TY - JOUR PY - 2015// TI - Propensity score methods for analyzing observational data like randomized experiments: challenges and solutions for rare outcomes and exposures JO - American journal of epidemiology A1 - Ross, Michelle E. A1 - Kreider, Amanda R. A1 - Huang, Yuan-Shung A1 - Matone, Meredith A1 - Rubin, David M. A1 - Localio, A. Russell SP - 989 EP - 995 VL - 181 IS - 12 N2 - Randomized controlled trials are the "gold standard" for estimating the causal effects of treatments. However, it is often not feasible to conduct such a trial because of ethical concerns or budgetary constraints. We expand upon an approach to the analysis of observational data sets that mimics a sequence of randomized studies by implementing propensity score models within each trial to achieve covariate balance, using weighting and matching. The methods are illustrated using data from a safety study of the relationship between second-generation antipsychotics and type 2 diabetes (outcome) in Medicaid-insured children aged 10-18 years across the United States from 2003 to 2007. Challenges in this data set include a rare outcome, a rare exposure, substantial and important differences between exposure groups, and a very large sample size.

Language: en

LA - en SN - 0002-9262 UR - http://dx.doi.org/10.1093/aje/kwu469 ID - ref1 ER -