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. Author manuscript; available in PMC: 2017 Oct 1.
Published in final edited form as: J Am Geriatr Soc. 2016 Aug 22;64(10):2065–2073. doi: 10.1111/jgs.14253

Table 2. Comparison of Commonly Used Propensity Score Analysis Methods.

PS Method Advantages Disadvantages
Matching
  • Allows intuitive analysis and transparent presentation of covariate balance

  • Removes covariate imbalance more effectively (less bias) than other stratification or covariate adjustment

  • Does not require specification of the PS-outcome association

  • Limits generalizability and reduces power by excluding unmatched patients

  • Subject to residual and unmeasured confounding

Weighting
  • Can be extended to account for time-dependent confounding and censoring

  • Removes covariate imbalance more effectively (less bias) than other stratification or covariate adjustment

  • Does not require specification of the PS-outcome association

  • Analyzes study population within range of common support

  • May be subject to the influence of few patients with extreme weights

  • PS model misspecification can result in extreme weights.

  • Subject to residual and unmeasured confounding

Stratification
  • Allows relatively straightforward analysis and transparent presentation of covariate balance for each stratum

  • Does not require specification of the PS-outcome association

  • Analyzes study population within range of common support

  • In the presence of non-uniform treatment effects across strata, a single summary estimate is not meaningful.

  • Subject to residual and unmeasured confounding

Covariate
Adjustment
  • Analyzes the entire study population

  • Requires specification of the PS-outcome association; if misspecified, the estimated effect can be biased.

  • Does not allow transparent assessment of covariate balance

  • Subject to residual and unmeasured confounding

  • Due to these limitations, this method is no longer considered a best practice.

Abbreviation: PS, propensity score.