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      DAG-informed regression modelling, agent-based modelling and microsimulation modelling: a critical comparison of methods for causal inference

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          Abstract

          The current paradigm for causal inference in epidemiology relies primarily on the evaluation of counterfactual contrasts via statistical regression models informed by graphical causal models (often in the form of directed acyclic graphs, or DAGs) and their underlying mathematical theory. However, there have been growing calls for supplementary methods, and one such method that has been proposed is agent-based modelling due to its potential for simulating counterfactuals. However, within the epidemiological literature, there currently exists a general lack of clarity regarding what exactly agent-based modelling is (and is not) and, importantly, how it differs from microsimulation modelling—perhaps its closest methodological comparator. We clarify this distinction by briefly reviewing the history of each method, which provides a context for their similarities and differences, and casts light on the types of research questions that they have evolved (and thus are well suited) to answering; we do the same for DAG-informed regression methods. The distinct historical evolutions of DAG-informed regression modelling, microsimulation modelling and agent-based modelling have given rise to distinct features of the methods themselves, and provide a foundation for critical comparison. Not only are the three methods well suited to addressing different types of causal questions, but, in doing so, they place differing levels of emphasis on fixed and random effects, and also tend to operate on different timescales and in different timeframes.

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          Most cited references58

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          The Method of Path Coefficients

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            Instrumental Variables and the Search for Identification: From Supply and Demand to Natural Experiments

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              Markov models in medical decision making: a practical guide.

              Markov models are useful when a decision problem involves risk that is continuous over time, when the timing of events is important, and when important events may happen more than once. Representing such clinical settings with conventional decision trees is difficult and may require unrealistic simplifying assumptions. Markov models assume that a patient is always in one of a finite number of discrete health states, called Markov states. All events are represented as transitions from one state to another. A Markov model may be evaluated by matrix algebra, as a cohort simulation, or as a Monte Carlo simulation. A newer representation of Markov models, the Markov-cycle tree, uses a tree representation of clinical events and may be evaluated either as a cohort simulation or as a Monte Carlo simulation. The ability of the Markov model to represent repetitive events and the time dependence of both probabilities and utilities allows for more accurate representation of clinical settings that involve these issues.
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                Author and article information

                Journal
                Int J Epidemiol
                Int J Epidemiol
                ije
                International Journal of Epidemiology
                Oxford University Press
                0300-5771
                1464-3685
                February 2019
                05 December 2018
                05 December 2018
                : 48
                : 1
                : 243-253
                Affiliations
                [1 ]Leeds Institute for Data Analytics, University of Leeds, Leeds, UK
                [2 ]School of Medicine, University of Leeds, Leeds, UK
                [3 ]School of Geography, University of Leeds, Leeds, UK
                Author notes
                Corresponding author. Leeds Institute for Data Analytics, University of Leeds, Level 11 Worsley Building, Clarendon Way, Leeds, LS2 9NL, UK. E-mail: K.F.Arnold@ 123456leeds.ac.uk

                Joint senior authors.

                Author information
                http://orcid.org/0000-0002-0911-5029
                Article
                dyy260
                10.1093/ije/dyy260
                6380300
                30520989
                dbc853e1-8674-43cc-8c8b-8c64cfc38a9d
                © The Author(s) 2018. Published by Oxford University Press on behalf of the International Epidemiological Association.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 02 November 2018
                Page count
                Pages: 11
                Funding
                Funded by: Economic and Social Research Council 10.13039/501100000269
                Award ID: ES/J500215/1
                Funded by: Higher Education Funding Council for England 10.13039/100011722
                Categories
                Methods

                Public health
                causal inference,counterfactuals,directed acyclic graphs,agent-based modelling,microsimulation modelling

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