FusionForests

FusionForests is an R package for Bayesian tree ensemble models for data fusion and causal inference. The main model, FusionForest(), combines data from a randomised controlled trial (RCT) and an observational study (real-world data, RWD) in a single Bayesian framework. Crucially, the observational data are not assumed to be unconfounded.

The model targets heterogeneous treatment effects on continuous and (interval-)censored survival outcomes. Using an accelerated failure time specification, the outcome is decomposed over separate tree forests:

$$\log T = m_0^{\mathrm{sh}}(X) + (1-S),d(X) + A,\tau(X) + (1-S),A,c(X) + \varepsilon,$$

where $T$ is the survival time (for a continuous outcome, $\log T$ is replaced by the outcome itself), $A$ is the treatment, $S$ indicates the source ($S = 1$ for the RCT, $S = 0$ for the RWD), and $\varepsilon$ is a mean-zero error term — Gaussian or a flexible Dirichlet-process mixture. Each term is modelled by its own forest:

• $m_0^{\mathrm{sh}}(X)$ — baseline forest: the baseline log survival time under control, shared across both sources (control arguments);
• $d(X)$ — deviation forest: how the baseline in the RWD deviates from the one in the RCT (deviation arguments);
• $\tau(X)$ — treatment forest: the heterogeneous treatment effect (treat arguments);
• $c(X)$ — confounding forest: the bias in the RWD treatment contrast caused by unmeasured confounding (deconf arguments).

The real-world data alone identify only the sum $\tau(x) + c(x)$. The trial anchors $\tau$, so the observational data add precision without their confounding leaking into the treatment effect estimate.

Reference

The methodology is described in:

Bayesian fusion forests for heterogeneous treatment effects on survival from randomised and real-world data T. Jacobs, S.L. van der Pas, W.N. van Wieringen https://arxiv.org/abs/2607.29295

Installation

Install the released version from CRAN:

install.packages("FusionForests")

The development version can be installed from GitHub:

# install.packages("remotes")
# remotes::install_github("tijn-jacobs/FusionForests")
install.packages("FusionForests", repos = c('https://tijn-jacobs.r-universe.dev', 'https://cloud.r-project.org'))

Quick example

A small RCT (n = 200) is combined with a larger RWD cohort (n = 800) in which treatment assignment depends on an unobserved confounder U that also affects survival:

library(FusionForests)

set.seed(42)
n_rct <- 200
n_rwd <- 800
n <- n_rct + n_rwd

X <- matrix(rnorm(n * 3), n, 3)
U <- rnorm(n)                        # unobserved confounder
s <- rep(c(1, 0), c(n_rct, n_rwd))   # 1 = RCT, 0 = RWD

# Treatment: randomised in the RCT, driven by U in the RWD
a <- ifelse(s == 1,
            rbinom(n, 1, 0.5),
            rbinom(n, 1, plogis(1.5 * U)))

# True heterogeneous effect on log survival time
tau <- 0.4 + 0.4 * X[, 1]

log_t <- 1 + X[, 1] + 0.5 * X[, 2] + a * tau + 0.7 * U + 0.3 * rnorm(n)
true_time <- exp(log_t)
cens_time <- rexp(n, rate = 1 / (2 * mean(true_time)))
time   <- pmin(true_time, cens_time)
status <- as.integer(true_time <= cens_time)

fit <- FusionForest(
  y = time, status = status,
  X_train_control = X, X_train_treat = X,
  treatment_indicator_train = a, source_indicator_train = s,
  X_test_control = X, X_test_treat = X,
  treatment_indicator_test = a, source_indicator_test = s,
  outcome_type = "right-censored",
  N_post = 2000, N_burn = 2000,
  store_posterior_sample = TRUE
)

# Posterior draws of the treatment effect (log-time scale) per subject
cate <- log(fusion_estimand(fit, estimand = "AF"))
cate_mean <- colMeans(cate)
cate_lo   <- apply(cate, 2, quantile, 0.025)
cate_hi   <- apply(cate, 2, quantile, 0.975)

plot(tau, cate_mean, pch = 19, cex = 0.45, col = "#2a78d6",
     xlab = "True treatment effect (log-time scale)",
     ylab = "Posterior treatment effect")
segments(tau, cate_lo, tau, cate_hi, col = adjustcolor("#2a78d6", 0.12))
abline(0, 1, lty = 2, col = "grey40")

Even though treatment assignment in the RWD is driven by an unobserved confounder, the fitted treatment effects track the truth (correlation 0.89) and the 95% credible intervals cover the true effect for 94% of subjects.

Vignette

The vignette walks through a complete analysis of the semi-synthetic breast_fusion data, which ship with the package. It covers the model fit, single-source comparisons, causal estimands, posterior projections, the confounding function and the error model. Open it in R with:

vignette("FusionForests")

It is also available on CRAN.

The FusionForest model

FusionForest() is the heart of the package. It fits the decomposition above with standard BART priors on each forest and returns posterior draws of every component, so treatment effects, source deviations and uncertainty are all available directly from one fit. Right-censored and interval-censored survival outcomes are handled through data augmentation, and the error distribution can be Gaussian or a Dirichlet-process mixture (error_dist) for added robustness.

Two companion functions summarise a fit: fusion_estimand() returns posterior draws of causal survival estimands (survival difference, acceleration factor), and fusion_projection() projects the treatment effect surface onto an interpretable linear basis.

The single-study causal and survival models from the ShrinkageTrees package are re-exported, so library(FusionForests) provides every model from the accompanying paper in one namespace.

License

MIT License

Funding

This project has received funding from the European Research Council (ERC) under the European Union’s Horizon Europe program under Grant agreement No. 101074802. Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the European Union or the European Research Council Executive Agency. Neither the European Union nor the granting authority can be held responsible for them. This work used the Dutch national e-infrastructure with the support of the SURF Cooperative using grant no. EINF-18803.