Learning Optimal Distributionally Robust Individualized Treatment Rules Integrating Multi-Source Data

📅 2026-03-05
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This study addresses the degradation in generalizability of individualized treatment rules (ITRs) caused by posterior shift—i.e., differences in the conditional distributions of potential outcomes across populations—in multi-source data integration. To tackle this challenge, we propose a prior information–driven distributionally robust ITR (PDRO-ITR) that constructs a covariate-dependent distributional uncertainty set by incorporating prior source probabilities and a bias term, and optimizes the policy value under the worst-case scenario. We derive a closed-form solution for the PDRO-ITR and develop an adaptive tuning mechanism to calibrate the uncertainty level. Theoretical analysis establishes a worst-case risk bound, and both simulation studies and analyses of two real-world datasets demonstrate that the proposed method consistently outperforms existing approaches in terms of robustness and performance.

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📝 Abstract
Integrative analysis of multiple datasets for estimating optimal individualized treatment rules (ITRs) can enhance decision efficiency. A central challenge is posterior shift, wherein the conditional distribution of potential outcomes given covariates differs between source and target populations. We propose a prior information-based distributionally robust ITR (PDRO-ITR) that maximizes the worst-case policy value over a covariate-dependent distributional uncertainty set, ensuring robust performance under posterior shift. The uncertainty set is constructed as an individualized combination of source distributions, with weights combining prior source-membership probabilities and deviation terms constrained to the probability simplex to accommodate posterior shift. We derive a closed-form solution for the PDRO-ITR and develop an adaptive procedure to tune the uncertainty level. We establish risk bounds for the PDRO-ITR estimator, which guarantees robust performance under the worst case. Extensive simulations and two real-data applications demonstrate that the proposed method achieves superior performance compared to existing approaches.
Problem

Research questions and friction points this paper is trying to address.

individualized treatment rules
posterior shift
multi-source data
distributional robustness
conditional distribution
Innovation

Methods, ideas, or system contributions that make the work stand out.

distributionally robust optimization
individualized treatment rules
posterior shift
multi-source data integration
uncertainty set
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