论文标题

学会有效地搜索因果关系近乎最佳的治疗

Learning to search efficiently for causally near-optimal treatments

论文作者

Håkansson, Samuel, Lindblom, Viktor, Gottesman, Omer, Johansson, Fredrik D.

论文摘要

寻找有效的医疗通常需要通过反复试验进行搜索。通过最大程度地减少不必要的试验的数量,可以降低成本和患者的痛苦,从而更加有效。我们将这个问题形式化为学习一种政策,以使用因果推理框架进行最少的试验中找到近乎最佳的治疗方法。我们提供了一种基于模型的动态编程算法,该算法从观察数据中学习,同时对无法测量的混杂性进行了强大的态度。为了降低时间的复杂性,我们建议一种贪婪的算法,该算法界定了近距离限制。这些方法是根据合成和现实世界的医疗保健数据进行评估的,并将其与无模型的增强学习进行了比较。我们发现,我们的方法与无模型基线相比,同时提供搜索时间和治疗功效之间的更透明的权衡。

Finding an effective medical treatment often requires a search by trial and error. Making this search more efficient by minimizing the number of unnecessary trials could lower both costs and patient suffering. We formalize this problem as learning a policy for finding a near-optimal treatment in a minimum number of trials using a causal inference framework. We give a model-based dynamic programming algorithm which learns from observational data while being robust to unmeasured confounding. To reduce time complexity, we suggest a greedy algorithm which bounds the near-optimality constraint. The methods are evaluated on synthetic and real-world healthcare data and compared to model-free reinforcement learning. We find that our methods compare favorably to the model-free baseline while offering a more transparent trade-off between search time and treatment efficacy.

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