Abstract:
:In the absence of strong assumptions (e.g., exchangeability), only bounds for causal effects can be identified. Here we describe bounds for the risk difference for an effect of a binary exposure on a binary outcome in 4 common study settings: observational studies and randomized studies, each with and without simple random selection from the target population. Through these scenarios, we introduce randomizations for selection and treatment, and the widths of the bounds are narrowed from 2 (the width of the range of the risk difference) to 0 (point identification). We then assess the strength of the assumptions of exchangeability for internal and external validity by comparing their contributions to the widths of the bounds in the setting of an observational study without random selection from the target population. We find that when less than two-thirds of the target population is selected into the study, the assumption of exchangeability for external validity of the risk difference is stronger than that for internal validity. The relative strength of these assumptions should be considered when designing, analyzing, and interpreting observational studies and will aid in determining the best methods for estimating the causal effects of interest.
journal_name
Am J Epidemioljournal_title
American journal of epidemiologyauthors
Breskin A,Westreich D,Cole SR,Edwards JKdoi
10.1093/aje/kwz060subject
Has Abstractpub_date
2019-07-01 00:00:00pages
1355-1360issue
7eissn
0002-9262issn
1476-6256pii
5369504journal_volume
188pub_type
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