Letter in response to Schneeweiss and Rassen on the high-dimensional propensity score approach

2011 ◽  
Vol 20 (10) ◽  
pp. 1112-1112
Author(s):  
Sengwee Toh ◽  
Luis A. García Rodríguez ◽  
Miguel A. Hernán
2020 ◽  
Vol 29 (11) ◽  
pp. 1373-1381
Author(s):  
John Tazare ◽  
Liam Smeeth ◽  
Stephen J. W. Evans ◽  
Elizabeth Williamson ◽  
Ian J. Douglas

2011 ◽  
Vol 173 (12) ◽  
pp. 1404-1413 ◽  
Author(s):  
Jeremy A. Rassen ◽  
Robert J. Glynn ◽  
M. Alan Brookhart ◽  
Sebastian Schneeweiss

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Alan S. Go ◽  
Thida C. Tan ◽  
Rishi V. Parikh ◽  
Andrew P. Ambrosy ◽  
Leonid V. Pravoverov ◽  
...  

Abstract Introduction Acute kidney injury is a common complication of percutaneous coronary intervention and has been associated with an increased risk of death and progressive chronic kidney disease. However, whether the timing of acute kidney injury after urgent percutaneous coronary intervention could be used to improve patient risk stratification is not known. Methods We conducted a retrospective cohort study in adults surviving an urgent percutaneous coronary intervention between 2008 and 2013 within Kaiser Permanente Northern California, a large integrated healthcare delivery system, to evaluate the impact of acute kidney injury during hospitalization at 12 (±6), 24 (±6) and 48 (±6) hours after urgent percutaneous coronary intervention and subsequent risks of adverse outcomes within the first year after discharge. We used multivariable Cox proportional hazards models with adjustment for a high-dimensional propensity score for developing acute kidney injury after percutaneous coronary intervention to examine the associations between acute kidney injury timing and all-cause death and worsening chronic kidney disease. Results Among 7250 eligible adults undergoing urgent percutaneous coronary intervention, 306 (4.2%) had acute kidney injury at one or more of the examined time periods after percutaneous coronary intervention. After adjustment, acute kidney injury at 12 (±6) hours was independently associated with higher risks of death (adjusted hazard ratio [aHR] 3.55, 95% confidence interval [CI] 2.19–5.75) and worsening kidney function (aHR 2.40, 95% CI:1.24–4.63). Similar results were observed for acute kidney injury at 24 (±6) hours and death (aHR 3.90, 95% CI:2.29–6.66) and worsening chronic kidney disease (aHR 4.77, 95% CI:2.46–9.23). Acute kidney injury at 48 (±6) hours was associated with excess mortality (aHR 1.97, 95% CI:1.19–3.26) but was not significantly associated with worsening kidney function (aHR 0.91, 95% CI:0.42–1.98). Conclusions Timing of acute kidney injury after urgent percutaneous coronary intervention may be differentially associated with subsequent risk of worsening kidney function but not death.


2021 ◽  
pp. 1-10
Author(s):  
Yohei Hashimoto ◽  
Hayato Yamana ◽  
Nobuaki Michihata ◽  
Daisuke Shigemi ◽  
Miho Ishimaru ◽  
...  

2015 ◽  
Vol 34 (5) ◽  
pp. 753-781 ◽  
Author(s):  
Romain Neugebauer ◽  
Julie A. Schmittdiel ◽  
Zheng Zhu ◽  
Jeremy A. Rassen ◽  
John D. Seeger ◽  
...  

2016 ◽  
Vol 5 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Laura Balzer ◽  
Jennifer Ahern ◽  
Sandro Galea ◽  
Mark van der Laan

AbstractMany of the secondary outcomes in observational studies and randomized trials are rare. Methods for estimating causal effects and associations with rare outcomes, however, are limited, and this represents a missed opportunity for investigation. In this article, we construct a new targeted minimum loss-based estimator (TMLE) for the effect or association of an exposure on a rare outcome. We focus on the causal risk difference and statistical models incorporating bounds on the conditional mean of the outcome, given the exposure and measured confounders. By construction, the proposed estimator constrains the predicted outcomes to respect this model knowledge. Theoretically, this bounding provides stability and power to estimate the exposure effect. In finite sample simulations, the proposed estimator performed as well, if not better, than alternative estimators, including a propensity score matching estimator, inverse probability of treatment weighted (IPTW) estimator, augmented-IPTW and the standard TMLE algorithm. The new estimator yielded consistent estimates if either the conditional mean outcome or the propensity score was consistently estimated. As a substitution estimator, TMLE guaranteed the point estimates were within the parameter range. We applied the estimator to investigate the association between permissive neighborhood drunkenness norms and alcohol use disorder. Our results highlight the potential for double robust, semiparametric efficient estimation with rare events and high dimensional covariates.


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