2010
DOI: 10.2202/1557-4679.1208
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Accuracy of Conventional and Marginal Structural Cox Model Estimators: A Simulation Study

Abstract: Marginal structural models (MSM) provide a powerful tool to control for confounding by a time-dependent covariate without inappropriately adjusting for its role as a variable affected by treatment . In this paper, we demonstrate that it is possible to fit a marginal structural Cox model directly, rather than the typical approach of using pooled logistic regression, using the weighted Cox proportional hazards function that has been implemented in standard software. To evaluate the performance of the marginal st… Show more

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Cited by 68 publications
(85 citation statements)
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“…To estimate the marginal causal effect of RRT on mortality, we used a marginal structural Cox model [34,35] in which each patient was assigned a likelihood weight of RRT using the inverse-probability-oftreatment-weighted (IPTW) estimator.…”
Section: Discussionmentioning
confidence: 99%
“…To estimate the marginal causal effect of RRT on mortality, we used a marginal structural Cox model [34,35] in which each patient was assigned a likelihood weight of RRT using the inverse-probability-oftreatment-weighted (IPTW) estimator.…”
Section: Discussionmentioning
confidence: 99%
“…In the class of the missed visits scenarios, methods of (i) weights truncation at first and 99th centiles and (ii) weights normalization was applied to adjust for extremely large treatment weights due to violation of the positivity assumption. Normalized weights were created as sw m ×N(m)/ m j=1 sw j , where N(m) is the number of individuals at risk at time m (Xiao et al, 2010).…”
Section: Methods Of Analysismentioning
confidence: 99%
“…Marginal structural models are typically fitted using inverse probability weighting (Robins 2000a;Hernan et al 2000;Xiao, Abrahamowicz, and Moodie 2010). We carried out a simulation study designed to demonstrate an application of TMLE and IPTW to estimating the parameter of an MSM under two different data generating distributions.…”
Section: Comparison Of Estimatorsmentioning
confidence: 99%