Evidence map›Paper›PMID 31478915›Full record

ArticleEpidemiology (Cambridge, Mass.)2019

Estimation of Natural Indirect Effects Robust to Unmeasured Confounding and Mediator Measurement Error.

Isabel R Fulcher, Xu Shi, Eric J Tchetgen Tchetgen

Abstract read
In one paragraph

Article in Epidemiology (Cambridge, Mass.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Causal Mediation Analysis for Integrating Exposure, Genomic, and Phenotype Data.Annual review of statistics and its application · 2025
    Article
  3. Article
  4. Adaptive bootstrap tests for composite null hypotheses in the mediation pathway analysis.Journal of the Royal Statistical Society. Series B, Statistical methodology · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Robust inference on population indirect causal effects: the generalized front door criterion.Journal of the Royal Statistical Society. Series B, Statistical methodology · 2020
    Article
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

3 authors.

Isabel R FulcherFrom the Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.
Xu ShiFrom the Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.
Eric J Tchetgen TchetgenWharton Statistics Department, University of Pennsylvania, Philadelphia, PA.

Funding

Identification and Inference for Longitudinal Causal Mediation Analysis in HIVR01AI104459 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI SHPITSER, ILYA, VANDERWEELE, TYLER · 2013 to 2017
$2.0M
NIAID NIH HHS R01 AI104459
6 · The paper itself

Abstract

The use of causal mediation analysis to evaluate the pathways by which an exposure affects an outcome is widespread in the social and biomedical sciences. Recent advances in this area have established formal conditions for identification and estimation of natural direct and indirect effects. However, these conditions typically involve stringent assumptions of no unmeasured confounding and that the mediator has been measured without error. These assumptions may fail to hold in many practical settings where mediation methods are applied. The goal of this article is two-fold. First, we formally establish that the natural indirect effect can in fact be identified in the presence of unmeasured exposure-outcome confounding provided there is no additive interaction between the mediator and unmeasured confounder(s). Second, we introduce a new estimator of the natural indirect effect that is robust to both classical measurement error of the mediator and unmeasured confounding of both exposure-outcome and mediator-outcome relations under certain no interaction assumptions. We provide formal proofs and a simulation study to illustrate our results. In addition, we apply the proposed methodology to data from the Harvard President's Emergency Plan for AIDS Relief (PEPFAR) program in Nigeria.

Indexed as

CausalityConfounding Factors, EpidemiologicEffect Modifier, EpidemiologicStatistics as TopicAnti-HIV AgentsDrug MonitoringHIV InfectionsHumansNigeriaTreatment FailureAnti-HIV Agents

Identifiers

PMID31478915
PMCPMC8672797

What OpenQuestion 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 OpenQuestion graph.