Transportability of Trial Results Using Inverse Odds of Sampling Weights

被引:226
作者
Westreich, Daniel [1 ]
Edwards, Jessie K. [1 ]
Lesko, Catherine R. [2 ]
Stuart, Elizabeth [3 ,4 ,5 ]
Cole, Stephen R. [1 ]
机构
[1] Univ North Carolina Chapel Hill, Gillings Sch Global Publ Hlth, Dept Epidemiol, Campus Box 7435,McGavran Greenberg Hall, Chapel Hill, NC 27599 USA
[2] Johns Hopkins Univ, Dept Epidemiol, Bloomberg Sch Publ Hlth, Baltimore, MD USA
[3] Johns Hopkins Univ, Dept Mental Hlth, Bloomberg Sch Publ Hlth, Baltimore, MD USA
[4] Johns Hopkins Univ, Dept Biostat, Bloomberg Sch Publ Hlth, Baltimore, MD USA
[5] Johns Hopkins Univ, Dept Hlth Policy & Management, Bloomberg Sch Publ Hlth, Baltimore, MD USA
基金
美国国家卫生研究院;
关键词
causal inference; epidemiologic methods; external validity; generalizability; transportability; TARGET POPULATIONS; CAUSAL INFERENCE; CLINICAL-TRIALS;
D O I
10.1093/aje/kwx164
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Increasingly, the statistical and epidemiologic literature is focusing beyond issues of internal validity and turning its attention to questions of external validity. Here, we discuss some of the challenges of transporting a causal effect from a randomized trial to a specific target population. We present an inverse odds weighting approach that can easily operationalize transportability. We derive these weights in closed form and illustrate their use with a simple numerical example. We discuss how the conditions required for the identification of internally valid causal effects are translated to apply to the identification of externally valid causal effects. Estimating effects in target populations is an important goal, especially for policy or clinical decisions. Researchers and policy-makers should therefore consider use of statistical techniques such as inverse odds of sampling weights, which under careful assumptions can transport effect estimates from study samples to target populations.
引用
收藏
页码:1010 / 1014
页数:5
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