Individualized treatment rules (ITRs) map an individual patient's characteristics to their recommended treatment value. Typically, the optimal ITR is defined as the rule which maximizes a mean counterfactual outcome; the resulting ITR maximizes the effect of treatment along all causal pathways to the outcome, including indirect pathways through mediating variables. Although maximizing the total effect is often sufficient, explicitly incorporating causal mediation in an ITR analysis has several potential benefits such as enhanced interpretability, and additional flexibility in targeting specific causal pathways. For this purpose, we introduce novel Bayesian semiparametric and nonparametric estimators for conditional mediation effects in the presence of multiple mediators and show how they can be used to estimate optimal ITRs. We demonstrate the proposed methodology via an application to optimal kidney allocation with hepatitis C positive donors.

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