Abstract:
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We developed a Bayesian approach to statistical modeling of longitudinal data for event predictions and causal comparisons of policies in decision making, where we (1) formulate a sequence of predictive models over time using additive regression trees, enabling a machine learning based prediction of multiple correlated events such as engagement and death in the context of HIV care, and (2) use the predictive models as generative components of a large Bayesian functional causal model to calculate causal effects over time via the g computation algorithm (GCA). Conceptually, our method is similar to mathematical modeling in comparing policies such that sequential generative models are constructed as the basis for simulating trajectories of counterfactual outcomes over time using Monte Carlo simulation; however, in our method, generative components are predictive and data-driven, and the causal inference of counterfactual outcomes are based on posterior predictive distributions. We applied the proposed method to electronic health records collected through AMPATH to evaluate the impact of different HIV treatment initiation policies on patients' survival and engagement in care over time.
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