Performance guarantees for individualized treatment rules
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Publication:548554
DOI10.1214/10-AOS864zbMATH Open1216.62178arXiv1105.3369OpenAlexW3106017199WikidataQ42748821 ScholiaQ42748821MaRDI QIDQ548554FDOQ548554
Publication date: 29 June 2011
Published in: The Annals of Statistics (Search for Journal in Brave)
Abstract: Because many illnesses show heterogeneous response to treatment, there is increasing interest in individualizing treatment to patients [Arch. Gen. Psychiatry 66 (2009) 128--133]. An individualized treatment rule is a decision rule that recommends treatment according to patient characteristics. We consider the use of clinical trial data in the construction of an individualized treatment rule leading to highest mean response. This is a difficult computational problem because the objective function is the expectation of a weighted indicator function that is nonconcave in the parameters. Furthermore, there are frequently many pretreatment variables that may or may not be useful in constructing an optimal individualized treatment rule, yet cost and interpretability considerations imply that only a few variables should be used by the individualized treatment rule. To address these challenges, we consider estimation based on -penalized least squares. This approach is justified via a finite sample upper bound on the difference between the mean response due to the estimated individualized treatment rule and the mean response due to the optimal individualized treatment rule.
Full work available at URL: https://arxiv.org/abs/1105.3369
Recommendations
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Multivariate analysis (62H99) Estimation in survival analysis and censored data (62N02) Applications of statistics to biology and medical sciences; meta analysis (62P10) Medical applications (general) (92C50) Statistical decision theory (62C99)
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