Evidence map›Paper›PMID 39445745›Full record

ArticleGenetic epidemiology2025

Estimating Causal Effects on a Disease Progression Trait Using Bivariate Mendelian Randomisation.

Siyang Cai, Frank Dudbridge

Abstract read
In one paragraph

Article in Genetic epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Assessing the causal effects of environmental tobacco smoke exposure: a meta-analytic Mendelian randomization study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Siyang CaiDepartment of Population Health Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0009-0008-1847-3259
Frank DudbridgeDepartment of Population Health Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-8817-8908

Funding

Medical Research Council MR/S037055/1This study was supported by MRC (MR/S037055/1) and carried out at the National Institute for Health and Care Research (NIHR) Leicester Biomedical Research Centre (BRC).
6 · The paper itself

Abstract

Genome-wide association studies (GWAS) have provided large numbers of genetic markers that can be used as instrumental variables in a Mendelian Randomisation (MR) analysis to assess the causal effect of a risk factor on an outcome. An extension of MR analysis, multivariable MR, has been proposed to handle multiple risk factors. However, adjusting or stratifying the outcome on a variable that is associated with it may induce collider bias. For an outcome that represents progression of a disease, conditioning by selecting only the cases may cause a biased MR estimation of the causal effect of the risk factor of interest on the progression outcome. Recently, we developed instrument effect regression and corrected weighted least squares (CWLS) to adjust for collider bias in observational associations. In this paper, we highlight the importance of adjusting for collider bias in MR with a risk factor of interest and disease progression as the outcome. A generalised version of the instrument effect regression and CWLS adjustment is proposed based on a multivariable MR model. We highlight the assumptions required for this approach and demonstrate its utility for bias reduction. We give an illustrative application to the effect of smoking initiation and smoking cessation on Crohn's disease prognosis, finding no evidence to support a causal effect.

Indexed as

Crohn DiseaseDisease ProgressionGenome-Wide Association StudyMendelian Randomization AnalysisBiasCausalityHumansLeast-Squares AnalysisModels, GeneticModels, StatisticalPolymorphism, Single NucleotideRisk FactorsSmokingSmoking CessationcausalityCrohn's diseaseGWASindex event biasinstrumental variableselection bias

Identifiers

PMID39445745
PMCPMC11656144

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.