The increasing scientific attention given to precision medicine based on real-world data has led many recent studies to clarify the relationships between treatment effects and patient characteristics. However, this is challenging because of ubiquitous heterogeneity in the treatment effect for individuals and the real-world data on their background being complex and noisy. Because of their flexibility, various heterogeneous treatment effect (HTE) machine learning (ML) estimation methods have been proposed. However, most ML methods incorporate black-box models that hamper direct interpretation of the interrelationships between individuals' characteristics and the treatments' effects. This study proposes an ML method for estimating HTE based on the rule ensemble method termed RuleFit. The main advantage of RuleFit are interpretability and accuracy. However, HTEs are always defined in the potential outcome framework, and RuleFit cannot be applied directly. Thus, we modified RuleFit and proposed a method to estimate HTEs that directly interpret the interrelationships among the individuals' features from the model.
翻译:根据真实世界数据,对精确医学的科学关注日益增加,这导致最近许多研究澄清治疗效果和病人特征之间的关系,然而,这具有挑战性,因为治疗对个人的影响普遍存在异质性,而关于个人背景的真实世界数据复杂而吵闹,由于具有灵活性,提出了多种不同的治疗效果(HTE)机器学习估计方法,但大多数ML方法都包含黑盒模型,妨碍直接解释个人特征与治疗效果之间的相互关系。本研究提出了基于规则共通法(RulesFit)估算HTE的ML方法。规则Fit的主要优势是可解释性和准确性。然而,规则Fit总是在潜在的成果框架中界定HTE,规则Fit不能直接应用。因此,我们修改了规则Fit,并提议了一种方法来估计直接解释个人特征与模型相互关系的HTE。