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Center for Causal Inference

New paper on treatment effects with multiple outcomes

New paper on treatment effects with multiple outcomes

Jun 1, 2018

Estimating scaled treatment effects with multiple outcomes

Edward H Kennedy, Shreya Kangovi, Nandita Mitra


In classical study designs, the aim is often to learn about the effects of a treatment or intervention on a single outcome; in many modern studies, however, data on multiple outcomes are collected and it is of interest to explore effects on multiple outcomes simultaneously. Such designs can be particularly useful in patient-centered research, where different outcomes might be more or less important to different patients. In this paper, we propose scaled effect measures (via potential outcomes) that translate effects on multiple outcomes to a common scale, using mean-variance and median-interquartile range based standardizations. We present efficient, nonparametric, doubly robust methods for estimating these scaled effects (and weighted average summary measures), and for testing the null hypothesis that treatment affects all outcomes equally. We also discuss methods for exploring how treatment effects depend on covariates (i.e., effect modification). In addition to describing efficiency theory for our estimands and the asymptotic behavior of our estimators, we illustrate the methods in a simulation study and a data analysis. Importantly, and in contrast to much of the literature concerning effects on multiple outcomes, our methods are nonparametric and can be used not only in randomized trials to yield increased efficiency, but also in observational studies with high-dimensional covariates to reduce confounding bias.

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About CCI

The Center for Causal Inference (CCI) is a research center that is operating under a partnership between Penn’s Center for Clinical Epidemiology and Biostatistics (CCEB), the Department of Biostatistics and Epidemiology, Rutgers School of Public Health, and Penn’s Wharton School. The mission of the CCI is to be a leading center for research and training in the development and application of causal inference theory and methods.

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