Estimating the causal effect of a time-varying treatment on time-to-event using structural nested failure time models

被引:28
作者
Lok, J [1 ]
Gill, R
van der Vaart, A
Robins, J
机构
[1] Leiden Univ, Med Ctr, NL-2300 RA Leiden, Netherlands
[2] Vrije Univ Amsterdam, Amsterdam, Netherlands
[3] Univ Utrecht, NL-3508 TC Utrecht, Netherlands
[4] Harvard Univ, Cambridge, MA 02138 USA
关键词
survival analysis; counterfactual variables; G-computation; G-estimation;
D O I
10.1111/j.1467-9574.2004.00123.x
中图分类号
O21 [概率论与数理统计]; C8 [统计学];
学科分类号
020208 ; 070103 ; 0714 ;
摘要
In this paper we review an approach to estimating the causal effect of a time-varying treatment on time to some event of interest. This approach is designed for a situation where the treatment may have been repeatedly adapted to patient characteristics, which themselves may also be time-dependent. In this situation the effect of the treatment cannot simply be estimated by conditioning on the patient characteristics, as these may themselves be indicators of the treatment effect. This so-called time-dependent confounding is typical in observational studies. We discuss a new class of failure time models, structural nested failure time models, which can be used to estimate the causal effect of a time-varying treatment, and present methods for estimating and testing the parameters of these models.
引用
收藏
页码:271 / 295
页数:25
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