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4 - Causal Inference and Death

from Section I - Thinking Like a Data Scientist

Published online by Cambridge University Press:  05 December 2015

Howard Wainer
Affiliation:
National Board of Medical Examiners, Philadelphia, Pennsylvania
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Summary

The best-laid schemes o’ mice an’ men

Gang aft agley,

An’ lea'e us nought but grief an’ pain,

For promis'd joy!

Robert Burns 1785

In Chapter 3 we learned how being guided by Rubin's Model for Causal Inference helps us design experiments to measure the effects of possible causes. I illustrated this with a hypothetical experiment on how to unravel a causal puzzle of happiness. Is it really this easy? The short answer is, unfortunately, no. But in the practical world, more complicated than the one evoked in my proposed happiness study, Rubin's Model is even more useful. In this chapter we go deeper into the dimly lit practical world, where participants in our causal experiment drop out for reasons outside our control. I show how statistical thinking in general, and Rubin's Model in particular, can illuminate it. But let us go slowly and allow time for our eyes to acclimate to the darkness.

Controlled experimental studies are typically regarded as the gold standard for which all investigators should strive, and observational studies as their polar opposite, pejoratively described as “some data we found lying on the street.” In practice they are closer to each other than we are often willing to admit. The distinguished statistician Paul Holland, expanding on Robert Burns, observed that

All experimental studies are observational studies waiting to happen.

This is an important and useful warning to all who are wise enough to heed it. Let us begin with a more careful description of both kinds of studies:

The key to an experimental study is control. In an experiment, those running it control:

  1. What is the treatment condition,

  2. What is the alternative condition,

  3. Who gets the treatment,

  4. Who gets the alternative, and

  5. What are the outcome (dependent) variables.

In an observational study the experimenter's control is not as complete. Consider an experiment to measure the causal effect of smoking on life expectancy. Were we to do an experiment, the treatment might be a pack of cigarettes a day for one's entire life. The alternative condition might be no smoking. Then we would randomly assign people to smoke or not smoke, and the dependent variable would be their age at death.

Type
Chapter
Information
Truth or Truthiness
Distinguishing Fact from Fiction by Learning to Think Like a Data Scientist
, pp. 29 - 42
Publisher: Cambridge University Press
Print publication year: 2015

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