Learning Causal Effects From Observational Data in Healthcare: A Review and Summary
Causal inference is a broad field that seeks to build and apply models that learn the effect of interventions on outcomes using many data types. While the field has existed for decades, its potential to impact healthcare outcomes has increased dramatically recently due to both advancements in machin...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2022-07-01
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Series: | Frontiers in Medicine |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.864882/full |
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author | Jingpu Shi Beau Norgeot |
author_facet | Jingpu Shi Beau Norgeot |
author_sort | Jingpu Shi |
collection | DOAJ |
description | Causal inference is a broad field that seeks to build and apply models that learn the effect of interventions on outcomes using many data types. While the field has existed for decades, its potential to impact healthcare outcomes has increased dramatically recently due to both advancements in machine learning and the unprecedented amounts of observational data resulting from electronic capture of patient claims data by medical insurance companies and widespread adoption of electronic health records (EHR) worldwide. However, there are many different schools of learning causality coming from different fields of statistics, some of them strongly conflicting. While the recent advances in machine learning greatly enhanced causal inference from a modeling perspective, it further exacerbated the fractured state in this field. This fractured state has limited research at the intersection of causal inference, modern machine learning, and EHRs that could potentially transform healthcare. In this paper we unify the classical causal inference approaches with new machine learning developments into a straightforward framework based on whether the researcher is most interested in finding the best intervention for an individual, a group of similar people, or an entire population. Through this lens, we then provide a timely review of the applications of causal inference in healthcare from the literature. As expected, we found that applications of causal inference in medicine were mostly limited to just a few technique types and lag behind other domains. In light of this gap, we offer a helpful schematic to guide data scientists and healthcare stakeholders in selecting appropriate causal methods and reviewing the findings generated by them. |
first_indexed | 2024-12-11T15:41:48Z |
format | Article |
id | doaj.art-fd42a859278247e7ba9f62adf9766d7a |
institution | Directory Open Access Journal |
issn | 2296-858X |
language | English |
last_indexed | 2024-12-11T15:41:48Z |
publishDate | 2022-07-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Medicine |
spelling | doaj.art-fd42a859278247e7ba9f62adf9766d7a2022-12-22T00:59:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-07-01910.3389/fmed.2022.864882864882Learning Causal Effects From Observational Data in Healthcare: A Review and SummaryJingpu ShiBeau NorgeotCausal inference is a broad field that seeks to build and apply models that learn the effect of interventions on outcomes using many data types. While the field has existed for decades, its potential to impact healthcare outcomes has increased dramatically recently due to both advancements in machine learning and the unprecedented amounts of observational data resulting from electronic capture of patient claims data by medical insurance companies and widespread adoption of electronic health records (EHR) worldwide. However, there are many different schools of learning causality coming from different fields of statistics, some of them strongly conflicting. While the recent advances in machine learning greatly enhanced causal inference from a modeling perspective, it further exacerbated the fractured state in this field. This fractured state has limited research at the intersection of causal inference, modern machine learning, and EHRs that could potentially transform healthcare. In this paper we unify the classical causal inference approaches with new machine learning developments into a straightforward framework based on whether the researcher is most interested in finding the best intervention for an individual, a group of similar people, or an entire population. Through this lens, we then provide a timely review of the applications of causal inference in healthcare from the literature. As expected, we found that applications of causal inference in medicine were mostly limited to just a few technique types and lag behind other domains. In light of this gap, we offer a helpful schematic to guide data scientists and healthcare stakeholders in selecting appropriate causal methods and reviewing the findings generated by them.https://www.frontiersin.org/articles/10.3389/fmed.2022.864882/fullelectronic health recordcausal inferencemachine learninghealthcaretreatment effectsreview |
spellingShingle | Jingpu Shi Beau Norgeot Learning Causal Effects From Observational Data in Healthcare: A Review and Summary Frontiers in Medicine electronic health record causal inference machine learning healthcare treatment effects review |
title | Learning Causal Effects From Observational Data in Healthcare: A Review and Summary |
title_full | Learning Causal Effects From Observational Data in Healthcare: A Review and Summary |
title_fullStr | Learning Causal Effects From Observational Data in Healthcare: A Review and Summary |
title_full_unstemmed | Learning Causal Effects From Observational Data in Healthcare: A Review and Summary |
title_short | Learning Causal Effects From Observational Data in Healthcare: A Review and Summary |
title_sort | learning causal effects from observational data in healthcare a review and summary |
topic | electronic health record causal inference machine learning healthcare treatment effects review |
url | https://www.frontiersin.org/articles/10.3389/fmed.2022.864882/full |
work_keys_str_mv | AT jingpushi learningcausaleffectsfromobservationaldatainhealthcareareviewandsummary AT beaunorgeot learningcausaleffectsfromobservationaldatainhealthcareareviewandsummary |