Robust and efficient estimation of marginal structural models dependent on partial treatment history

Music City Center 

Inverse probability (IP) weighting of marginal structural models (MSMs) can provide consistent estimators of time-varying treatment effects under correct model specifications and identifiability assumptions, even in the presence of time-varying confounding. However, this method has two problems: (i) inefficiency due to IP-weights cumulating all time points and (ii) bias and inefficiency due to the MSM misspecification. To address these problems, we propose new IP-weights for estimating the parameters of the MSM dependent on partial treatment history and closed testing procedures for selecting the MSM under known IP-weights. In simulation studies, our proposed methods outperformed existing methods in terms of both performance in estimating time-varying treatment effects and in selecting the correct MSM. Our proposed methods were also applied to real data of hemodialysis patients with reasonable results.

Closed testing procedure

History-restricted marginal structural models

Model selection/ Variable selection

Inverse probability weighting

Time-varying confounding

Time-varying treatment 

Section on Statistics in Epidemiology