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This is the preliminary program for the 2007 Joint Statistical Meetings in Salt Lake City, Utah.

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Activity Number: 154
Type: Contributed
Date/Time: Monday, July 30, 2007 : 10:30 AM to 12:20 PM
Sponsor: WNAR
Abstract - #310408
Title: Identification of Treatment Effects in the Presence of Deviation from Randomized Assignment: Application to a Surgical Setting
Author(s): Corwin Zigler*+
Companies: University of California, Los Angeles
Address: 11610 Iowa Ave, Los Angeles, CA, 90025,
Keywords: instrumental variables ; noncompliance ; latent class model
Abstract:

Often in medical settings, adherence to randomized assignment of competing treatments proves unethical or simply unrealistic. Without advantages of randomization, standard approaches may not allow useful comparison of treatment effects. An instrumental variables framework has emerged as a useful tool for identifying treatment effects in settings where treatment received differs from treatment assigned (Angrist, Imbens, and Rubin 1996, JASA and Imbens and Rubin 1997, Annals of Statistics). We apply this framework in an example involving surgical versus non-surgical treatment of mandibular fractures in which clinicians were allowed to override random treatment assignment. We use Bayesian methods that utilize data characterizing patient injury to estimate the effect surgical treatment on length of hospital stay.


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Revised September, 2007