{"title":"Semiparametric Estimation of Relative Causal Effects in Randomized Controlled Trials With Noncompliance.","authors":"Wenli Liu, Jing Qin, Yukun Liu","doi":"10.1002/sim.70153","DOIUrl":null,"url":null,"abstract":"<p><p>Randomized controlled trials (RCTs) are the gold standard for causal inference and are widely used. However, valid analyses of RCTs are often complicated by non-compliance, which can lead to confounding bias and biased causal effect estimation. The main challenge comes from compliance datasets in both the treatment and control groups both following two-component mixture models. The maximum nonparametric likelihood estimator is inconsistent in a two-component mixture model even if the mixture proportion and one of the components are completely known, but the other component is unknown. In this paper, we instead assume parametric models for the ratios of risks among compliers assigned treatment, never-takers and always-takers, and leave the baseline compliers not assigned treatment unspecified. We develop a novel two-step maximum likelihood estimation procedure by making full use of the observed covariates and latent compliance classes, which theoretically can produce asymptotic root <math> <semantics><mrow><mi>n</mi></mrow> <annotation>$$ n $$</annotation></semantics> </math> consistent estimators. In particular, our proposed estimator for the conditional local risk ratio always lies within the range of the parameter. Our numerical results show that the proposed method is generally more reliable than existing alternatives.</p>","PeriodicalId":21879,"journal":{"name":"Statistics in Medicine","volume":"44 13-14","pages":"e70153"},"PeriodicalIF":1.8000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Statistics in Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/sim.70153","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MATHEMATICAL & COMPUTATIONAL BIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Randomized controlled trials (RCTs) are the gold standard for causal inference and are widely used. However, valid analyses of RCTs are often complicated by non-compliance, which can lead to confounding bias and biased causal effect estimation. The main challenge comes from compliance datasets in both the treatment and control groups both following two-component mixture models. The maximum nonparametric likelihood estimator is inconsistent in a two-component mixture model even if the mixture proportion and one of the components are completely known, but the other component is unknown. In this paper, we instead assume parametric models for the ratios of risks among compliers assigned treatment, never-takers and always-takers, and leave the baseline compliers not assigned treatment unspecified. We develop a novel two-step maximum likelihood estimation procedure by making full use of the observed covariates and latent compliance classes, which theoretically can produce asymptotic root consistent estimators. In particular, our proposed estimator for the conditional local risk ratio always lies within the range of the parameter. Our numerical results show that the proposed method is generally more reliable than existing alternatives.
随机对照试验(RCTs)是因果推理的黄金标准,被广泛应用。然而,随机对照试验的有效分析往往因不符合性而变得复杂,这可能导致混淆偏倚和有偏的因果效应估计。主要挑战来自治疗组和对照组的依从性数据集,两者都遵循双组分混合模型。双组分混合模型的最大非参数似然估计量是不一致的,即使混合比例和其中一个成分是完全已知的,而另一个成分是未知的。在本文中,我们假设了分配治疗的合规者、从不接受治疗的合规者和总是接受治疗的合规者之间的风险比率的参数模型,并保留未指定治疗的基线合规者。我们开发了一种新的两步极大似然估计方法,充分利用观察到的协变量和潜在的顺应类,理论上可以产生渐近根n $$ n $$一致估计量。特别地,我们提出的条件局部风险比的估计量总是在参数的范围内。数值结果表明,本文提出的方法总体上比现有的替代方法更可靠。
期刊介绍:
The journal aims to influence practice in medicine and its associated sciences through the publication of papers on statistical and other quantitative methods. Papers will explain new methods and demonstrate their application, preferably through a substantive, real, motivating example or a comprehensive evaluation based on an illustrative example. Alternatively, papers will report on case-studies where creative use or technical generalizations of established methodology is directed towards a substantive application. Reviews of, and tutorials on, general topics relevant to the application of statistics to medicine will also be published. The main criteria for publication are appropriateness of the statistical methods to a particular medical problem and clarity of exposition. Papers with primarily mathematical content will be excluded. The journal aims to enhance communication between statisticians, clinicians and medical researchers.