SyncTwin: Treatment Effect Estimation with Longitudinal Outcomes

Most of the medical observational studies estimate the causal treatment effects using electronic health records (EHR), where a patient's covariates and outcomes are both observed longitudinally. However, previous methods focus only on adjusting for the covariates while neglecting the temporal structure in the outcomes. To bridge the gap, this paper develops a new method, SyncTwin, that learns a patient-specific time-constant representation from the pre-treatment observations. SyncTwin issues counterfactual prediction of a target patient by constructing a synthetic twin that closely matches the target in representation. The reliability of the estimated treatment effect can be assessed by comparing the observed and synthetic pre-treatment outcomes. The medical experts can interpret the estimate by examining the most important contributing individuals to the synthetic twin. In the real-data experiment, SyncTwin successfully reproduced the findings of a randomized controlled clinical trial using observational data, which demonstrates its usability in the complex real-world EHR.