Our aging population increasingly suffers from multiple chronic diseases simultaneously, necessitating the comprehensive treatment of these conditions. Finding the optimal set of drugs for a combinatorial set of diseases is a combinatorial pattern exploration problem. Association rule mining is a popular tool for such problems, but the requirement of health care for finding causal, rather than associative, patterns renders association rule mining unsuitable. To address this issue, we propose a novel framework based on the Rubin-Neyman causal model for extracting causal rules from observational data, correcting for a number of common biases. Specifically, given a set of interventions and a set of items that define subpopulations (e.g., diseases), we wish to find all subpopulations in which effective intervention combinations exist and in each such subpopulation, we wish to find all intervention combinations such that dropping any intervention from this combination will reduce the efficacy of the treatment. A key aspect of our framework is the concept of closed intervention sets which extend the concept of quantifying the effect of a single intervention to a set of concurrent interventions. We also evaluated our causal rule mining framework on the Electronic Health Records (EHR) data of a large cohort of patients from Mayo Clinic and showed that the patterns we extracted are sufficiently rich to explain the controversial findings in the medical literature regarding the effect of a class of cholesterol drugs on Type-II Diabetes Mellitus (T2DM).
Knowing the correct graph structure is important, because substructures in the graph are suggestive of sources of bias. To correct for biases, we are looking for specific substructures. For example, causal chains can be sources of overcorrection bias and "V"-shaped structures can be indicative of confounding or endogenous selection bias @cite_13 . Many other interesting substructures have been studied @cite_5 @cite_16 @cite_11 . In our work, we consider three fundamental such structures: direct causal effect, indirect causal effect and confounding. Of these, confounding is the most severe and received the most research interest.
@cite_5 @cite_16 @cite_13 @cite_11
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This paper presents a simple, efficient computer-based method for discovering causal relationships from databases that contain observational data. Observational data is passively observed, as contrasted with experimental data. Most of the databases available for data mining are observational. There is great potential for mining such databases to discover causal relationships. We illustrate how observational data can constrain the causal relationships among measured variables, sometimes to the point that we can conclude that one variable is causing another variable. The presentation here is based on a constraint-based approach to causal discovery. A primary purpose of this paper is to present the constraint-based causal discovery method in the simplest possible fashion in order to (1) readily convey the basic ideas that underlie more complex constraint-based causal discovery techniques, and (2) permit interested readers to rapidly program and apply the method to their own databases, as a start toward using more elaborate causal discovery algorithms. Mining for association rules in market basket data has proved a fruitful area of research. Measures such as conditional probability (confidence) and correlation have been used to infer rules of the form “the existence of item A implies the existence of item B.” However, such rules indicate only a statistical relationship between A and B. They do not specify the nature of the relationship: whether the presence of A causes the presence of B, or the converse, or some other attribute or phenomenon causes both to appear together. In applications, knowing such causal relationships is extremely useful for enhancing understanding and effecting change. While distinguishing causality from correlation is a truly difficult problem, recent work in statistics and Bayesian learning provide some avenues of attack. In these fields, the goal has generally been to learn complete causal models, which are essentially impossible to learn in large-scale data mining applications with a large number of variables. In this paper, we consider the problem of determining casual relationships, instead of mere associations, when mining market basket data. We identify some problems with the direct application of Bayesian learning ideas to mining large databases, concerning both the scalability of algorithms and the appropriateness of the statistical techniques, and introduce some initial ideas for dealing with these problems. We present experimental results from applying our algorithms on several large, real-world data sets. The results indicate that the approach proposed here is both computationally feasible and successful in identifying interesting causal structures. An interesting outcome is that it is perhaps easier to infer the lack of causality than to infer causality, information that is useful in preventing erroneous decision making. In observational studies with exposures or treatments that vary over time, standard approaches for adjustment of confounding are biased when there exist time-dependent confounders that are also affected by previous treatment. This paper introduces marginal structural models, a new class of causal mo There are several existing algorithms that under appropriate assumptions can reliably identify a subset of the underlying causal relationships from observational data. This paper introduces the first computationally feasible score-based algorithm that can reliably identify causal relationships in the large sample limit for discrete models, while allowing for the possibility that there are unobserved common causes. In doing so, the algorithm does not ever need to assign scores to causal structures with unobserved common causes. The algorithm is based on the identification of so called Y substructures within Bayesian network structures that can be learned from observational data. An example of a Y substructure is A -> C, B -> C, C -> D. After providing background on causal discovery, the paper proves the conditions under which the algorithm is reliable in the large sample limit.