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The use of propensity scores and observational data to estimate randomized controlled trial generalizability bias

Pressler, Taylor R., Kaizar, Eloise E.·2013·Statistics in Medicine

Abstract

Although randomized controlled trials are considered the ‘gold standard’ for clinical studies, the use of exclusion criteria may impact the external validity of the results. It is unknown whether estimators of effect size are biased by excluding a portion of the target population from enrollment. We propose to use observational data to estimate the bias due to enrollment restrictions, which we term generalizability bias. In this paper, we introduce a class of estimators for the generalizability bias and use simulation to study its properties in the presence of non‐constant treatment effects. We find the surprising result that our estimators can be unbiased for the true generalizability bias even when all potentially confounding variables are not measured. In addition, our proposed doubly robust estimator performs well even for mis‐specified models. Copyright © 2013 John Wiley & Sons, Ltd.

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  1. 10.1002/0470.023678.ch1b · DOI
  2. Cochran WG, 1997, Sampling Techniques

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Metadata

Authors
Pressler, T. R., & Kaizar, E. E.
Affiliations
  • Quantum Health Columbus OH 43235 U.S.A.
  • Department of Statistics The Ohio State University Columbus OH 43210 U.S.A.
Venue
Statistics in Medicine
Publisher
Wiley
Published
2013-04
Volume
32
Issue
20
Pages
3552-3568
ISSN
  • 0277-6715
  • 1097-0258
Cited by
32
References
29
Language
en
Licence

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CoChat. (2026). Citation check: The use of propensity scores and observational data to estimate randomized controlled trial generalizability bias. https://app.cochat.ai/papers/10.1002/sim.5802
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Pressler, T. R., & Kaizar, E. E. (2013). The use of propensity scores and observational data to estimate randomized controlled trial generalizability bias. Statistics in Medicine. https://doi.org/10.1002/sim.5802

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