Dataset Information

Multi-Armed Angle-Based Direct Learning for Estimating Optimal Individualized Treatment Rules With Various Outcomes.

ABSTRACT: Estimating an optimal individualized treatment rule (ITR) based on patients' information is an important problem in precision medicine. An optimal ITR is a decision function that optimizes patients' expected clinical outcomes. Many existing methods in the literature are designed for binary treatment settings with the interest of a continuous outcome. Much less work has been done on estimating optimal ITRs in multiple treatment settings with good interpretations. In this article, we propose angle-based direct learning (AD-learning) to efficiently estimate optimal ITRs with multiple treatments. Our proposed method can be applied to various types of outcomes, such as continuous, survival, or binary outcomes. Moreover, it has an interesting geometric interpretation on the effect of different treatments for each individual patient, which can help doctors and patients make better decisions. Finite sample error bounds have been established to provide a theoretical guarantee for AD-learning. Finally, we demonstrate the superior performance of our method via an extensive simulation study and real data applications. Supplementary materials for this article are available online.

SUBMITTER: Qi Z

PROVIDER: S-EPMC8248273 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Multi-Armed Angle-Based Direct Learning for Estimating Optimal Individualized Treatment Rules With Various Outcomes.

Qi Zhengling Z Liu Dacheng D Fu Haoda H Liu Yufeng Y

Journal of the American Statistical Association 20190411 530

Estimating an optimal individualized treatment rule (ITR) based on patients' information is an important problem in precision medicine. An optimal ITR is a decision function that optimizes patients' expected clinical outcomes. Many existing methods in the literature are designed for binary treatment settings with the interest of a continuous outcome. Much less work has been done on estimating optimal ITRs in multiple treatment settings with good interpretations. In this article, we propose angle ...[more]

PMID: 34219848

Similar Datasets

Project description:Personalized medicine has received increasing attention among statisticians, computer scientists, and clinical practitioners. A major component of personalized medicine is the estimation of individualized treatment rules (ITRs). Recently, Zhao et al. (2012) proposed outcome weighted learning (OWL) to construct ITRs that directly optimize the clinical outcome. Although OWL opens the door to introducing machine learning techniques to optimal treatment regimes, it still has some problems in performance. (1) The estimated ITR of OWL is affected by a simple shift of the outcome. (2) The rule from OWL tries to keep treatment assignments that subjects actually received. (3) There is no variable selection mechanism with OWL. All of them weaken the finite sample performance of OWL. In this article, we propose a general framework, called Residual Weighted Learning (RWL), to alleviate these problems, and hence to improve finite sample performance. Unlike OWL which weights misclassification errors by clinical outcomes, RWL weights these errors by residuals of the outcome from a regression fit on clinical covariates excluding treatment assignment. We utilize the smoothed ramp loss function in RWL, and provide a difference of convex (d.c.) algorithm to solve the corresponding non-convex optimization problem. By estimating residuals with linear models or generalized linear models, RWL can effectively deal with different types of outcomes, such as continuous, binary and count outcomes. We also propose variable selection methods for linear and nonlinear rules, respectively, to further improve the performance. We show that the resulting estimator of the treatment rule is consistent. We further obtain a rate of convergence for the difference between the expected outcome using the estimated ITR and that of the optimal treatment rule. The performance of the proposed RWL methods is illustrated in simulation studies and in an analysis of cystic fibrosis clinical trial data.

Dataset Information

Multi-Armed Angle-Based Direct Learning for Estimating Optimal Individualized Treatment Rules With Various Outcomes.

Publications

Multi-Armed Angle-Based Direct Learning for Estimating Optimal Individualized Treatment Rules With Various Outcomes.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets