can be used to distinguish differences between beats or to model shape changes in a subject's T-wave over time. This model provides physically interpretable parameters characterizing T-wave shape, and is robust to the determination of the endpoint of the T-wave. Thus, this dimension reduction methodology offers the strong potential for definition of more robust and more informative biomarkers of cardiac abnormalities than the QT (or QT corrected) interval in current use.

stat.AP↗