Causal directed acyclic graphs and the direction of unmeasured confounding bias

被引:177
作者
VanderWeele, Tyler J. [1 ]
Hernan, Miguel A. [2 ]
Robins, James M. [2 ,3 ]
机构
[1] Univ Chicago, Dept Hlth Studies, Chicago, IL 60637 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[3] Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA
关键词
D O I
10.1097/EDE.0b013e3181810e29
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We present results that allow the researcher in certain cases to determine the direction of the bias that arises when control for Confounding is inadequate. The results are given within the context of the directed acyclic graph causal framework and are stated in terms of signed edges. Rigorous definitions for signed edges are provided. We describe cases in which intuition concerning signed edges fails and we characterize the directed acyclic graphs that researchers can use to draw conclusions about the sign of the bias of unmeasured confounding. If there is only one unmeasured confounding variable on the graph, then nonincreasing or nondecreasing average causal effects suffice to draw conclusions about the direction of the bias. When there are more than one unmeasured confounding variable, nonincreasing and nondecreasing average causal effects, can be used to draw conclusions only if the various unmeasured confounding variables are independent of one another conditional on the measured covariates. When this conditional independence property does not hold, stronger notions of monotonicity are needed to draw conclusions about the direction of the bias.
引用
收藏
页码:720 / 728
页数:9
相关论文
共 22 条
[1]   Sensitivity analyses for unmeasured confounding assuming a marginal structural model for repeated measures [J].
Brumback, BA ;
Hernán, MA ;
Haneuse, SJPA ;
Robins, JM .
STATISTICS IN MEDICINE, 2004, 23 (05) :749-767
[2]  
CORNFIELD J, 1959, J NATL CANCER I, V22, P173
[3]   Quantifying biases in causal models:: Classical confounding vs collider-stratification bias [J].
Greenland, S .
EPIDEMIOLOGY, 2003, 14 (03) :300-306
[4]   Basic methods for sensitivity analysis of biases [J].
Greenland, S .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1996, 25 (06) :1107-1116
[5]   Causal diagrams for epidemiologic research [J].
Greenland, S ;
Pearl, J ;
Robins, JM .
EPIDEMIOLOGY, 1999, 10 (01) :37-48
[6]   Multiple-bias modelling for analysis of observational data [J].
Greenland, S .
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY, 2005, 168 :267-291
[7]   Causal knowledge as a prerequisite for confounding evaluation:: An application to birth defects epidemiology [J].
Hernán, MA ;
Hernández-Díaz, S ;
Werler, MM ;
Mitchell, AA .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2002, 155 (02) :176-184
[8]   A structural approach to selection bias [J].
Hernán, MA ;
Hernández-Díaz, S ;
Robins, JM .
EPIDEMIOLOGY, 2004, 15 (05) :615-625
[9]  
Hernán MA, 1999, BIOMETRICS, V55, P1316
[10]   Assessing the sensitivity of regression results to unmeasured confounders in observational studies [J].
Lin, DY ;
Psaty, BM ;
Kronmal, RA .
BIOMETRICS, 1998, 54 (03) :948-963