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Paper · arXiv

Observing the unobserved confounding through its effects: toward randomized trial-like estimates from real-world survival data

Background: Randomized controlled trials (RCTs) are costly, time-consuming, and often infeasible, while treatment-effect estimation from observational data is limited by unobserved confounding. Methods: We developed a three-step framework to address unobserved confounding in observational survival data. First, we infer a latent prognostic factor (U) from restricted mean survival time (RMST) discrepancies between patients with similar observed factors, the same treatment, and divergent outcomes, leveraging the idea that the aggregate effect of unmeasured factors can be inferred even if individual factors cannot. Second, we balance U with observed baseline covariates using prognostic matchi...

AuthorsVasiliki Stoumpou, Dimitris Bertsimas, Samuel Singer et al.
Primary categorystat.AP
Published13 April 2026
Last updated at source13 April 2026
stat.APcs.AIstat.ME
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