The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Conditioning on the propensity score can result in biased estimation of common measures of treatment effect: a Monte Carlo study
Abstract
Propensity score methods are increasingly being used to estimate causal treatment effects in the medical literature. Conditioning on the propensity score results in unbiased estimation of the expected difference in observed responses to two treatments. The degree to which conditioning on the propensity score introduces bias into the estimation of the conditional odds ratio or conditional hazard ratio, which are frequently used as measures of treatment effect in observational studies, has not been extensively studied. We conducted Monte Carlo simulations to determine the degree to which propensity score matching, stratification on the quintiles of the propensity score, and covariate adjustment using the propensity score result in biased estimation of conditional odds ratios, hazard ratios, and rate ratios. We found that conditioning on the propensity score resulted in biased estimation of the true conditional odds ratio and the true conditional hazard ratio. In all scenarios examined, treatment effects were biased towards the null treatment effect. However, conditioning on the propensity score did not result in biased estimation of the true conditional rate ratio. In contrast, conventional regression methods allowed unbiased estimation of the true conditional treatment effect when all variables associated with the outcome were included in the regression model. The observed bias in propensity score methods is due to the fact that regression models allow one to estimate conditional treatment effects, whereas propensity score methods allow one to estimate marginal treatment effects. In several settings with non‐linear treatment effects, marginal and conditional treatment effects do not coincide. Copyright © 2006 John Wiley & Sons, Ltd.
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Citations
Cites
The Effectiveness of Adjustment by Subclassification in Removing Bias in Observational Studies
Cochran, W. G. (1968) · Biometrics · doi:10.2307/2528036 · Cited by 961
Confounding and Collapsibility in Causal Inference
Greenland, S., Pearl, J., & Robins, J. M. (1999) · Statistical Science · doi:10.1214/ss/1009211805 · Cited by 933 · cited 1×
“This phenomenon is also known as non-collapsibility of the odds ratio [1], but is apparent in all non-linear regression models and generalized linear models with a link function other than the identity link (linear models) or log-link function [2].”
Background
Cited by
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Self-citationThe performance of different propensity score methods for estimating marginal hazard ratios
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Townsend, S. R., Phillips, G. S., Duseja, R., Tefera, L., Cruikshank, D., Dickerson, R., Nguyen, H. B., Schorr, C. A., Levy, M. M., Dellinger, R. P., et al. (2022) · CHEST · doi:10.1016/j.chest.2021.07.2167 · Cited by 69
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Metadata
- Authors
- Austin, P. C., Grootendorst, P., Normand, S. T., & Anderson, G. M.
- Venue
- Statistics in Medicine
- Publisher
- Wiley
- Published
- 2006-06-16
- Volume
- 26
- Issue
- 4
- Pages
- 754-768
- ISSN
- 0277-6715 (ISSN-L)
- 1097-0258
- OpenAlex
- W2061407842
- Cited by
- 230
- References
- 2
- FWCI
- 12.20
- Type
- journal article
- Language
- en
- Open access
- closed
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