Estimation of the causal effects of time-varying exposures

Authored by: M. Robins James , A. Hernán Migue

Longitudinal Data Analysis

Print publication date:  August  2008
Online publication date:  August  2008

Print ISBN: 9781584886587
eBook ISBN: 9781420011579
Adobe ISBN:

10.1201/9781420011579.ch23

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Abstract

In this chapter we describe methods for the estimation of the causal effect of a time-varying exposure on an outcome of interest from longitudinal data collected in an observational study. The terms “exposure” and “treatment” will be used synonymously and interchangeably. We assume a fixed study population, that is, a closed cohort with a well-defined, known start of follow-up date for each subject. Time will refer to time since start of follow-up, which we also refer to as time since baseline. We only consider estimation of the effect of exposures occurring at or after the start of follow-up because the estimation of the effects of pre-baseline exposures is not possible without making strong, untestable assumptions. We refer to the exposure received at start of follow-up as the baseline exposure. Baseline covariates refer to covariates, including pre-baseline exposure, that occur prior to the baseline exposure. We classify exposures as either fixed or time-varying.

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