Evidence map›Paper›PMID 33899104›Full record

ArticleInternational journal of epidemiology2021

The use of two-sample methods for Mendelian randomization analyses on single large datasets.

Cosetta Minelli, Fabiola Del Greco M, Diana A van der Plaat, Jack Bowden, Nuala A Sheehan, John Thompson

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Article in International journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 209 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
209citing papers in PubMed, 8 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

209 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  11. The impact for causal associations between common diseases and inflammatory bowel disease: a disease-wide bidirectional Mendelian randomization study.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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149 more citing papers are in PubMed but not listed here.

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

6 authors.

Cosetta MinelliNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-9166-3958
Fabiola Del Greco MInstitute for Biomedicine, Eurac Research, Bolzano, Italy.
Diana A van der PlaatNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0002-0361-357X
Jack BowdenMedical School, University of Exeter, Exeter, UK.ORCID 0000-0003-2628-3304
Nuala A SheehanDepartment of Health Sciences, University of Leicester, Leicester, UK.ORCID 0000-0001-9094-2605
John ThompsonDepartment of Health Sciences, University of Leicester, Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith genome-wide association data for many exposures and outcomes now available from large biobanks, one-sample Mendelian randomization (MR) is increasingly used to investigate causal relationships. Many robust MR methods are available to address pleiotropy, but these assume independence between the gene-exposure and gene-outcome association estimates. Unlike in two-sample MR, in one-sample MR the two estimates are obtained from the same individuals, and the assumption of independence does not hold in the presence of confounding.

methodsWith simulations mimicking a typical study in UK Biobank, we assessed the performance, in terms of bias and precision of the MR estimate, of the fixed-effect and (multiplicative) random-effects meta-analysis method, weighted median estimator, weighted mode estimator and MR-Egger regression, used in both one-sample and two-sample data. We considered scenarios differing by the: presence/absence of a true causal effect; amount of confounding; and presence and type of pleiotropy (none, balanced or directional).

resultsEven in the presence of substantial correlation due to confounding, all two-sample methods used in one-sample MR performed similarly to when used in two-sample MR, except for MR-Egger which resulted in bias reflecting direction and magnitude of the confounding. Such bias was much reduced in the presence of very high variability in instrument strength across variants (IGX2 of 97%).

conclusionsTwo-sample MR methods can be safely used for one-sample MR performed within large biobanks, expect for MR-Egger. MR-Egger is not recommended for one-sample MR unless the correlation between the gene-exposure and gene-outcome estimates due to confounding can be kept low, or the variability in instrument strength is very high.

Indexed as

Genome-Wide Association StudyMendelian Randomization AnalysisBiasCausalityHumansPolymorphism, Single NucleotideResearch Designinverse-variance weighted estimatorMR-Egger regressionOne-sample Mendelian randomizationtwo-sample Mendelian randomizationtwo-stage least square estimatorUK Biobankweighted median estimatorweighted mode estimator

Identifiers

PMID33899104
PMCPMC8580269

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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.