在模拟的门德尔随机化分析中使用仪器不等式,用粗化暴露
Elizabeth W Diemer1,2, Joy Shi3,4, Miguel A Hernan3,4,5
1Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA. eld883@mail.harvard.edu.
European journal of epidemiology
|May 31, 2024
概括
仪器不平等可以对分类暴露的门德尔随机化 (MR) 假设进行伪造. 对于这种方法来说,化连续暴露可能会引入偏差,但不平等对于检测它仍然有用,特别是在二分化数据中.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 遗传流行病学遗传流行病学
背景情况:
- 门德尔随机化 (MR) 通过使用遗传变异作为工具变量来估计因果关系.
- 无法验证的假设限制了MR的因果推断能力.
- 工具性不平等提供了一种方法来伪造对分类风险的MR假设.
研究的目的:
- 评估粗化连续暴露如何影响仪器不平等在MR模型中检测偏差的能力.
- 评估各种因果结构和各种仪器数量的仪器不平等的表现.
主要方法:
- 模拟数据反映了酒精消费和心血管疾病研究.
- 粗的连续暴露被分为不同的类别 (二分化,>2类别).
- 应用了对MR模型的仪器不等式,在不同的因果效应下与模拟数据进行模拟.
主要成果:
- 当暴露被粗化成两个以上的类别时,仪器不平等无法检测偏差.
- 在一些场景中,当暴露被二分化时,仪器不平等检测到偏差.
- 偏差检测对仪器的数量和暴露结果效应的大小敏感.
结论:
- 仪器上的不平等在很大程度上不敏感于从粗不断暴露到>2类别的偏差.
- 仪器不平等仍然可以在评估MR假设时有价值,其中包括粗制成的连续暴露,特别是二分化的暴露.
- 这种方法有助于在应用研究中评估MR假设,即使是连续的潜在风险.
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