Equity in Focus : Investigating Gender Disparities in Glioblastoma via Propensity Score Matching

Solomon Eshun

Home/Archive/arXiv

arXiv · 2308.03827

Equity in Focus : Investigating Gender Disparities in Glioblastoma via Propensity Score Matching

Solomon Eshun

View original source ↗Read source document ↗Export metadata ↓

Abstract

Gender disparities in health outcomes have garnered significant attention, prompting investigations into their underlying causes. Glioblastoma (GBM), a devastating and highly aggressive form of brain tumor, serves as a case for such inquiries. Despite the mounting evidence on gender disparities in GBM outcomes, investigations specific at the molecular level remain scarce and often limited by confounding biases in observational studies. In this study, I aimed to investigate the gender-related differences in GBM outcomes using propensity score matching (PSM) to control for potential confounding variables. The data used was accessed from the Cancer Genome Atlas (TCGA), encompassing factors such as gender, age, molecular characteristics and different glioma grades. Propensity scores were calculated for each patient using logistic regression, representing the likelihood of being male based on the baseline characteristics. Subsequently, patients were matched using the nearest-neighbor (with a restricted caliper) matching to create a balanced male-female group. After PSM, 303 male-female pairs were identified, with similar baseline characteristics in terms of age and molecular features. The analysis revealed a higher incidence of GBM in males compared to females, after adjusting for potential confounding factors. This study contributes to the discourse on gender equity in health, paving the way for targeted interventions and improved outcomes, and may guide efforts to improve gender-specific treatment strategies for GBM patients. However, further investigations and prospective studies are warranted to validate these findings and explore additional factors that might contribute to the observed gender-based differences in GBM outcomes aside from the molecular characteristics.

Explore related subjects

stat.AP

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

Solomon Eshun. 2026-08-03. Equity in Focus : Investigating Gender Disparities in Glioblastoma via Propensity Score Matching. https://arxiv.org/abs/2308.03827

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

Geospatial Foundation Models Capture Health-Relevant Dimensions of Place Beyond Conventional Social Risk Indices

Area-based social risk indices summarize residents' socioeconomic conditions but incompletely capture physical features of place that may affect health. We evaluated whether numerical representations of physical place produced by four geospatial foundation model families from 2022 satellite data explained residual variance in tract-level associations between the Area Deprivation Index, Social Deprivation Index, and Social Vulnerability Index with health outcomes. We used LightGBM to predict variables from the American Community Survey and 40 chronic disease and health-behavior outcomes from CDC PLACES across 82,646 census tracts in the contiguous United States, evaluating performance across 10 held-out states. Among survey variables, models were moderately predictive of some variables including housing type (R-squared up to 0.54) but weak for disability, unemployment, and income disparity. For health outcomes, models explained up to 54% of variance left unexplained by social risk indices, with the largest gains for annual checkups, arthritis, and high blood pressure. Mean total variance explained by geospatial foundation models across the 40 health-related outcomes increased from 0.31 in the smallest tract-size decile to 0.39 in the largest. Geospatial foundation models capture health-relevant features of place not represented by conventional social risk indices and may usefully augment them in epidemiological analyses.

stat.AP↗

arXiv2026

Transporting summary measures of relative effects from randomised trials to the treated patient population: an application to breast cancer endocrine therapy

Randomised trials often report relative treatment effects, such as risk ratios and hazard ratios, for trial populations. Clinical decision-making, however, often benefits from estimates of absolute treatment effects in the population eligible for treatment. Trial participants may not represent this target population well, and restrictions on access to individual participant trial data can further complicate absolute effect estimation. Routine care data are often representative of the target population but may be subject to uncontrolled confounding. We consider estimation of the average treatment effect on the treated (ATT), an absolute measure, by combining a representative sample of treated routine care patients with summary measures (i.e., estimated risk or hazard ratios) from either a randomised trial or a meta-analysis of trials. Under marginal or conditional transportability assumptions, the ATT is shown to be identifiable. The implications of collapsibility of the effect measure on transportability are discussed, and plug-in estimators of the ATT are presented. Simulation studies are used to assess finite sample performance of the estimators in a range of settings. The proposed methods are applied to estimate the ATT of endocrine therapy on 15-year breast cancer mortality using results from a meta-analysis of randomised trials and England's National Disease Registration Service.

stat.AP↗

arXiv2026

Overcoming Model Misspecification in Bayesian Inference of Molecular Signalling Networks

Bayesian inference of molecular signalling networks usually relies on tractability of the marginal likelihood, enabling the set of possible networks to be efficiently explored. As such, linear models with independent errors and conjugate priors are routinely used. However, the dynamics of molecular signalling are nonlinear, and relevant confounders are often unobserved; failure to account for these complexities will almost certainly lead to over-confident inferences in the standard Bayesian framework. To confront this reality, we develop a post-Bayesian approach to inference of molecular signalling networks, guided by the principle that uncertainty should not vanish when the statistical model is misspecified, even in the infinite-data limit. Technically, we extend the predictively-oriented (PrO) posterior of McLatchie et al. (2025) to the setting of latent variable models, empirically investigating the properties of PrO posteriors in the challenging network inference context.

stat.AP↗