Bayesian nonparametric policy search with application to periodontal recall intervals
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Publication:5120645
Abstract: Tooth loss from periodontal disease is a major public health burden in the United States. Standard clinical practice is to recommend a dental visit every six months; however, this practice is not evidence-based, and poor dental outcomes and increasing dental insurance premiums indicate room for improvement. We consider a tailored approach that recommends recall time based on patient characteristics and medical history to minimize disease progression without increasing resource expenditures. We formalize this method as a dynamic treatment regime which comprises a sequence of decisions, one per stage of intervention, that follow a decision rule which maps current patient information to a recommendation for their next visit time. The dynamics of periodontal health, visit frequency, and patient compliance are complex, yet the estimated optimal regime must be interpretable to domain experts if it is to be integrated into clinical practice. We combine non-parametric Bayesian dynamics modeling with policy-search algorithms to estimate the optimal dynamic treatment regime within an interpretable class of regimes. Both simulation experiments and application to a rich database of electronic dental records from the HealthPartners HMO shows that our proposed method leads to better dental health without increasing the average recommended recall time relative to competing methods.
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Cites work
- scientific article; zbMATH DE number 1955474 (Why is no real title available?)
- scientific article; zbMATH DE number 774881 (Why is no real title available?)
- A Bayesian analysis of some nonparametric problems
- A new approach to causal inference in mortality studies with a sustained exposure period—application to control of the healthy worker survivor effect
- A robust method for estimating optimal treatment regimes
- Adaptive Treatment Strategies in Practice
- Cases for the nugget in modeling computer experiments
- Causal effect models for realistic individualized treatment and intention to treat rules
- Design and Analysis of Experiments, Second Edition
- Dynamic treatment regimes: technical challenges and applications
- Efficient global optimization of expensive black-box functions
- Estimating individualized treatment rules using outcome weighted learning
- Estimation of Relationships for Limited Dependent Variables
- Estimation of dynamic treatment regimes for complex outcomes: balancing benefits and risks
- Functional feature construction for individualized treatment regimes
- Learning optimal personalized treatment rules in consideration of benefit and risk: with an application to treating type 2 diabetes patients with insulin therapies
- Locally-weighted regression: an approach to regression analysis by local fitting
- Longitudinal Studies With Outcome-Dependent Follow-up
- Multi-objective Markov decision processes for data-driven decision support
- New statistical learning methods for estimating optimal dynamic treatment regimes
- Optimal Dynamic Treatment Regimes
- Robust estimation of optimal dynamic treatment regimes for sequential treatment decisions
- Set-valued dynamic treatment regimes for competing outcomes
- Statistical methods for dynamic treatment regimes. Reinforcement learning, causal inference, and personalized medicine
- Treatment decisions based on scalar and functional baseline covariates
- Tree-based methods for individualized treatment regimes
- Using decision lists to construct interpretable and parsimonious treatment regimes
- Q- and A-learning methods for estimating optimal dynamic treatment regimes
Cited in
(6)- Optimal Treatment Regimes: A Review and Empirical Comparison
- Estimating optimal dynamic treatment strategies under resource constraints using dynamic marginal structural models
- CAPITAL: optimal subgroup identification via constrained policy tree search
- Bayesian inference for optimal dynamic treatment regimes in practice
- Personalized dynamic treatment regimes in continuous time: a Bayesian approach for optimizing clinical decisions with timing
- Deep spectral Q-learning with application to mobile health
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