Widespread Partisan Gerrymandering Mostly Cancels Nationally, but Reduces Electoral Competition

Congressional district lines in many U.S. states are drawn by partisan actors, raising concerns about gerrymandering. To separate the partisan effects of redistricting from the effects of other factors including geography and redistricting rules, we compare possible party compositions of the U.S. House under the enacted plan to those under a set of alternative simulated plans that serve as a non-partisan baseline. We find that partisan gerrymandering is widespread in the 2020 redistricting cycle, but most of the electoral bias it creates cancels at the national level, giving Republicans two additional seats on average. Geography and redistricting rules separately contribute a moderate pro-Republican bias. Finally, we find that partisan gerrymandering reduces electoral competition and makes the partisan composition of the U.S. House less responsive to shifts in the national vote.Comment: 10 pages, 4 figures, plus references and appendi

Evaluating Bias and Noise Induced by the U.S. Census Bureau's Privacy Protection Methods

The United States Census Bureau faces a difficult trade-off between the accuracy of Census statistics and the protection of individual information. We conduct the first independent evaluation of bias and noise induced by the Bureau's two main disclosure avoidance systems: the TopDown algorithm employed for the 2020 Census and the swapping algorithm implemented for the 1990, 2000, and 2010 Censuses. Our evaluation leverages the recent release of the Noisy Measure File (NMF) as well as the availability of two independent runs of the TopDown algorithm applied to the 2010 decennial Census. We find that the NMF contains too much noise to be directly useful alone, especially for Hispanic and multiracial populations. TopDown's post-processing dramatically reduces the NMF noise and produces similarly accurate data to swapping in terms of bias and noise. These patterns hold across census geographies with varying population sizes and racial diversity. While the estimated errors for both TopDown and swapping are generally no larger than other sources of Census error, they can be relatively substantial for geographies with small total populations.Comment: 21 pages, 6 figure

Comment: The Essential Role of Policy Evaluation for the 2020 Census Disclosure Avoidance System

In "Differential Perspectives: Epistemic Disconnects Surrounding the US Census Bureau's Use of Differential Privacy," boyd and Sarathy argue that empirical evaluations of the Census Disclosure Avoidance System (DAS), including our published analysis, failed to recognize how the benchmark data against which the 2020 DAS was evaluated is never a ground truth of population counts. In this commentary, we explain why policy evaluation, which was the main goal of our analysis, is still meaningful without access to a perfect ground truth. We also point out that our evaluation leveraged features specific to the decennial Census and redistricting data, such as block-level population invariance under swapping and voter file racial identification, better approximating a comparison with the ground truth. Lastly, we show that accurate statistical predictions of individual race based on the Bayesian Improved Surname Geocoding, while not a violation of differential privacy, substantially increases the disclosure risk of private information the Census Bureau sought to protect. We conclude by arguing that policy makers must confront a key trade-off between data utility and privacy protection, and an epistemic disconnect alone is insufficient to explain disagreements between policy choices.Comment: Version accepted to Harvard Data Science Revie

The impact of immediate breast reconstruction on the time to delivery of adjuvant therapy: the iBRA-2 study

Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on time to adjuvant therapy. Methods: Consecutive women undergoing mastectomy ± IBR for breast cancer July–December, 2016 were included. Patient demographics, operative, oncological and complication data were collected. Time from last definitive cancer surgery to first adjuvant treatment for patients undergoing mastectomy ± IBR were compared and risk factors associated with delays explored. Results: A total of 2540 patients were recruited from 76 centres; 1008 (39.7%) underwent IBR (implant-only [n = 675, 26.6%]; pedicled flaps [n = 105,4.1%] and free-flaps [n = 228, 8.9%]). Complications requiring re-admission or re-operation were significantly more common in patients undergoing IBR than those receiving mastectomy. Adjuvant chemotherapy or radiotherapy was required by 1235 (48.6%) patients. No clinically significant differences were seen in time to adjuvant therapy between patient groups but major complications irrespective of surgery received were significantly associated with treatment delays. Conclusions: IBR does not result in clinically significant delays to adjuvant therapy, but post-operative complications are associated with treatment delays. Strategies to minimise complications, including careful patient selection, are required to improve outcomes for patients