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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Causal Reasoning for Events in Continuous Time: A Decision-Theoretic Approach</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Vanessa Didelez</string-name>
          <email>Vanessa.Didelez@bristol.ac.uk</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>School of Mathematics University of Bristol</institution>
        </aff>
      </contrib-group>
      <abstract>
        <p>The dynamics of events occurring in continuous time can be modelled using marked point processes, or multi-state processes. Here, we review and extend the work of Røysland et al. (2015) on causal reasoning with local independence graphs for marked point processes in the context of survival analysis. We relate the results to the decision-theoretic approach of Dawid &amp; Didelez (2010) using influence diagrams, and present additional identifying conditions.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>INTRODUCTION</title>
      <p>
        Dynamic dependence structures among the occurrence
of different types of events in continuous time can
be represented by local independence graphs as
developed by Didelez (2006, 2007, 2008). In
        <xref ref-type="bibr" rid="ref12">related
work, Røysland (2011</xref>
        , 2012) showed how causal
inference based on inverse probability weighting (IPW),
well known for longitudinal data
        <xref ref-type="bibr" rid="ref11">(Robins et al., 2000)</xref>
        ,
can be extended to the continuous-time situation
using a martingale approach.
        <xref ref-type="bibr" rid="ref14 ref15">Røysland et al. (2015)</xref>
        combine these and give graphical rules for the
identifiability of the effect of interventions, which in the
context of events in time take the form of changes to
the intensities of specific processes, e.g. a treatment
process.
      </p>
      <p>
        As we discuss here, the approach of
        <xref ref-type="bibr" rid="ref14 ref15">Røysland et al.
(2015)</xref>
        can be seen as the time-continuous version of
        <xref ref-type="bibr" rid="ref3">Dawid &amp; Didelez (2010)</xref>
        , who develop a decision
theoretic approach for sequential decisions in
longitudinal settings and use a graphical representation with
influence diagrams that include decision nodes. This
provides an explicit representation of the target of
inference as well as allowing us to to use simple graphical
rules to check identifiability.
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>LOCAL INDEPENDENCE</title>
    </sec>
    <sec id="sec-3">
      <title>GRAPHS</title>
      <p>The notion of dynamic dependence on which we focus
here can be stated as follows. For stochastic processes
X(t), Y (t), Z(t) we say informally that X(t) is locally
independent of Y (t) given Z(t) if the present of X(t)
is independent of the past of Y (t) given the past of
both X(t), Z(t). Slightly more formally we can write
this as</p>
      <p>
        X(t)⊥⊥ FtY− | FtX−,Z
where Ftk are filtrations generated by Xk(t), i.e. the
sets of information becoming available over time. Note
that this is an asymmetric type of independence as
discussed in detail in
        <xref ref-type="bibr" rid="ref4">Didelez (2006)</xref>
        .
      </p>
      <sec id="sec-3-1">
        <title>Marked Point Processes</title>
        <p>
          More formally we consider a marked point process
(MPP) to describe the occurrence of different types
of events E ; this can be represented by a set of
counting processes {Nj (t)} for each type of event j ∈ E . It
may often be too detailed to model the dependence
structure between all possible types of events; e.g. the
event ‘stop treatment’ can necessarily only happen
after the event ‘start treatment’ and the two events
are therefore trivially dependent. Instead of a MPP
one can therefore group certain events together to
obtain a multi-state process with several components
YV (t) = Y(t) = (Y1(t), . . . , YK (t)), V = 1, . . . , K,
where e.g. Yk(t) describes the treatment process with
states ‘on / off treatment’. Note that the components
Yk(t) need to be such that none of them systematically
change state at the same time, i.e. Y(t) is composable
          <xref ref-type="bibr" rid="ref5">(see Didelez, 2007)</xref>
          . Further each Yk(t) can be
described by a set of counting processes, one for each
change of state, so that the whole Y(t) is itself an
MPP. In the following we will not clearly distinguish
between a component Yk(t) of a composable
multistate process, or a counting process Nj (t) for an
individual event.
