Real-time monitoring in modern medical research introduces functional longitudinal data, characterized by continuous-time measurements of outcomes, treatments, and confounders. This complexity leads to uncountably infinite treatment-confounder feedbacks, which traditional causal inference methodologies cannot handle. Inspired by the coarsened data framework, we adopt stochastic process theory, measure theory, and net convergence to propose a nonparametric causal identification framework. This framework generalizes classical g-computation, inverse probability weighting, and doubly robust formulas, accommodating time-varying outcomes subject to mortality and censoring for functional longitudinal data. We examine our framework through Monte Carlo simulations. Our approach addresses significant gaps in current methodologies, providing a solution for functional longitudinal data and paving the way for future estimation work in this domain.

We consider time to treatment initialization. This can commonly occur in preventive medicine, such as disease screening and vaccination; it can also occur with non-fatal health conditions such as HIV infection without the onset of AIDS. While traditional causal inference focused on ‘when to treat’ and its effects, including their possible dependence on subject characteristics, we consider the incremental causal effect when the intensity of time to treatment initialization is intervened upon. We provide identification of the incremental causal effect without the commonly required positivity assumption, as well as an estimation framework using inverse probability weighting. We illustrate our approach via simulation, and apply it to a rheumatoid arthritis study to evaluate the incremental effect of time to start methotrexate on joint pain.

Robins et al. (2008) introduced a class of influence functions (IFs) which could be used to obtain doubly robust moment functions for the corresponding parameters. However, that class does not include the IF of parameters for which the nuisance functions are solutions to integral equations. Such parameters are particularly important in the field of causal inference, specifically in the recently proposed proximal causal inference framework of Tchetgen Tchetgen et al. (2020), which allows for estimating the causal effect in the presence of latent confounders. In this paper, we first extend the class of Robins et al. to include doubly robust IFs in which the nuisance functions are solutions to integral equations. Then we demonstrate that the double robustness property of these IFs can be leveraged to construct estimating equations for the nuisance functions, which enables us to solve the integral equations without resorting to parametric models. We frame the estimation of the nuisance functions as a minimax optimization problem. We provide convergence rates for the nuisance functions and conditions required for asymptotic linearity of the estimator of the parameter of interest. The experiment results demonstrate that our proposed methodology leads to robust and high-performance estimators for average causal effect in the proximal causal inference framework.