91AV

Abstract:
It is a standard practice that causality should only be drawn from a randomized control trial, and not from an observational study. However, in observational studies, the intention is often to interpret associational effects as causal effects. In pharmacoepidemiology, one is often interested in the causal effects of the drugs on a particular health outcome. In addition, in many of these studies, exposure to drugs is time-varying, and the health outcome of interest is measured longitudinally. In such a setting, the health outcome in one time window affects the prevalence and dose level of the drugs given in the next time window, which in turn, affect the health outcome in subsequent time window. This results in a causal pathway which has the intermediate health outcome acting as both a confounder and a mediator. Traditional modeling methods cannot be used to deal properly with this situation. In this talk, I will present a class of models for causal inference in observational studies, and I will demonstrate the application of these models in the estimation of the effects of five groups of psychoactive medications on delirium persistence in a cohort of elderly patients.

Biography:
Dr. Ngo is an associate professor at Harvard Medical school in Boston, Massachusetts. He played a critical role in 91AV’s recent NIH COBRE application Patient-Centered Decision Making to Improve Pain. As Associate Professor at Harvard Medical School, he serves as co-director for Biostatistics in the Division of General Medicine and Primary Care (Beth Israel Deaconess Medical Center) and Associate Director of the Biostatistics Core of the NIH-funded Delirium Program (Hebrew Senior Life). Nationally, he chairs the American Statistical Association’s National Committee on Statistics and Disability and serves as Associate Editor for the Journal of International Statistics and Management Systems. Internationally, he has served on the American Statistical Association (ASA) Ambassador Program with Vietnam and has acted as a Principal Investigator on a collaborative air pollution project in Vietnam. He recently won the Department of Medicine Mentorship of Resident Research Award, and the Editors’ Recognition Award for Distinction in Reviewing from the Journal of Thoracic Imaging. He has over 130 publications.

Lunch will be provided.
Hosted by: Dr. Nananda Col