        </p>
        <p>Under mild regularity conditions, the Doob–Meyer
Theorem tells us that each counting process can be
decomposed:</p>
        <p>Yk(t) =</p>
        <p>Λk(t)
pre|d{iczta}ble
+</p>
        <p>Mk(t) ,
ma|rt{izng}ale
Z t</p>
        <p>0
where Λk(t) is predictable based on the history F V−
t
of whole YV and Mk(t) is an FtV –martingale. We
will assume that the FtV –intensity processes λk(t) exist
and have the following interpretation:
Λk(t) =
λk(s)ds,</p>
        <p>λk(t)dt = E(Nk(dt) | FtV− ).</p>
      </sec>
      <sec id="sec-3-2">
        <title>Local Independence</title>
        <p>From the above we see that λk(t) fully describes the
dependence of a process’ infinitesimal short-term
expectation on the past. Any independencies must therefore
be reflected in the structure of the intensity; if we find,
for instance, that λk(t) remains unchanged regardless
of whether an event of type j 6= k has occurred in the
past, then we say there is a local independence.
Indeed, the formal definition is that Yk is locally
independent of Yj given YV \{j,k} if λk(t) is FtV \{j}–
measurable, i.e. the intensity process remains the same
when information on the past of Yj is omitted. We
write this as Yj →/ Yk | YV \{j,k}. Note that FtV \{j}
always contains the past of the component Yk itself.
Meek’s (2014) approach allows for cases where λk(t) is
FtV \{k}–measurable.</p>
      </sec>
      <sec id="sec-3-3">
        <title>Graphs and δ–Separation</title>
        <p>The local independence graph G = (V, E) of a
multistate process YV (t) = (Y1(t), . . . , YK (t)) (or an MPP)
is given such that the absence of a directed edge
indicates a local independence, i.e.</p>
        <p>(j, k) ∈/ E ⇒ Yj →/ Yk|YV \{j,k}.</p>
        <p>The resulting graphs are directed, can have two
directed edges between any two vertices, and can have
cycles. Note that pa(k)∩ch(k) 6= ∅ is possible, and
similar for ancestors and decendants etc.</p>
        <p>
          Under regularity conditions, the definition implies that
the intensity process λk for Yk is F cl(k)–measurable
          <xref ref-type="bibr" rid="ref6">(Didelez, 2008)</xref>
          , where cl(k) is the closure (i.e. the set
of parents and k itself).
        </p>
        <p>As for conditional independence graphs, certain
separations on a local independence graph imply further
local independencies. However, a different notion of
separation is required, δ–separation: define GB as the
graph obtained after deleting all edges emanating from
Y4</p>
        <p>
          Y3
nodes in set B; then we say that C δ–separates A from
B in the local independence graph G if it separates A
and B in the undirected graph (GBAn(A∪B∪C))m
obtained by moralising the subgraph of GB on the
ancestral set An(A ∪ B ∪ C). Note that δ–separation
is asymmetric, i.e. δ–separating A from B is not the
same as B from A.
          <xref ref-type="bibr" rid="ref8">Meek (2014)</xref>
          introduces self-edges
so to be able to distinguish the case where a process
is locally independent of itself or not, and generalises
the above to δ∗–separation.
        </p>
        <p>
          A key result of
          <xref ref-type="bibr" rid="ref6">Didelez (2008)</xref>
          is that, under mild
regularity conditions, we have for subsets A, B, C ⊂ V :
if C δ–separates A from B then YA →/ YB | YC .
The above is not obvious as the FtV –intensity and the
F A∪B∪C –intensity of a process can be very different.
        </p>
        <p>t
Example I: The graph in Figure 1 encodes for
instance that Y1 →/ Y4 | (Y2, Y3). Using δ–separation we
can verify that this is not preserved without Y3, i.e. it
is not the case that Y1 →/ Y4 | (Y2). This is because
of the ‘selection effect’: knowing something about the
past of Y2(t) makes the past of Y1(t) informative for
past of Y3(t) and therefore predictive of Y4(t).
3</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>CAUSAL VALIDITY</title>
      <p>
        So far we described a notion, and graphical
representation, of dynamic (in)dependence based on how the
present of a subprocess depends or not on the past of
other processes; in other words, a notion of time-lagged
(in)dependence. As it is based on the intensity process
it can be considered as characterised by infinitesimal
short-term predictions, which is very much parallel to
so-called ‘Granger–causality’
        <xref ref-type="bibr" rid="ref7">(Granger, 1969)</xref>
        .
