Robust causal inference and machine learning with clinical applications

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Abstract/Contents

Abstract
As healthcare data becomes increasingly ubiquitous, improving data-driven biomedical research is timely and important. There is a rush to learn from these new sources of data, and to implement research findings into clinical practice. While machine learning methods provide compelling examples of recognizing sophisticated patterns in data, their impact rests heavily on their ability to use data to influence decision making, especially in healthcare. The relationship between machine learning and decision making becomes particularly clear through the lens of causal inference. In general, the harm and benefit attributed to a medical decision depends on the causal treatment effect of the decision in the appropriate population, beyond their baseline risk of poor outcomes. In precision medicine research, the goal is to develop treatment decisions for individual patients by considering the sub-population of individuals with similar covariates to each patient. This thesis advances methodology and practice for applying machine learning to learn better decision-making rules that influence clinical practice, and understanding the fundamental possibilities and limitations of using data to learn to make optimal decisions. First, we develop an approach for personalized treatment effect estimation based on the relative ratio of treatment outcomes. Second, we study when we can trust causal results learned from data, and develop a sensitivity analysis for conditional and average treatment effects to bound the bias created from unobserved confounding. Third, noting that treatment benefit is highly correlated with baseline risk for preventative treatments for atherosclerotic cardiovascular disease (ASCVD), we use machine learning approaches to improve ASCVD risk predictions from longitudinal cohort data that affect clinical prescribing practice, particularly among under-represented minorities

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2020; ©2020
Publication date 2020; 2020
Issuance monographic
Language English

Creators/Contributors

Author Yadlowsky, Steven
Degree supervisor Tian, Lu
Thesis advisor Tian, Lu
Thesis advisor Duchi, John
Thesis advisor Van Roy, Benjamin
Degree committee member Duchi, John
Degree committee member Van Roy, Benjamin
Associated with Stanford University, Department of Electrical Engineering.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Steven Michael Yadlowsky
Note Submitted to the Department of Electrical Engineering
Thesis Thesis Ph.D. Stanford University 2020
Location electronic resource

Access conditions

Copyright
© 2020 by Steven Yadlowsky
License
This work is licensed under a Creative Commons Attribution 3.0 Unported license (CC BY).

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