Cited by 810Advanced Causal Inference TechniquesStatistical Methods in EpidemiologyBayesian Modeling and Causal Inference

Quantifying Biases in Causal Models: Classical Confounding vs Collider-Stratification Bias

Greenland, Sander·2003·Epidemiology

Abstract

It has long been known that stratifying on variables affected by the study exposure can create selection bias. More recently it has been shown that stratifying on a variable that precedes exposure and disease can induce confounding, even if there is no confounding in the unstratified (crude) estimate. This paper examines the relative magnitudes of these biases under some simple causal models in which the stratification variable is graphically depicted as a collider (a variable directly affected by two or more other variables in the graph). The results suggest that bias from stratifying on variables affected by exposure and disease may often be comparable in size with bias from classical confounding (bias from failing to stratify on a common cause of exposure and disease), whereas other biases from collider stratification may tend to be much smaller.

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Crossref · 10.1097/01.ede.0000042804.12056.6c

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  • This bias can arise from conditioning on the outcome, a post-outcome variable, a post-treatment variable, or a pre-treatment variable.

    “Endogenous selection can result from conditioning on an outcome, but it can also result from conditioning on variables that have been affected by the outcome, variables that temporally precede the outcome, and even variables that temporally precede the treatment (Greenland 2003).”
  • Conditioning on a pre-treatment collider will usually lead to a small bias.

    “Finally, conditioning on a pre-treatment collider (as in Figures 12 and 13) will usually lead to a small bias, which is why recognizing latent homophily bias as endogenous selection bias (as opposed to confounding bias) should be good news to network analysts.”
  • Greenland derived analytic results and approximations for the relative size of endogenous selection bias and confounding bias in DAGs with binary variables.

    “Greenland (2003), in particular, has derived useful analytic results and approximations for the relative size of endogenous selection bias and confounding bias in DAGs with binary variables (see also Kaufman et al. 2009).”
  • If a pre-treatment variable is both a collider and a confounder, conditioning on it may remove more bias than it induces, even though nonparametric point identification is still not feasible.

    “Furthermore, if the pre-treatment variable is both a collider and a confounder (as in Figure 13c), then conditioning on it may remove more bias than it induces, even though nonparametric point identification is still not feasible.”
  • When all variables in the DAG are binary, Greenland suggests that controlling for a variable that is both a confounder and a collider likely but not necessarily removes more bias than it creates.

    “When all variables in the DAG are binary, Greenland (2003) suggests that controlling for a variable that is both a confounder and a collider, as in Figure 13c, likely (but not necessarily) removes more bias than it creates.”

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Authors
Greenland, S.
Affiliations
University of California, Los Angeles (US)
Corresponding author
Greenland, Sander
Venue
Epidemiology
Published
2003-05
Volume
14
Issue
3
Pages
300-306
ISSN
  • 1044-3983 (ISSN-L)
  • 1531-5487
OpenAlex
W1992882281
Cited by
810
References
7
Citations by year
2026: 15 · 2025: 48 · 2024: 47 · 2023: 59 · 2022: 51 · 2021: 64 · 2020: 64 · 2019: 58 · 2018: 39 · 2017: 52 · 2016: 46 · 2015: 31 · 2014: 47 · 2013: 42 · 2012: 27
FWCI
5.49
Type
journal article
Language
en
Open access
closed
Locations
  • Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD039746)
Topics
  • Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
  • Physical Sciences › Computer Science › Artificial Intelligence › Bayesian Modeling and Causal Inference
Keywords
collider stratification bias, selection bias, stratification, particle colliders, causal models, bias quantification, common cause
MeSH terms
Humans, Bias, Causality, Confounding Factors, Epidemiologic

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