However, much of the causal inference literature formalises
causality in terms of (sometimes hypothetical)
interventions. For instance a DAG is termed causal if the
set of variables XV is sufficiently ‘rich’ so that an
intervention that changes how a variable Xk is generated
corresponds to replacing p(xk|xpa(k)) with a different
p˜(xk) in the factorisation
p(xV ) =
      </p>
      <p>Y p(xi|xpa(i)).
i∈V
σ1
Y4
Y3</p>
      <p>Røysland et al. (2015) extend this notion of
intervention to local independence graphs by assuming that
the intervention replaces the intensity process λk of
Yk by a different one λ˜k, which will typically be
measurable with respect to a smaller subset of processes,
e.g. those relevant to and observable by the decision
maker.</p>
      <p>
        Remember that for a given local independence graph
G, each intensity process λk is F cl(k)–measurable.
        <xref ref-type="bibr" rid="ref14 ref15">Røysland et al. (2015)</xref>
        then define this graph to be
causally valid for an intervention in Yk if this
corresponds to replacing λk by λ˜k while all other intensities
λj , j 6= k, remain the same under the intervention.
      </p>
      <sec id="sec-4-1">
        <title>Intervention Indicator</title>
        <p>
          In analogy to the influence diagrams of
          <xref ref-type="bibr" rid="ref1">Dawid (2002</xref>
          ,
2012), it can be helpful to indicate graphically that
an intervention modifying the intensity of Yk is being
considered, by adding an intervention node σk. For
the basic set-up chosen here, σk would itself not be a
process and simply take values in {o, e} to indicate the
original system with intensity λk when σk = o, or the
intervened system with intensity λ˜k when σk = e. The
absence of any edges involving σk other than σk −→ Yk
then represents the causal validity assumption, in
analogy to extended stability of
          <xref ref-type="bibr" rid="ref3">Dawid &amp; Didelez (2010)</xref>
          .
Example I (ctd.): The graph in Figure 2 is
augmented with the intervention node σ1 to indicate that
Y1 is subject to possibly different intensities in the
two different regimes. The absence of edges between
σ1 and other nodes indicates that their observational
F cl(k)–intensities remain the same under intervention.
        </p>
        <p>t</p>
      </sec>
      <sec id="sec-4-2">
        <title>Re-Weighting</title>
        <p>Similar to the case of longitudinal data, it turns out
that inference about the dynamics between events
under the intervened system can be obtained by
re-weighting. Specifically the weights are given as
W (t) :=</p>
        <p>Y
s≤t
λ˜k(s) !ΔNk(s)
λk(s)
exp</p>
        <p>For these to be well-defined, in particular for P˜ &lt;&lt; P ,
we need W (t) to be uniformly integrable which can
be interpreted as λk(t), λ˜k(t) not being ‘too different’,
e.g. W (t) could be uniformly bounded. In fact, if Λk(t)
is assumed absolutely continuous such that λk(t)
exists, then it is e.g. not possible to re-weight with an
intervention that has discrete jumps of Nk(t) at fixed
time points. Note that this can be regarded as
correspondent of the ‘positivity’ condition typically made
in many causal inference contexts.</p>
      </sec>
      <sec id="sec-4-3">
        <title>Censoring and Re-Weighting</title>
        <p>In the context of survival or duration data it is
almost inevitable to have censoring (e.g. due to the end
of the study). Censoring in itself can be regarded as
an event and modelled with a counting process that
jumps when the observation is censored. This then
allows us to express assumptions about the censoring in
terms of its intensity process. A common assumption
is independent censoring which can be stated as the
relevant process (e.g. survival) being locally
independent of the censoring process, possibly conditional on
other observed processes. The most obvious violation
of this assumption occurs when there are unobserved
common causes for censoring and survival.</p>
        <p>
          Moreover, censoring can be linked to the above ideas
of intervention and re-weighting in the following sense.
The target of inference is typically a population where
no censoring occurs (e.g. future patients) or where
censoring is entirely random and stochastically
independent of other processes. Hence we can say that the
target is to replace the censoring intensity by a
different intensity that does not depend on the past. When
this is possible given the observed processes
therefore depends among others on whether the local
independence graph on all events including censoring is
causally valid wrt. the censoring process.
          <xref ref-type="bibr" rid="ref14 ref15">Røysland
et al. (2015)</xref>
          discuss this further and give an example
where censoring is independent, but based on a
local independence graph that is not causally valid and
hence leading to incorrect inference. For the remainder
of the paper here we do not further consider censoring.
