Covariate-assisted bounds on causal effects with instrumental variables

When an exposure of interest is confounded by unmeasured factors, an instrumental variable (IV) can be used to identify and estimate certain causal contrasts. Identification of the marginal average treatment effect (ATE) from IVs typically relies on strong untestable structural assumptions. When one is unwilling to assert such structural assumptions, IVs can nonetheless be used to construct bounds on the ATE. Famously, Balke and Pearl (1997) employed linear programming techniques to prove tight bounds on the ATE for a binary outcome, in a randomized trial with noncompliance and no covariate information. We demonstrate how these bounds remain useful in observational settings with baseline confounders of the IV, as well as randomized trials with measured baseline covariates. The resulting lower and upper bounds on the ATE are non-smooth functionals, and thus standard nonparametric efficiency theory is not immediately applicable. To remedy this, we propose (1) estimators of smooth approximations of these bounds, and (2) under a novel margin condition, influence function-based estimators of the ATE bounds that can attain parametric convergence rates when the nuisance functions are modeled flexibly. We propose extensions to continuous outcomes, and finally, illustrate the proposed estimators in a randomized experiment studying the effects of influenza vaccination encouragement on flu-related hospital visits.