Evidence map›Paper›PMID 11790682›Full record

ArticleAmerican journal of epidemiology2002

Causal knowledge as a prerequisite for confounding evaluation: an application to birth defects epidemiology.

Miguel A Hernán, Sonia Hernández-Díaz, Martha M Werler, Allen A Mitchell

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in American journal of epidemiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005497 (Risk Factors for Pulmonary Hypertension of the Newborn), which is not on this map. Cited by 639 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
639citing papers in PubMed, 4 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.

NCT00005497 completednot on this map

Risk Factors for Pulmonary Hypertension of the Newborn

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran1998 to 2004ConditionsPersistent Fetal Circulation Syndrome, Lung Diseases
3 · Its place in the literature

Who cites it

639 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Wildland fire smoke and birth defects in California.Journal of exposure science & environmental epidemiology · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article

579 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Miguel A HernánDepartment of Epidemiology, Harvard School of Public Health, Boston, MA 02115, USA. miguel_hernan@post.harvard.edu
Sonia Hernández-Díaz
Martha M Werler
Allen A Mitchell

Funding

ANALYTIC METHODS FOR HIV-TREATMENT AND COFACTOR EFFECTSR01AI032475 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ROBINS, JAMES M · 1992 to 2004
$2.1M
CASE CONTROL SURVEILLANCE OF BIRTH DEFECTSR01HD027697 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MITCHELL, ALLEN A · 1992 to 1996
–
NHLBI NIH HHS HL50763NIAID NIH HHS R01-AI32475NICHD NIH HHS HD27697
6 · The paper itself

Abstract

Common strategies to decide whether a variable is a confounder that should be adjusted for in the analysis rely mostly on statistical criteria. The authors present findings from the Slone Epidemiology Unit Birth Defects Study, 1992-1997, a case-control study on folic acid supplementation and risk of neural tube defects. When statistical strategies for confounding evaluation are used, the adjusted odds ratio is 0.80 (95% confidence interval: 0.62, 1.21). However, the consideration of a priori causal knowledge suggests that the crude odds ratio of 0.65 (95% confidence interval: 0.46, 0.94) should be used because the adjusted odds ratio is invalid. Causal diagrams are used to encode qualitative a priori subject matter knowledge.

Indexed as

Epidemiologic MethodsBiasCausalityConfounding Factors, EpidemiologicFemaleFolic AcidHumansInfant, NewbornMental RecallNeural Tube DefectsOntarioPregnancyUnited StatesFolic Acid

Identifiers

PMID11790682

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.