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Bias Formulas for Sensitivity Analysis of Unmeasured Confounding for General Outcomes, Treatments, and Confounders

机译:用于一般结果,治疗和混杂因素的未测混杂因素敏感性分析的偏差公式

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摘要

Uncontrolled confounding in observational studies gives rise to biased effect estimates. Sensitivity analysis techniques can be useful in assessing the magnitude of these biases. In this paper, we use the potential outcomes framework to derive a general class of sensitivity-analysis formulas for outcomes, treatments, and measured and unmeasured confounding variables that may be categorical or continuous. We give results for additive, risk-ratio and odds-ratio scales. We show that these results encompass a number of more specific sensitivity-analysis methods in the statistics and epidemiology literature. The applicability, usefulness, and limits of the bias-adjustment formulas are discussed. We illustrate the sensitivity-analysis techniques that follow from our results by applying them to 3 different studies. The bias formulas are particularly simple and easy to use in settings in which the unmeasured confounding variable is binary with constant effect on the outcome across treatment levels
机译:观察性研究中不受控制的混淆导致效果估计偏差。灵敏度分析技术可用于评估这些偏差的大小。在本文中,我们使用潜在的结果框架来为结果,治疗以及可能是分类的或连续的测量和未测量混杂变量推导通用类别的敏感性分析公式。我们给出了加性,风险比和比值比的结果。我们表明,这些结果涵盖了统计和流行病学文献中的许多更具体的敏感性分析方法。讨论了偏差调整公式的适用性,实用性和限制。我们通过将其应用于3个不同的研究,说明了根据我们的结果得出的敏感性分析技术。偏差公式特别简单易用,在这种情况下,未测量的混杂变量是二进制的,并且在整个治疗水平上对结果都有恒定的影响

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