Last updated: 2024-12-03

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Some notes on generating propensity weights for continuous exposure inspiring by Coffman and Griffin’s tutorial using dat dataset as the example. It’s quite useful when your model SEs blow up and you’re trying to whittle down the confounder list without losing power. Traditional ways to handle this issue are explained below:

  • Keep only the variables significantly (or suggestive p-value like <0.10) associated with both the exposure and the outcome.

  • Examine % change in effect size by comparing an unadjusted model to one only adjusting for that variable. Only if the absolute % change is large enough (say >10%), then include it in the final confounder list.

Warning: package 'gtsummary' was built under R version 4.4.1

Gradient Boosted Regression

ps.cont calculates propensity scores by gradient boosted regression (GBR). tss_0 is the continuous exposure represented the traumatic stress scale and sfs8p_3 is the outcome measured the substance use frequency at 3-month follow-up. Other baseline covariates included in the propensity score model are potential confounders of the exposure and outcome.

  • ps.cont()

    • n.trees= argument: number of iterations run; adjust the number based on diagnostic plot.
    • Other arguments can be set as default values for now. Check the manual and tutorial for detail.
set.seed(4869) # set seed to assure replicable results

pswt = ps.cont(tss_0 ~ sfs8p_0 + sati_0 + sp_sm_0 + recov_0 + subsgrps_n + treat,
               data = dat, n.trees = 500)

Diagnositc Check

The plot showed the balance measure as a function of the number of iterations in the GBR algorithm. Model balance reached optimal around 350-ish iteration.

plot(pswt, plots = "optimize") # visualize the iteration process

The average absolute correlation mean.wcor was minimized at iteration iter 347, which means the specified n.trees allowed GBR to explore sufficiently complicated models.

summary(pswt)
       n      ess   max.wcor mean.wcor   rms.wcor iter
unw 4000 4000.000 0.21633979 0.1034782 0.11887909   NA
AAC 4000 3559.661 0.04680874 0.0192826 0.02492979  347

Correlations between the exposure and potential confounders were all reduced to below 0.05 in the weighted data.

bal.table(pswt, digits = 3)
              unw   wcor
sfs8p_0     0.115 -0.006
sati_0      0.139 -0.011
sp_sm_0     0.216  0.001
recov_0    -0.112 -0.039
subsgrps_n  0.035 -0.047
treatA      0.053  0.016
treatB     -0.053 -0.016
plot(pswt, plots = "es") # visualize the balance table

Causal Effect

For every 1 point increase in baseline traumatic stress scale, the estimated substance frequency scale increased by 0.18 point.

tbl_regression(lm(sfs8p_3 ~ tss_0, dat), 
               label = tss_0 ~ 'Baseline Traumatic Stress',
               estimate_fun = ~ style_sigfig(.x, digits = 3),
               pvalue_fun = ~ style_pvalue(.x, digits = 3)) %>%
  modify_caption('**Unweighted Linear Regression**')
Unweighted Linear Regression
Characteristic Beta 95% CI1 p-value
Baseline Traumatic Stress 0.178 0.082, 0.274 <0.001
1 CI = Confidence Interval

After applying the propensity weights, the association between baseline traumatic stress and substance use at 3-month became insignificant.

# extract propensity weights
dat$wts = get.weights(pswt) 

tbl_regression(lm(sfs8p_3 ~ tss_0, dat, weights = wts), 
               label = tss_0 ~ 'Baseline Traumatic Stress',
               estimate_fun = ~ style_sigfig(.x, digits = 3),
               pvalue_fun = ~ style_pvalue(.x, digits = 3)) %>%
  modify_caption('**Weighted Linear Regression**')
Weighted Linear Regression
Characteristic Beta 95% CI1 p-value
Baseline Traumatic Stress 0.003 -0.093, 0.098 0.957
1 CI = Confidence Interval

sessionInfo()
R version 4.4.0 (2024-04-24)
Platform: aarch64-apple-darwin20
Running under: macOS 15.1.1

Matrix products: default
BLAS:   /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRblas.0.dylib 
LAPACK: /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRlapack.dylib;  LAPACK version 3.12.0

locale:
[1] en_US.UTF-8/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8

time zone: America/Detroit
tzcode source: internal

attached base packages:
[1] stats     graphics  grDevices utils     datasets  methods   base     

other attached packages:
[1] gtsummary_2.0.3       twangContinuous_1.0.0 workflowr_1.7.1      

loaded via a namespace (and not attached):
 [1] gbm_2.2.2            xfun_0.47            bslib_0.8.0         
 [4] processx_3.8.4       lattice_0.22-6       callr_3.7.6         
 [7] vctrs_0.6.5          tools_4.4.0          ps_1.7.6            
[10] generics_0.1.3       tibble_3.2.1         fansi_1.0.6         
[13] highr_0.11           pkgconfig_2.0.3      Matrix_1.7-0        
[16] gt_0.10.1            lifecycle_1.0.4      compiler_4.4.0      
[19] stringr_1.5.1        git2r_0.33.0         getPass_0.2-4       
[22] mitools_2.4          survey_4.4-2         httpuv_1.6.15       
[25] htmltools_0.5.8.1    sass_0.4.9           yaml_2.3.10         
[28] later_1.3.2          pillar_1.9.0         jquerylib_0.1.4     
[31] whisker_0.4.1        tidyr_1.3.1          broom.helpers_1.17.0
[34] cachem_1.1.0         commonmark_1.9.1     tidyselect_1.2.1    
[37] digest_0.6.37        stringi_1.8.4        dplyr_1.1.4         
[40] purrr_1.0.2          forcats_1.0.0        splines_4.4.0       
[43] labelled_2.13.0      rprojroot_2.0.4      fastmap_1.2.0       
[46] grid_4.4.0           cli_3.6.3            magrittr_2.0.3      
[49] cards_0.3.0          survival_3.7-0       utf8_1.2.4          
[52] broom_1.0.7          withr_3.0.1          promises_1.3.0      
[55] backports_1.5.0      rmarkdown_2.28       httr_1.4.7          
[58] hms_1.1.3            evaluate_1.0.0       knitr_1.48          
[61] haven_2.5.4          markdown_1.12        rlang_1.1.4         
[64] Rcpp_1.0.13          xtable_1.8-4         glue_1.8.0          
[67] DBI_1.2.3            xml2_1.3.6           rstudioapi_0.16.0   
[70] jsonlite_1.8.9       R6_2.5.1             fs_1.6.4