Causal Inference: Efficacy and Mechanism Evaluation

Sabine Landau*, Richard Emsley

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

In randomized trials, the primary analysis is usually based on an intention-to-treat approach which answers the question “What is the effect of offering treatment?” There are many other questions that investigators could pose such as “Does this treatment work if it is received?” “What factors make the treatment work better?” and “How does the treatment work?” These questions require alternative analysis approaches based on statistical methods drawn from the causal inference literature, including instrumental variables and causal mediation analysis. This chapter will define relevant causal estimands and describe methods that can be used to estimate them, their underlying assumptions, and the estimation procedures. The methods will be illustrated using examples drawn from the literature.

Original languageEnglish
Title of host publicationPrinciples and Practice of Clinical Trials
PublisherSpringer International Publishing
Pages1981-2002
Number of pages22
ISBN (Electronic)9783319526362
ISBN (Print)9783319526355
DOIs
Publication statusPublished - 1 Jan 2022

Keywords

  • Confounding
  • Controlled direct effect
  • Efficacy
  • Estimand
  • Instrumental variables methods
  • Mechanism
  • Mediation analysis
  • Nonadherence
  • Process variable
  • Treatment effect modification

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