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Causal diagrams for encoding and evaluation of information bias. Export

Journal of evaluation in clinical practice, Vol. 15, No. 3. (1 June 2009), pp. 436-440.

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BACKGROUND: Epidemiologists and clinical researchers usually classify bias into three main categories: confounding, selection bias and information bias. Previous authors have described the first two categories in the logic and notation of causal diagrams, formally known as directed acyclic graphs (DAG). METHODS: I examine common types of information bias--disease-related and exposure-related--from the perspective of causal diagrams. RESULTS: Disease or exposure information bias always involves the use of an effect of the variable of interest - specifically, an effect of true disease status or an effect of true exposure status. The bias typically arises from a causal or an associational path of no interest to the researchers. In certain situations, it may be possible to prevent or remove some of the bias. CONCLUSIONS: Common types of information bias, just like confounding and selection bias, have a clear and helpful representation within the framework of causal diagrams.


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