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Statistics in Medicine
Article . 2024 . Peer-reviewed
License: CC BY
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Article . 2024
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On variance estimation of the inverse probability‐of‐treatment weighting estimator: A tutorial for different types of propensity score weights

On variance estimation of the inverse probability-of-treatment weighting estimator: a tutorial for different types of propensity score weights
Authors: Andriana Kostouraki; David Hajage; Bernard Rachet; Elizabeth J. Williamson; Guillaume Chauvet; Aurélien Belot; Clémence Leyrat;

On variance estimation of the inverse probability‐of‐treatment weighting estimator: A tutorial for different types of propensity score weights

Abstract

Propensity score methods, such as inverse probability‐of‐treatment weighting (IPTW), have been increasingly used for covariate balancing in both observational studies and randomized trials, allowing the control of both systematic and chance imbalances. Approaches using IPTW are based on two steps: (i) estimation of the individual propensity scores (PS), and (ii) estimation of the treatment effect by applying PS weights. Thus, a variance estimator that accounts for both steps is crucial for correct inference. Using a variance estimator which ignores the first step leads to overestimated variance when the estimand is the average treatment effect (ATE), and to under or overestimated estimates when targeting the average treatment effect on the treated (ATT). In this article, we emphasize the importance of using an IPTW variance estimator that correctly considers the uncertainty in PS estimation. We present a comprehensive tutorial to obtain unbiased variance estimates, by proposing and applying a unifying formula for different types of PS weights (ATE, ATT, matching and overlap weights). This can be derived either via the linearization approach or M‐estimation. Extensive R code is provided along with the corresponding large‐sample theory. We perform simulation studies to illustrate the behavior of the estimators under different treatment and outcome prevalences and demonstrate appropriate behavior of the analytical variance estimator. We also use a reproducible analysis of observational lung cancer data as an illustrative example, estimating the effect of receiving a PET‐CT scan on the receipt of surgery.

Keywords

Models, Statistical, Lung Neoplasms, IPTW, ATE, matching weights, overlap weights, Applications of statistics to biology and medical sciences; meta analysis, Observational Studies as Topic, variance estimator, Humans, Computer Simulation, ATT, Propensity Score, Probability, Randomized Controlled Trials as Topic

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Top 10%
Average
Top 10%
hybrid