arXiv Machine Learning By Frances Dean, Anna Neufeld, Joshua Barrios, Geoffrey H Tison, Ahmed Alaa

Artificial intelligence surrogates for treatment effect estimation with before-and-after data

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The paper proposes a method for estimating treatment effects using AI-generated predictions as surrogates, applied to paired before-and-after measurements for each treated individual. By comparing AI predictions before and after treatment, the approach can identify the average treatment effect on the treated under certain technical assumptions, even when clinical outcomes are never observed for treated subjects. When assumptions are questionable, the authors introduce prediction‑powered inference that corrects bias with a small set of observed outcomes, and validate the method with synthetic and cardio‑oncology data.

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