HPG 6104 • Week 5

Advanced Confounding Control

Matching, Standardization, Propensity Scores & Sensitivity Analysis

01

Matching (Design Phase)

Matching ensures comparison groups are balanced on known confounders before data collection. Essential in case-control studies.

Individual Matching

Match each Case to 1+ Controls with identical confounder values (e.g., 50yo Male Smoker matched to 50yo Male Smoker).

Requires Conditional Logistic Regression!

Frequency Matching

Ensure the distribution is similar at the group level (e.g., 30% Cases and 30% Controls are aged 50-60).

02

Standardization

Comparing rates between populations with different age/sex structures.

Method starting Point Output
Direct Study population rates Age-adjusted Rate
Indirect Standard population rates SMR (Observed/Expected)
03

Propensity Score Methods

The Propensity Score (PS) is the probability of being exposed given measured confounders. It collapses high-dimensional data into one scalar.

PS Matching (targets ATT)

Match individuals with similar probabilities. Standard caliper: 0.1 - 0.25 SD of logit PS.

IPTW (targets ATE)

Inverse Probability Treatment Weighting. Reweights sample to create a pseudo-population where exposure is independent of covariates.

04

Sensitivity Analysis: The E-value

"How strong would an unmeasured confounder need to be to explain away my observed effect?"

E-value = RR + √(RR × (RR - 1))

Example: If observed RR = 2.5, E-value = 4.44. A hidden confounder needs RR ≥ 4.44 with both exposure and outcome to nullify the result.

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