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The goal of ciccr is to implement methods for carrying out causal inference in case-control studies (Jun and Lee, 2020).


You can install the released version of ciccr from CRAN with:


Alternatively, you can install the development version from GitHub with:

# install.packages("devtools") # uncomment this line if devtools is not installed yet 


We first call the ciccr package.


To illustrate the usefulness of the package, we use the dataset ACS_CC that is included the package. This dataset is an extract from American Community Survey (ACS) 2018, restricted to white males residing in California with at least a bachelor’s degree. The ACS is an ongoing annual survey by the US Census Bureau that provides key information about US population. We use the following variables:

  y = ACS_CC$topincome
  t = ACS_CC$baplus
  x = ACS_CC$age

The original ACS survey is not from case-control sampling but we construct a case-control sample by the following procedure:

  1. The case sample is composed of 921 individuals whose income is top-coded.
  2. The control sample of equal size is randomly drawn without replacement from the pool of individuals whose income is not top-coded.

We now construct cubic b-spline terms with three inner knots using the age variable.

  x = splines::bs(x, df = 6)

Using the retrospective sieve logistic regression model, we estimate the average of the log odds ratio conditional on the case sample by

  results_case = avg_RR_logit(y, t, x, 'case')
#>         y 
#> 0.7286012
#>         y 
#> 0.1013445

Here, option 'case' refers to conditioning on the event that income is top-coded.

Similarly, we estimate the average of the log odds ratio conditional on the control sample by

  results_control = avg_RR_logit(y, t, x, 'control')
#>         y 
#> 0.5469094
#>         y 
#> 0.1518441

Here, option 'control' refers to conditioning on the event that income is not top-coded.

We carry out causal inference by

results = cicc_RR(y, t, x, 'cc', 0.95)

Here, ‘cc’ refers to case-control sampling and 0.95 refers to the level of the uniform confidence band (0.95 is the default choice).

  est = results$est
#>         y         y 
#> 0.5469094 0.7286012
  se = results$se
#>         y         y 
#> 0.1518441 0.1013445
  ci = results$ci
#>         y         y 
#> 0.8445183 1.0262101

The S3 object results contains estimates est, standard errors se, and one-sided confidence bands ci at p = 0 and p = 1. The point estimates and confidence interval estimates of the cicc_RR command are based on the scale of log relative risk. It is more conventional to look at the results in terms of the relative scale. To do so, we plot the results in the following way:


To interpret the results, we assume both marginal treatment response (MTR) and marginal treatment selection (MTS). In this setting, MTR means that everyone will not earn less by obtaining a degree higher than bachelor’s degree; MTS indicates that those who selected into higher education have higher potential to earn top incomes. Based on the MTR and MTS assumptions, we can conclude that the treatment effect lies in between 1 and the upper end point of the one-sided confidence interval with high probability. Thus, the estimates in the graph above suggest that the effect of obtaining a degree higher than bachelor’s degree is anywhere between 1 and the upper end points of the uniform confidence bands. This roughly implies that the chance of earning top incomes may increase up to by a factor as large as the upper end points of the uniform confidence band, but allowing for possibility of no positive effect at all. The results are shown over the range of the unknown true case probability. See Jun and Lee, 2020 for more detailed explanations regarding how to interpret the estimation results.

Comparison with Logistic Regression

We can compare these results with estimates obtained from logistic regression.

logit = stats::glm(y~t+x, family=stats::binomial("logit"))
est_logit = stats::coef(logit)
ci_logit = stats::confint(logit, level = 0.9)
#> Waiting for profiling to be done...
# point estimate
#> (Intercept)           t          x1          x2          x3          x4 
#>  0.05461156  2.06117153  4.42179639 12.99601849 19.03962976 26.83565737 
#>          x5          x6 
#>  6.42381406 26.14359394
# confidence interval
#>                     5 %       95 %
#> (Intercept)  0.01960819  0.1304108
#> t            1.75166056  2.4271287
#> x1           1.05679997 21.6604223
#> x2           5.50583091 33.8909622
#> x3           6.79458010 61.3258710
#> x4          10.22943808 78.7353953
#> x5           2.00536450 22.8509008
#> x6           8.66983039 87.6311482

Here, the relevant coefficient is 2.06 (t) and its two-sided 90% confidence interval is [1.75, 2.43]. If we assume strong ignorability, the treatment effect is about 2 and its two-sided confidence interval is between [1.75, 2.43]. However, it is unlikely that the higher BA treatment satisfies the strong ignorability condition.

What else the package can do

See the vignette for other examples that include inference on attributable risk and how to work with case-population samples.


Sung Jae Jun and Sokbae Lee. Causal Inference in Case-Control Studies.

Manski, C.F. (1997). Monotone Treatment Response. Econometrica, 65(6), 1311-1334.

Manski, C.F. and Pepper, J.V. (2000). Monotone Instrumental Variables: With an Application to the Returns to Schooling. Econometrica, 68(4), 997-1010.