Evidence map›Paper›PMID 25140837›Full record

ArticleEpidemiology (Cambridge, Mass.)2014

The parametric g-formula for time-to-event data: intuition and a worked example.

Alexander P Keil, Jessie K Edwards, David B Richardson, Ashley I Naimi, Stephen R Cole

Abstract read
In one paragraph

Article in Epidemiology (Cambridge, Mass.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing 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

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

  1. Pooled it
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  6. Active Monitoring versus Surgical Excision for Atypical Ductal Hyperplasia.Cancer prevention research (Philadelphia, Pa.) · 2026
    Observational
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  15. Deep Doubly Debiased Longitudinal Effect Estimation with ICE G-Computation.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2026
    Article
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  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Alexander P KeilFrom the aDepartment of Epidemiology, University of North Carolina, Chapel Hill, NC; and bDepartment of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montréal, Québec, Canada.
Jessie K Edwards
David B Richardson
Ashley I Naimi
Stephen R Cole

Funding

Biostatstics for Research in Environmental HealthT32ES007018 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Rebecca Fry · 1985 to 2026
$31.3M
Occupational Safety and Health and Education Research CenterT42OH008673 · OH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NYLANDER-FRENCH, LEENA A · 2005 to 2025
$27.3M
Structural models for treatment and exposure effects in clinical HIV cohortsR01AI100654 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COLE, STEPHEN R · 2013 to 2016
$1.6M
Cohort analysis methods for occupational cancer studiesR01CA117841 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RICHARDSON, DAVID B · 2007 to 2012
$1.1M
NCI NIH HHS R01 CA117841NCI NIH HHS R01-CA117841NIAID NIH HHS R01 AI100654NIAID NIH HHS R01-AI100654NIEHS NIH HHS T32 ES007018NIOSH CDC HHS T42-OH008673-08
6 · The paper itself

Abstract

backgroundThe parametric g-formula can be used to estimate the effect of a policy, intervention, or treatment. Unlike standard regression approaches, the parametric g-formula can be used to adjust for time-varying confounders that are affected by prior exposures. To date, there are few published examples in which the method has been applied.

methodsWe provide a simple introduction to the parametric g-formula and illustrate its application in an analysis of a small cohort study of bone marrow transplant patients in which the effect of treatment on mortality is subject to time-varying confounding.

resultsStandard regression adjustment yields a biased estimate of the effect of treatment on mortality relative to the estimate obtained by the g-formula.

conclusionsThe g-formula allows estimation of a relevant parameter for public health officials: the change in the hazard of mortality under a hypothetical intervention, such as reduction of exposure to a harmful agent or introduction of a beneficial new treatment. We present a simple approach to implement the parametric g-formula that is sufficiently general to allow easy adaptation to many settings of public health relevance.

Indexed as

Epidemiologic MethodsAdultAlgorithmsBone Marrow TransplantationCause of DeathConfounding Factors, EpidemiologicFemaleGraft vs Host DiseaseHumansMaleMonte Carlo MethodMulticenter Studies as TopicProbability

Identifiers

PMID25140837
PMCPMC4310506

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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 OpenQuestion graph.