4
        </p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>IDENTIFICATION</title>
      <p>In the following we assume that the index set of
processes is V = V0 ∪ X ∪ L ∪ U where V0 are
observable processes of interest (‘outcome’ processes), X (or
counting process NX ) is the process in which we want
to intervene changing its intensity, L is a set of
observable processes in which we are not interested, and U
is a set of unobservable processes.</p>
      <sec id="sec-5-1">
        <title>Definition 1:</title>
        <p>
          Let G be the local independence graph for processes
V = V0 ∪ X ∪ L ∪ U ; assume causal validity wrt. X.
Consider an intervention in X that changes its
observational F V –intensity λX to a F V0 –intensity λ˜X . We
say that the effect of such an intervention on V0 is
identified by L if the F V0 –intensities for every
counting process N ∈ V0 under the intervention exist and
are given by re-weighting with the above weights W (t).
          <xref ref-type="bibr" rid="ref14 ref15">Røysland et al. (2015)</xref>
          show the following sufficient
condition for identification:
        </p>
      </sec>
      <sec id="sec-5-2">
        <title>Proposition 2:</title>
        <p>In the situation of Definition 1, if U →/ X | (V0 ∪ L),
then the effect on V0 of intervening in X is identified
by L.</p>
        <p>Example I (ctd.): In Figure 2, assume we are
interested in the effect of an intervention in X = Y1 on
V0 = Y4 and let L = Y2 and U = Y3. Then we see that
Proposition 2 is satisfied, meaning that re-weighting
will allow us to compute aspects of the possibly
modified behaviour of Y4 under an intervention that changes
the intensity process of Y1, where the weights require
no observation of Y3.</p>
        <p>
          The condition of Proposition 2 is the point
process analogue of sequential randomisation in
          <xref ref-type="bibr" rid="ref3">Dawid &amp;
Didelez (2010)</xref>
          ; it is in fact satisfied iff U ∩pa(X) = ∅.
In other words, it formalises the notion that given the
past of observed processes, X(t) is at any time t
independent of the past of unobserved processes.
          <xref ref-type="bibr" rid="ref3">Dawid
&amp; Didelez (2010)</xref>
          show that this implies ‘simple
stability’ which in turn is a sufficient identifying condition
for sequential interventions in their longitudinal
(timediscrete) setting. Here, we define the time-continuous
marked point process analogue as follows.
        </p>
      </sec>
      <sec id="sec-5-3">
        <title>Definition 3:</title>
        <p>With the preconditions of Definition 1, and the
augmented local independence graph Gσ with intervention
node σX , we define that simple stability holds if
σX →/ (L ∪ V0) | X.</p>
        <p>We conjecture that identification can in fact be
obtained under the wider assumption of simple stability.</p>
      </sec>
      <sec id="sec-5-4">
        <title>Conjecture 4:</title>
        <p>Assume the preconditions of Definition 1, and the
augmented local independence graph Gσ (i.e. causal
validity wrt. X).</p>
        <p>If simple stability holds, then the effect on V0 of
intervening in X is identified by L.</p>
      </sec>
      <sec id="sec-5-5">
        <title>Corollary 5:</title>
        <p>The condition of Proposition 2 implies simple stability.
We can now formulate a result corresponding to Dawid
L
V0
&amp; Didelez’ (2010) notion of ‘sequential irrelevance’;
this condition allows unobserved processes in U to
affect the treatment process X as long as they are
‘irrelevant’ to the other processes of interest.</p>
      </sec>
      <sec id="sec-5-6">
        <title>Corollary 6:</title>
        <p>Assume the preconditions of Definition 1, and the
augmented local independence graph Gσ (i.e. causal
validity wrt. X). Then U →/ (V0 ∪ L) | X implies simple
stability.</p>
        <p>Both, Corollary 5 and 6 are sufficient but not necessary
for simple stability as the following example
demonstrates.</p>
        <p>Example II: The graph in Figure 3 shows a
situation where U = (U1, U2) satisfies neither Proposition
2 nor Corollary 6. However, simple stability is
satisfied. Note that U1 alone fulfills Corollary 6 and U2
alone Proposition 2. All these would be destroyed by
an edge between U1 and U2.
