A Causal Dirichlet Mixture Model for Causal Inference from Observational Data

2020 ◽  
Vol 11 (3) ◽  
pp. 1-29 ◽  
Author(s):  
Adi Lin ◽  
Jie Lu ◽  
Junyu Xuan ◽  
Fujin Zhu ◽  
Guangquan Zhang
JAMIA Open ◽  
2020 ◽  
Author(s):  
Michal Ozery-Flato ◽  
Yaara Goldschmidt ◽  
Oded Shaham ◽  
Sivan Ravid ◽  
Chen Yanover

Abstract Objective Observational medical databases, such as electronic health records and insurance claims, track the healthcare trajectory of millions of individuals. These databases provide real-world longitudinal information on large cohorts of patients and their medication prescription history. We present an easy-to-customize framework that systematically analyzes such databases to identify new indications for on-market prescription drugs. Materials and Methods Our framework provides an interface for defining study design parameters and extracting patient cohorts, disease-related outcomes, and potential confounders in observational databases. It then applies causal inference methodology to emulate hundreds of randomized controlled trials (RCTs) for prescribed drugs, while adjusting for confounding and selection biases. After correcting for multiple testing, it outputs the estimated effects and their statistical significance in each database. Results We demonstrate the utility of the framework in a case study of Parkinson’s disease (PD) and evaluate the effect of 259 drugs on various PD progression measures in two observational medical databases, covering more than 150 million patients. The results of these emulated trials reveal remarkable agreement between the two databases for the most promising candidates. Discussion Estimating drug effects from observational data is challenging due to data biases and noise. To tackle this challenge, we integrate causal inference methodology with domain knowledge and compare the estimated effects in two separate databases. Conclusion Our framework enables systematic search for drug repurposing candidates by emulating RCTs using observational data. The high level of agreement between separate databases strongly supports the identified effects.


2021 ◽  
Vol 15 (5) ◽  
pp. 1-46
Author(s):  
Liuyi Yao ◽  
Zhixuan Chu ◽  
Sheng Li ◽  
Yaliang Li ◽  
Jing Gao ◽  
...  

Causal inference is a critical research topic across many domains, such as statistics, computer science, education, public policy, and economics, for decades. Nowadays, estimating causal effect from observational data has become an appealing research direction owing to the large amount of available data and low budget requirement, compared with randomized controlled trials. Embraced with the rapidly developed machine learning area, various causal effect estimation methods for observational data have sprung up. In this survey, we provide a comprehensive review of causal inference methods under the potential outcome framework, one of the well-known causal inference frameworks. The methods are divided into two categories depending on whether they require all three assumptions of the potential outcome framework or not. For each category, both the traditional statistical methods and the recent machine learning enhanced methods are discussed and compared. The plausible applications of these methods are also presented, including the applications in advertising, recommendation, medicine, and so on. Moreover, the commonly used benchmark datasets as well as the open-source codes are also summarized, which facilitate researchers and practitioners to explore, evaluate and apply the causal inference methods.


Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2450
Author(s):  
Fahd Alharithi ◽  
Ahmed Almulihi ◽  
Sami Bourouis ◽  
Roobaea Alroobaea ◽  
Nizar Bouguila

In this paper, we propose a novel hybrid discriminative learning approach based on shifted-scaled Dirichlet mixture model (SSDMM) and Support Vector Machines (SVMs) to address some challenging problems of medical data categorization and recognition. The main goal is to capture accurately the intrinsic nature of biomedical images by considering the desirable properties of both generative and discriminative models. To achieve this objective, we propose to derive new data-based SVM kernels generated from the developed mixture model SSDMM. The proposed approach includes the following steps: the extraction of robust local descriptors, the learning of the developed mixture model via the expectation–maximization (EM) algorithm, and finally the building of three SVM kernels for data categorization and classification. The potential of the implemented framework is illustrated through two challenging problems that concern the categorization of retinal images into normal or diabetic cases and the recognition of lung diseases in chest X-rays (CXR) images. The obtained results demonstrate the merits of our hybrid approach as compared to other methods.


2019 ◽  
Vol 188 (9) ◽  
pp. 1682-1685 ◽  
Author(s):  
Hailey R Banack

Abstract Authors aiming to estimate causal effects from observational data frequently discuss 3 fundamental identifiability assumptions for causal inference: exchangeability, consistency, and positivity. However, too often, studies fail to acknowledge the importance of measurement bias in causal inference. In the presence of measurement bias, the aforementioned identifiability conditions are not sufficient to estimate a causal effect. The most fundamental requirement for estimating a causal effect is knowing who is truly exposed and unexposed. In this issue of the Journal, Caniglia et al. (Am J Epidemiol. 2019;000(00):000–000) present a thorough discussion of methodological challenges when estimating causal effects in the context of research on distance to obstetrical care. Their article highlights empirical strategies for examining nonexchangeability due to unmeasured confounding and selection bias and potential violations of the consistency assumption. In addition to the important considerations outlined by Caniglia et al., authors interested in estimating causal effects from observational data should also consider implementing quantitative strategies to examine the impact of misclassification. The objective of this commentary is to emphasize that you can’t drive a car with only three wheels, and you also cannot estimate a causal effect in the presence of exposure misclassification bias.


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