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Evidence-based Estimation of the Optimal Dynamic Personalized Health Care Decision Rules with Restrictions
We present recent advances and statistical developments for evaluating Dynamic Treatment Regimes (DTR), which allow the treatment to be dynamically tailored according to evolving subject-level data. Identification of an optimal DTR is a key component for precision medicine and personalized health care. We develop a tree-based doubly robust reinforcement learning (T-RL) method, and a new Stochastic-Tree Search method, ST-RL, for evaluating optimal DTRs, which contributes to the existing literature in its non-greedy policy search and demonstrates outstanding performances. We further develop a Restricted Tree-based Reinforcement Learning (RT-RL) method that searches for an interpretable DTR to maximize the expected outcome, given a (set of) user-specified restriction(s), which specifies treatment options that ought not to be considered as part of the estimated tree-based DTR. The method is illustrated using an observational dataset to estimate a two-stage stepped-up DTR for guiding the level of care placement for adolescents with substance use disorder.
Date and Time
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Language of Oral Presentation
English
Language of Visual Aids
English

Speaker

Edit Name Primary Affiliation
Lu Wang University of Michigan