The Inaugural Ross-Royall Symposium: From Individuals to Populations Wood Basic Sciences Auditorium Friday, February 26, 2016 8:30 am – 6:00 pm Sebastian Schneeweiss, M.D., S.M., Sc.D. Professor, Department of Epidemiology, Harvard Medical School and Division of Pharmacoepidemiology and Pharamacoeconomics, Brigham and Women’s Hospital Title: Comparative Effectiveness of Treatments in Large Healthcare Databases – the Value of High-Dimensional Propensity Score Approaches Abstract: Large longitudinal healthcare databases, including insurance claims data and EHR systems represent health information gathered during routine care. They offer an opportunity to understand the real-world effectiveness of therapeutics. On the flipside, such data were not collected for research and concerns arise that relevant confounders were not observed. Yet, in the available longitudinal data stream an abundance of confounder proxies can be defined creating a high-dimensional covariate space. Hd-PS has proven to be a useful data adaptive tool to maximize and largely automate covariate adjustment in healthcare databases. The presentation will explain the principles of hd-PS and provide results from empirical examples and simulation studies.
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