Transporting observational study results to a target population of interest using inverse odds of participation weighting

Inverse odds of participation weighting (IOPW) has been proposed to transport clinical trial findings to target populations of interest when the distribution of treatment effect modifiers differs between trial and target populations. We set out to apply IOPW to transport results from an observationa...

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Main Authors: Albee Y. Ling, Rana Jreich, Maria E. Montez-Rath, Zhaoling Meng, Kris Kapphahn, Karen J. Chandross, Manisha Desai
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754161/?tool=EBI
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author Albee Y. Ling
Rana Jreich
Maria E. Montez-Rath
Zhaoling Meng
Kris Kapphahn
Karen J. Chandross
Manisha Desai
author_facet Albee Y. Ling
Rana Jreich
Maria E. Montez-Rath
Zhaoling Meng
Kris Kapphahn
Karen J. Chandross
Manisha Desai
author_sort Albee Y. Ling
collection DOAJ
description Inverse odds of participation weighting (IOPW) has been proposed to transport clinical trial findings to target populations of interest when the distribution of treatment effect modifiers differs between trial and target populations. We set out to apply IOPW to transport results from an observational study to a target population of interest. We demonstrated the feasibility of this idea with a real-world example using a nationwide electronic health record derived de-identified database from Flatiron Health. First, we conducted an observational study that carefully adjusted for confounding to estimate the treatment effect of fulvestrant plus palbociclib relative to letrozole plus palbociclib as a second-line therapy among estrogen receptor (ER)-positive, human epidermal growth factor receptor (HER2)-negative metastatic breast cancer patients. Second, we transported these findings to the broader cohort of patients who were eligible for a first-line therapy. The interpretation of the findings and validity of such studies, however, rely on the extent that causal inference assumptions are met.
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spelling doaj.art-ca9b9c82fd60403faad2e780281f55f62022-12-22T04:42:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712Transporting observational study results to a target population of interest using inverse odds of participation weightingAlbee Y. LingRana JreichMaria E. Montez-RathZhaoling MengKris KapphahnKaren J. ChandrossManisha DesaiInverse odds of participation weighting (IOPW) has been proposed to transport clinical trial findings to target populations of interest when the distribution of treatment effect modifiers differs between trial and target populations. We set out to apply IOPW to transport results from an observational study to a target population of interest. We demonstrated the feasibility of this idea with a real-world example using a nationwide electronic health record derived de-identified database from Flatiron Health. First, we conducted an observational study that carefully adjusted for confounding to estimate the treatment effect of fulvestrant plus palbociclib relative to letrozole plus palbociclib as a second-line therapy among estrogen receptor (ER)-positive, human epidermal growth factor receptor (HER2)-negative metastatic breast cancer patients. Second, we transported these findings to the broader cohort of patients who were eligible for a first-line therapy. The interpretation of the findings and validity of such studies, however, rely on the extent that causal inference assumptions are met.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754161/?tool=EBI
spellingShingle Albee Y. Ling
Rana Jreich
Maria E. Montez-Rath
Zhaoling Meng
Kris Kapphahn
Karen J. Chandross
Manisha Desai
Transporting observational study results to a target population of interest using inverse odds of participation weighting
PLoS ONE
title Transporting observational study results to a target population of interest using inverse odds of participation weighting
title_full Transporting observational study results to a target population of interest using inverse odds of participation weighting
title_fullStr Transporting observational study results to a target population of interest using inverse odds of participation weighting
title_full_unstemmed Transporting observational study results to a target population of interest using inverse odds of participation weighting
title_short Transporting observational study results to a target population of interest using inverse odds of participation weighting
title_sort transporting observational study results to a target population of interest using inverse odds of participation weighting
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754161/?tool=EBI
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