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  • 1.  Propensity Scores as a covariate?

    Posted 07-08-2016 13:40
    Hi,
         Propensity scores are often used (& misused) for trying to equate imbalanced groups, usually through matching on the propensity scores.  I have this question:  After you have computed the propensity scores for the subjects in a study, could you then use the propensity score as a covariate in a analysis of covariance-like model, as a means of trying to statistically equate the groups, rather than employing the more laborious matching process to try to equate them?
         Any advice, references, etc. are appreciated.   
     
    Joseph J. Locascio, Ph.D.,
    Assistant Professor of Neurology,
    Harvard Medical School,
    and Bio-Statistician,
    Memory and Movement Disorders Units, 
    Massachusetts Alzheimer's Disease Research Center,
    Neurology Dept.,
    Massachusetts General Hospital (MGH),
    Boston, Massachusetts 02114
    Phone: (617) 724-7192
    Email: JLocascio@partners.org 
     
               
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  • 2.  RE: Propensity Scores as a covariate?

    Posted 07-11-2016 06:15

    You can use the propensity score, or the logit of the propensity score, as a covariate, but that approach seems to often be less optimal based on simulation studies. Our group is working on a decision tool (through a PCORI-funded methods project) to address such questions more systematically.

    ------------------------------
    Douglas Landsittel
    Professor of Medicine
    University of Pittsburgh-School of Medicine



  • 3.  RE: Propensity Scores as a covariate?

    Posted 07-11-2016 06:29

    If your data set is large, there is an alternative technology that should be considered, Local Control. Very briefly, cluster the data on important covariates, then compute a statistic, e.g. the difference between two treatments, the correlation between two variables, within each cluster. Now use the centroids of the clusters as your Xs and the within cluster statistics as your Y. The objects within a cluster are statistical clones. Some of the ins and outs as well as a discussion of the advantages can be found in these publications.

    Obenchain RL, Young SS. (2013) Advancing statistical thinking in health care research. Journal of Statistical Theory and Practice 7, 456-469.

    Lopiano KK, Obenchain RL, Young SS. (2014) Fair Treatment Comparisons in Observational Research. Statistical Analysis and Data Mining 7, 376–384.

    ------------------------------
    Sidney Young
    Retired



  • 4.  RE: Propensity Scores as a covariate?

    Posted 07-11-2016 08:09

    If covariate adjustment for a nonlinear function of the logit of the propensity score is not used, there are significant problems with non-collapsability, hiding interactions with treatment, and inefficiency due to discarding observations and not accounting for maximum outcome heterogeneity.

    Frank

    ------------------------------
    Frank Harrell
    Vanderbilt University School of Medicine



  • 5.  RE: Propensity Scores as a covariate?

    Posted 07-12-2016 10:01
    I am eager to know what would be better than the Propensity Score...
    Sri
    ---------------------------------
    Sridhar Ramaswamy,
    Analytics Advisor,
    Caterpillar Inc.,






  • 6.  RE: Propensity Scores as a covariate?

    Posted 07-11-2016 08:32

    Yes you can.

     

    An Introduction to Propensity Score Methods for Reducing the Effects of Confounding in Observational Studies. Peter C. Austin

    Multivariate Behav Res. 2011 May; 46(3): 399–424.

     

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  • 7.  RE: Propensity Scores as a covariate?

    Posted 07-12-2016 01:01
    https://www.researchgate.net/post/Propensity_score_as_a_covariate_in_a_Cox_proportional_harzard_model-does_it_make_sense

    This discussion has good debate on using it on a regression. I agree with the reasoning that if the score is used in conjunction with included variables, instabilty can occur.




  • 8.  RE: Propensity Scores as a covariate?

    Posted 07-12-2016 12:27

    You are not restricted to a logistic model to compute a propensity score. You can use a non-linear model such as a classification tree (for instance), which can take care of interactions and non-linearities among covariates predicting group membership and doesn't require you to assume a specific model form (i.e., a linear equation). Not that classification trees are the modeling silver bullets, but the do require fewer assumptions compared to the more common logistic models. You can check if your propensity score model seems appropriate by using a residual analysis. The model residuals should not be associated to any of the covariates.

    Once you have that, you can conduct the analysis of interest using a simpler linearized model predicting your outcome, but based on two variables: 1) the group indicator, and 2) the propensity score as the only covariate. This simplifies the modeling effort.    

    You could also match based on the propensity score, or other metric such as a multivariate distance (Mahalanobis). There are some newer algorithms for that like GenMatch.

    Here is a paper where we did both the propensity score adjustment (with propensity scores from a non-linear model), and matching (with Mahalanobis distance). Fortunately the conclusions from both analyses were similar.

    http://www.ncbi.nlm.nih.gov/pubmed/27185053

    ------------------------------
    Andres Azuero
    UAB



  • 9.  RE: Propensity Scores as a covariate?

    Posted 07-13-2016 08:00

    Another approach worth considering is the inverse probability of treatment weighting (IPTW). With this approach, you still build your propensity model using whatever approach you like (either a logistic, multinomial logistic, classification tree, etc.), but instead of creating a new, balanced subsample by matching on the resulting propensity scores, you simply take the inverse of the probability that each case received their actual treatment and use that as a weight in your outcome model. In theory, this will result in covariate balance between your groups, while at the same time allowing you to retain your entire sample.

    Below is an overview of the approach along with some diagnostics:

    Austin, P. C., and Stuart, E. A. (2015) Moving towards best practice when using inverse probability of treatment weighting (IPTW) using the propensity score to estimate causal treatment effects in observational studies. Statist. Med., 34: 36613679. doi: 10.1002/sim.6607.

    ------------------------------
    Adam Dugan



  • 10.  RE: Propensity Scores as a covariate?

    Posted 07-13-2016 14:14
    Thanks to everyone who responded to my question about using propensity scores as a covariate in an analysis rather than using them for matching.  (And thanks in advance to any comments that still might be forthcoming). Apparently there is no simple answer to this issue that applies to all situations, & I am looking further into suggested references.  Thank you.
     
    Joseph J. Locascio, Ph.D.,
    Assistant Professor of Neurology,
    Harvard Medical School,
    and Bio-Statistician,
    Memory and Movement Disorders Units, 
    Massachusetts Alzheimer's Disease Research Center,
    Neurology Dept.,
    Massachusetts General Hospital (MGH),
    Boston, Massachusetts 02114
    Phone: (617) 724-7192
    Email: JLocascio@partners.org 
     
     
               
    "The information transmitted in this email is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this email in error, please contact the sender and delete the material from any computer."
     
     
     
     

    The information in this e-mail is intended only for the person to whom it is
    addressed. If you believe this e-mail was sent to you in error and the e-mail
    contains patient information, please contact the Partners Compliance HelpLine at
    http://www.partners.org/complianceline . If the e-mail was sent to you in error
    but does not contain patient information, please contact the sender and properly
    dispose of the e-mail.