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A Refined Generalization Analysis for Extreme Multi-class Supervised Contrastive Representation Learning Ensemble Distributionally Robust Bayesian Optimisation The Proxy Presumption: From Semantic Embeddings to Valid Social Measures Modulated learning for private and distributed regression with just a single sample per client device Query-efficient model evaluation using cached responses Functional-prior-based approaches to Bayesian PDE-constrained inversion using physics-informed neural networks Optimal Experiments for Partial Causal Effect Identification Order-Agnostic Autoregressive Modelling with Missing Data Grokking or Glitching? How Low-Precision Drives Slingshot Loss Spikes Tuning Derivatives for Causal Fairness in Machine Learning Spherical Flows for Sampling Categorical Data Bayesian Rain Field Reconstruction using Commercial Microwave Links and Diffusion Model Priors GRALIS: A Unified Canonical Framework for Linear Attribution Methods via Riesz Representation Sharp Capacity Thresholds in Linear Associative Memory: From Winner-Take-All to Listwise Retrieval Unified Framework of Distributional Regret in Multi-Armed Bandits and Reinforcement Learning Jacobian-Velocity Bounds for Deployment Risk Under Covariate Drift Self-Attention as Transport: Limits of Symmetric Spectral Diagnostics Perturbation is All You Need for Extrapolating Language Models Adapt or Forget: Provable Tradeoffs Between Adam and SGD in Nonstationary Optimization Realizable Bayes-Consistency for General Metric Losses Graph Convolutional Support Vector Regression for Robust Spatiotemporal Forecasting of Urban Air Pollution Segmenting Human-LLM Co-authored Text via Change Point Detection Stochastic Schrödinger Diffusion Models for Pure-State Ensemble Generation Understanding Self-Supervised Learning via Latent Distribution Matching The Geometric Mechanics of Contrastive Representation Learning: Alignment Potentials, Entropic Dispersion, and Cross-modal Divergence Imbalanced Classification under Capacity Constraints On the Spectral Structure and Objective Equivalence of Orthogonal Multilabel Fisher Discriminants Partially Observed Structural Causal Models First-Order Efficiency for Probabilistic Value Estimation via A Statistical Viewpoint Robust and Fast Training via Per-Sample Clipping
Reframing Population-Adjusted Indirect Comparisons as a T...
[Submitted on 19 Feb 2026 (v1), last revised 6 Jul 2026 (this ve · 2026-06-12 · via stat updates on arXiv.org

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Abstract:Population-adjusted indirect comparisons (PAICs) are widely used to synthesize evidence when randomized controlled trials enroll different patient populations and head-to-head comparisons are unavailable. Although PAICs adjust for observed population differences across trials, adjustment alone does not ensure transportability of estimated effects to decision-relevant populations for health technology assessment (HTA). We examine and formalize transportability in PAICs from an estimand-based perspective. We distinguish conditional and marginal treatment effect estimands and show how transportability depends on effect modification, collapsibility, and alignment between the scale of effect modification and the effect measure. Using illustrative examples, we demonstrate that even when effect modifiers are shared across treatments, marginal effects are generally population-dependent for commonly used non-collapsible measures, including hazard ratios and odds ratios. Conversely, collapsible and conditional effects defined on the linear predictor scale exhibit more favorable transportability properties. We further show that pairwise PAIC approaches typically identify effects defined in the comparator population and that applying these estimates to other populations entails an additional, often implicit, transport step requiring further assumptions. This has direct implications for HTA, where PAIC-derived effects are routinely applied within cost-effectiveness and decision models defined for different target populations. Our results clarify when applying PAIC-derived treatment effects to desired target populations is justified, when doing so requires additional assumptions, and when results should instead be interpreted as population-specific rather than decision-relevant, supporting more transparent and principled use of indirect evidence in HTA and related decision-making contexts.

Submission history

From: Conor Chandler [view email]
[v1] Thu, 19 Feb 2026 03:24:16 UTC (2,103 KB)
[v2] Thu, 11 Jun 2026 17:36:38 UTC (2,081 KB)
[v3] Mon, 6 Jul 2026 17:48:40 UTC (2,080 KB)