OrthoGen: A Generative Orthogonal Learner for Time-Varying Treatments

Tomàs Garriga, Valentyn Melnychuk, Konstantin Hess, Eduard Serrahima de Cambra, Axel Brando +2

Estimating conditional distributional potential outcomes (CDPOs) over time is important in medicine (e.g., to estimate patient-specific risks under different treatment sequences). However, this task is challenging because of time-varying confounding, yet existing adjustment strategies for this task are limited. In this paper, we aim to learn CDPOs under time-varying treatments using flexible generative models. Our contributions are two-fold. (1) We introduce a tailored adjustment strategy for our setting, namely, generative recursive g-computation. Our adjustment strategy recursively propagates full conditional outcome distributions rather than conditional means, modeling the variables of interest directly rather than full trajectories. Building on our adjustment strategy, we formulate simple generative learners for CDPO estimation. However, these learners can be sensitive to nuisance estimation errors, which motivates an orthogonal learner. (2) We thus introduce OrthoGen, a Neyman-orthogonal and doubly robust generative learner. Importantly, we show that OrthoGen further achieves rate double robustness and quasi-oracle efficiency under suitable conditions. Our learners are…