Causal inference for the expected number of recurrent events in the presence of a terminal event
- URL: http://arxiv.org/abs/2306.16571v3
- Date: Sun, 28 Sep 2025 13:40:44 GMT
- Title: Causal inference for the expected number of recurrent events in the presence of a terminal event
- Authors: Benjamin R. Baer, Trang Bui, Daniel Mork, Robert L. Strawderman, Ashkan Ertefaie,
- Abstract summary: We develop a multiply robust estimation framework for causal inference in recurrent event data with a terminal failure event.<n>We show that the estimand can be identified under a weaker condition than conditionally independent censoring.
- Score: 0.2446672595462589
- License: http://arxiv.org/licenses/nonexclusive-distrib/1.0/
- Abstract: While recurrent event analyses have been extensively studied, limited attention has been given to causal inference within the framework of recurrent event analysis. We develop a multiply robust estimation framework for causal inference in recurrent event data with a terminal failure event. We define our estimand as the vector comprising both the expected number of recurrent events and the failure survival function evaluated along a sequence of landmark times. We show that the estimand can be identified under a weaker condition than conditionally independent censoring and derive the associated class of influence functions under general censoring and failure distributions (i.e., without assuming absolute continuity). We propose a particular estimator within this class for further study, conduct comprehensive simulation studies to evaluate the small-sample performance of our estimator, and illustrate the proposed estimator using a large Medicare dataset to assess the causal effect of PM$_{2.5}$ on recurrent cardiovascular hospitalization.
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