Simulation-Based Sensitivity Analysis in Optimal Treatment Regimes and Causal Decomposition with Individualized Interventions

📅 2025-06-23
📈 Citations: 0
Influential: 0
📄 PDF
🤖 AI Summary
This paper addresses estimation bias in optimal treatment regimes (OTRs) and causal decomposition under individualized interventions, arising from omitted binary confounders. We propose a simulation-based sensitivity analysis framework that systematically simulates unobserved confounders for individualized causal effect estimation—a first in this domain—and introduces interpretable, benchmarked metrics to quantify the magnitude of bias induced by such omissions on binary risk factor effects. Our contributions are twofold: (1) we establish the first formal benchmarking method for confounding strength specifically tailored to binary exposures; and (2) we enable bias correction and enhanced robustness in causal decomposition under individualized policies. Empirical validation using the HSLS:09 dataset demonstrates that the framework effectively identifies, quantifies, and mitigates confounding bias, thereby substantially improving the reliability of policy-relevant causal inferences.

Technology Category

Application Category

📝 Abstract
Causal decomposition analysis aims to assess the effect of modifying risk factors on reducing social disparities in outcomes. Recently, this analysis has incorporated individual characteristics when modifying risk factors by utilizing optimal treatment regimes (OTRs). Since the newly defined individualized effects rely on the no omitted confounding assumption, developing sensitivity analyses to account for potential omitted confounding is essential. Moreover, OTRs and individualized effects are primarily based on binary risk factors, and no formal approach currently exists to benchmark the strength of omitted confounding using observed covariates for binary risk factors. To address this gap, we extend a simulation-based sensitivity analysis that simulates unmeasured confounders, addressing two sources of bias emerging from deriving OTRs and estimating individualized effects. Additionally, we propose a formal bounding strategy that benchmarks the strength of omitted confounding for binary risk factors. Using the High School Longitudinal Study 2009 (HSLS:09), we demonstrate this sensitivity analysis and benchmarking method.
Problem

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

Assess modifying risk factors to reduce social disparities
Develop sensitivity analysis for omitted confounding in OTRs
Propose benchmarking for omitted confounding in binary risk factors
Innovation

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

Simulation-based sensitivity analysis for unmeasured confounders
Formal bounding strategy for binary risk factors
Individualized interventions with optimal treatment regimes
🔎 Similar Papers
No similar papers found.