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Primary Submission Category: Heterogeneous Treatment Effects

Distilling Causal Effects: Stable subgroup estimation via distillation trees in causal inference

Authors: Melody Huang, Tiffany Tang, Ana Kenney,

Presenting Author: Ana Kenney*

Recent methodological developments have introduced new black-box approaches to better estimate heterogeneous treatment effects; however, these methods fall short of providing interpretable characterizations of the underlying individuals who may be most at risk or benefit most from receiving the treatment, thereby limiting their practical utility. In this work, we introduce a novel method, causal distillation trees (CDT), to estimate interpretable subgroups. CDT allows researchers to fit any machine learning model of their choice to estimate the individual-level treatment effect, and then leverages a simple, second-stage tree-based model to “distill” the estimated treatment effect into meaningful subgroups. As a result, CDT inherits the improvements in predictive performance from black-box machine learning models while preserving the interpretability of a simple decision tree. We theoretically characterize the stability of CDT in estimating substantively meaningful subgroups and provide stability-driven diagnostics for researchers to evaluate the quality of the estimated subgroups. We illustrate our proposed method on a randomized controlled trial of antiretroviral treatment for HIV from the AIDS Clinical Trials Group Study 175 and show that CDT out-performs state-of-the-art approaches in constructing stable, clinically relevant subgroups.