Prognostic score-based balance measures can be a useful diagnostic for propensity score methods in comparative effectiveness research.

Prognostic score-based balance measures can be a useful diagnostic for propensity score methods in comparative effectiveness research.
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DOI:
10.1016/j.jclinepi.2013.01.013
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发表时间:
2013-08
影响因子:
7.2
通讯作者:
Leacy, Finbarr P.
Leacy, Finbarr P.
中科院分区:
医学2区
文献类型:
--
作者:
Stuart, Elizabeth A.;Lee, Brian K.;Leacy, Finbarr P.

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Examining covariate balance is the prescribed method for determining when propensity score methods are successful at reducing bias. This study assessed the performance of various balance measures, including a proposed balance measure based on the prognostic score (also known as the disease-risk score), to determine which balance measures best correlate with bias in the treatment effect estimate. The correlations of multiple common balance measures with bias in the treatment effect estimate produced by weighting by the odds, subclassification on the propensity score, and full matching on the propensity score were calculated. Simulated data were used, based on realistic data settings. Settings included both continuous and binary covariates and continuous covariates only. The standardized mean difference in prognostic scores, the mean standardized mean difference, and the mean t-statistic all had high correlations with bias in the effect estimate. Overall, prognostic scores displayed the highest correlations of all the balance measures considered. Prognostic score measure performance was generally not affected by model misspecification and performed well under a variety of scenarios. Researchers should consider using prognostic score–based balance measures for assessing the performance of propensity score methods for reducing bias in non-experimental studies.
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