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Targeted maximum likelihood estimation in safety analysis

delete2013-08-01
delete22
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OA
AI
S
Samuel Lendle *
B
Bruce Fireman
M
Mark J. van der Laan
DOI:10.1016/j.jclinepi.2013.02.017delete
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摘要

摘要

En 中文
Objectives: To compare the performance of a targeted maximum likelihood estimator (TMLE) and a collaborative TMLE (CTMLE) to other estimators in a drug safety analysis, including a regression-based estimator, propensity score (PS) based estimators, and an alternate doubly robust (DR) estimator in a real example and simulations. Study Design and Setting: The real data set is a subset of observational data from Kaiser Permanente Northern California formatted for use in active drug safety surveillance. Both the real and simulated data sets include potential confounders, a treatment variable indicating use of one of two antidiabetic treatments and an outcome variable indicating occurrence of an acute myocardial infarction (AMI). Results: In the real data example, there is no difference in AMI rates between treatments. In simulations, the double robustness property is demonstrated: DR estimators are consistent if either the initial outcome regression or PS estimator is consistent, whereas other estimators are inconsistent if the initial estimator is not consistent. In simulations with near-positivity violations, CTMLE performs well relative to other estimators by adaptively estimating the PS. Conclusion: Each of the DR estimators was consistent, and TMLE and CTMLE had the smallest mean squared error in simulations. (C) 2013 Elsevier Inc. All rights reserved.
Keyword:
Safety analysis
Targeted maximum likelihood estimation
Doubly robust
Causal inference
Collaborative targeted maximum likelihood estimation
Super learning

期刊

Journal of Clinical Epidemiology 封面图
Journal of Clinical Epidemiology
IF:
5.2
论文数:
8.5K
被引数:
4.3W

机构

U
University of California Berkeley
学者数:
3.5W
论文数: 2.8W
被引数: 11.3W
University of California System 封面图
University of California System
学者数:
37.7W
论文数: 33.8W
被引数: 6.6K
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