5</p>
      </sec>
    </sec>
    <sec id="sec-6">
      <title>DISCUSSION</title>
      <p>
        More generality? In the time-discrete case, more
general conditions for causal effect identification can and
have been given than those analogous to simple
stability. Specific to sequential decisions in longitudinal
data these are for example addressed in
        <xref ref-type="bibr" rid="ref9">Pearl &amp; Robins
(1995)</xref>
        ,
        <xref ref-type="bibr" rid="ref10">Robins (1997)</xref>
        , Dawid &amp; Didelez (2010; section
8). It appears not straightforward to generalise these
to the time-continuous situation with local
independence graphs considered here, as it assumes
stationarity of the dependence structure, while such more
general criteria are typically relevant when the structure
changes over time. However, it is possible to generalise
local independence graphs to some extend in order to
take non-stationarity of (in)dependencies into account,
e.g. some independencies might hold before a certain
event has happened and others afterwards leading to
a sequence of graphs that are valid in intervals defined
by stopping times
        <xref ref-type="bibr" rid="ref6">(Didelez, 2008)</xref>
        .
      </p>
      <p>
        Why an intervention indicator? The decision theoretic
approach to causality makes it formally and
graphically explicit that an intervention in a particular node
is being considered and what assumptions are involved
        <xref ref-type="bibr" rid="ref2">(Dawid, 2012)</xref>
        . This allows greater clarity, e.g.
regarding the target of inference; but in our case it also allows
to formulate conditions for identification that do not
need to refer to or characterise unobservable processes
U . The flip side is that one might miss an intuition
for what kinds of U violate the conditions, which may
impede justifying the assumption of simple stability.
Here, we have linked the results to the notions of
sequential randomisation / irrelevance of U which
provide some intuition.
      </p>
      <p>
        Causal Search? We assumed that the local
independence graph is given and that subject matter
knowledge justifies causal validity wrt. certain events or
processes.
        <xref ref-type="bibr" rid="ref8">Meek (2014)</xref>
        addresses learning the graph.
Under a completeness assumption this is in principle (i.e.
given an oracle test for local independence)
straightforward as there are no issues of Markov-equivalence
due to the asymmetry of local independence in time,
i.e. all edges can easily be oriented.
        <xref ref-type="bibr" rid="ref8">Meek (2014)</xref>
        further gives results for cases of unobserved processes, e.g.
causal insufficiency. However, the main practical
problem in any real application will be a suitable test for
local independence. In low-dimensional settings with
few events, this can be done almost non-parametrically
e.g. by testing equality of survival-curves; but in higher
dimensions this becomes prohibitive. One could make
simplifying assumptions, such as assuming a Markov
process; in this context it is important to be aware that
if YV (t) is Markov, then a subprocess YA(t), A ⊂ V
is typically not.
      </p>
    </sec>
    <sec id="sec-7">
      <title>APPENDIX</title>
      <p>
        Proof of Conjecture 4: see
        <xref ref-type="bibr" rid="ref14 ref15">Røysland &amp; Didelez (2015)</xref>
        .
      </p>
      <sec id="sec-7-1">
        <title>Proof of Corollary 5:</title>
        <p>Remember that in the augmented local independence
graph Gσ, assuming causal validity wrt. X, there
is only a single edge involving σX pointing into X.
Further, the condition of Proposition 2 is satisfied
iff U ∩pa(X) = ∅ in G. The graphical check of
δ–separation for simple stability involves removing all
outgoing edges from V0 ∪ L; in the resulting graph
before moralisation, there are no edges into X except
the one from σX . Hence, in the moral graph, σX only
has an edge with X and Definition 3 is satisfied.</p>
      </sec>
      <sec id="sec-7-2">
        <title>Proof of Corollary 6:</title>
        <p>As above, in the augmented local independence graph
Gσ there is only a single edge involving σX pointing
into X. The graphical check of δ–separation for
simple stability, furthermore, involves removing all
outgoing edges out of V0 ∪ L and with the condition
of Corollary 6 this means that there are no edges
between U and V0 ∪ L at all. Hence, even if there are
moral edges between σX and U these do not lead to
paths between V0 ∪ L and σX in the relevant moral
graph and Definition 3 is satisfied.</p>
        <sec id="sec-7-2-1">
          <title>Acknowledgement</title>
          <p>
            Financial support f
            <xref ref-type="bibr" rid="ref12">rom the Leverhulme Trust (RF–
2011</xref>
            –320) is gratefully acknowledged.
          </p>
        </sec>
      </sec>
    </sec>
  </body>
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