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dc.rights.licenseopenen_US
dc.contributor.authorVALERI, Linda
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPROUST LIMA, Cecile
ORCID: 0000-0002-9884-955X
IDREF: 114375747
dc.contributor.authorFAN, Weijia
dc.contributor.authorCHEN, Jarvis T.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorJACQMIN-GADDA, Helene
dc.date.accessioned2023-05-15T13:09:28Z
dc.date.available2023-05-15T13:09:28Z
dc.date.issued2023-04-20
dc.identifier.issn1477-0334 (Electronic) 0962-2802 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/182144
dc.description.abstractEnWe propose a novel methodology to quantify the effect of stochastic interventions for a non-terminal intermediate time-to-event on a terminal time-to-event outcome. Investigating these effects is particularly important in health disparities research when we seek to quantify inequities in the timely delivery of treatment and its impact on patients' survival time. Current approaches fail to account for time-to-event intermediates and semi-competing risks arising in this setting. Under the potential outcome framework, we define causal contrasts relevant in health disparities research and provide identifiability conditions when stochastic interventions on an intermediate non-terminal time-to-event are of interest. Causal contrasts are estimated in continuous time within a multistate modeling framework and analytic formulae for the estimators of the causal contrasts are developed. We show via simulations that ignoring censoring in intermediate and/or terminal time-to-event processes or ignoring semi-competing risks may give misleading results. This work demonstrates that a rigorous definition of the causal effects and joint estimation of the terminal outcome and intermediate non-terminal time-to-event distributions are crucial for valid investigation of interventions and mechanisms in continuous time. We employ this novel methodology to investigate the role of delaying treatment uptake in explaining racial disparities in cancer survival in a cohort study of colon cancer patients.
dc.language.isoENen_US
dc.title.enA multistate approach for the study of interventions on an intermediate time-to-event in health disparities research
dc.title.alternativeStat Methods Med Resen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1177/09622802231163331en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37078152en_US
bordeaux.journalStatistical Methods in Medical Researchen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04097817
hal.version1
hal.date.transferred2023-05-15T13:09:30Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
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