Nonparametric tests of treatment effect homogeneity for policy-makers

Recent work has focused on nonparametric estimation of conditional treatment effects, but inference has remained relatively unexplored. We propose a class of nonparametric tests for both quantitative and qualitative treatment effect heterogeneity. The tests can incorporate a variety of structured assumptions on the conditional average treatment effect, allow for both continuous and discrete covariates, and do not require sample splitting to obtain a tractable asymptotic null distribution. Furthermore, we show how the tests are tailored to detect alternatives where the population impact of adopting a personalized decision rule differs from using a rule that discards covariates. The proposal is thus relevant for guiding treatment policies. The utility of the proposal is borne out in simulation studies and a re-analysis of an AIDS clinical trial.

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Publication Details

Journal
Journal of the American Statistical Association
Published
2026-05-18
DOI
https://doi.org/10.1080/01621459.2026.2670746
Primary Topic
Health Systems, Economic Evaluations, Quality of Life
Type
preprint
Field-Weighted Citation Impact
0.00

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preprint

Nonparametric tests of treatment effect homogeneity for policy-makers

Mats Julius Stensrud, Oliver Dukes, Aaron Hudson, Riccardo Brioschi
Journal of the American Statistical Association
Health Systems, Economic Evaluations, Quality of Life
preprint

Nonparametric tests of treatment effect homogeneity for policy-makers

Mats Julius Stensrud, Oliver Dukes, Aaron Hudson, Riccardo Brioschi
preprint en

Abstract

Recent work has focused on nonparametric estimation of conditional treatment effects, but inference has remained relatively unexplored. We propose a class of nonparametric tests for both quantitative and qualitative treatment effect heterogeneity. The tests can incorporate a variety of structured assumptions on the conditional average treatment effect, allow for both continuous and discrete covariates, and do not require sample splitting to obtain a tractable asymptotic null distribution. Furthermore, we show how the tests are tailored to detect alternatives where the population impact of adopting a personalized decision rule differs from using a rule that discards covariates. The proposal is thus relevant for guiding treatment policies. The utility of the proposal is borne out in simulation studies and a re-analysis of an AIDS clinical trial.

Journal of the American Statistical Association
HOGENT University of Applied Sciences and Arts (BE), Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa (ZA), Ghent University (BE), Fred Hutch Cancer Center (US), École Polytechnique Fédérale de Lausanne (CH)
National Science Foundation, Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung, Fonds Wetenschappelijk Onderzoek
Openalex Percentile: Top 100%
Health Systems, Economic Evaluations, Quality of Life
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