Use of causal diagrams for nursing research: a tool for application in epidemiological studies

Authors

  • Wilson Cañón Montañez Nurse, Ph.D. Associate Professor, Universidad de Antioquia, Colombia. email: wilson.canon@udea.edu.co
  • Alba Luz Rodríguez Acelas Nurse, Ph.D. Associate Professor, Universidad de Antioquia, Colombia. email: aluz.rodriguez@udea.edu.co

DOI:

https://doi.org/10.17533/udea.iee.v37n1e01

Abstract

Abstract

Many epidemiological studies seek to assess the effect of one or several exposures on one or more outcomes. However, to quantify the causal inference produced, statistical techniques are commonly used that contrast the association among the variables of interest, not precisely of causal effect.(1) In fact, although these measures may not have a causal interpretation, the results are often adjusted for all potential confounding factors. (2,3) Some contemporary epidemiologists developed new methodological tools for causal inference,like the theory or contra-factual model(4) and representation of causal effects through the Directed Acyclic Graph (DAG).(5) The DAG, a fusion of the probability theory with trajectory diagrams, is quite useful to visually deduct the statistical associations implied by the causal relations among the study variables.

 

How to cite this article: Cañón-Montañez W, Rodríguez-Acelas AL. Use of Causal Diagrams for Nursing Research: a Tool for Application in Epidemiological Studies. Invest. Educ. Enferm. 2019; 37(1):e01.

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References

(1) Hernán MA, Robins JM. Causal Inference. Boca Raton: Chapman & Hall/CRC, forthcoming; 2019.

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(6) Aalen OO, Røysland K, Gran JM, Kouyos R, Lange T. Can we believe the DAGs? A comment on the relationship between causal DAGs and mechanisms. Stat. Methods Med. Res. 2016; 25(5):2294-314.

(7) Langdon RJQ, Wade KH. Application of Mendelian randomization: can we establish causal risk factors for type 2 diabetes in low-to-middle income countries? Rev. Cuid. 2017; 8(1):1391-406.

(8) Textor J, van der Zander B, Gilthorpe MS, Liskiewicz M, Ellison GT. Robust causal inference using directed acyclic graphs: the R package ‘dagitty’. Int. J. Epidemiol. 2016; 45(6):1887-94.

(9) Wang L, Bautista LE. Serum bilirubin and the risk of hypertension. Int. J. Epidemiol. 2015; 44(1):142-52.

(10) Cañon-Montañez W, Santos ABS, Nunes LA, Pires JCG, Freire CMV, Ribeiro ALP, et al. Central Obesity is the Key Component in the Association of Metabolic Syndrome with Left Ventricular Global Longitudinal Strain Impairment. Rev. Esp. Cardiol (Engl Ed). 2018; 71(7):524-30.

Published

2019-02-28

How to Cite

Cañón Montañez, W., & Rodríguez Acelas, A. L. (2019). Use of causal diagrams for nursing research: a tool for application in epidemiological studies. Investigación Y Educación En Enfermería, 37(1). https://doi.org/10.17533/udea.iee.v37n1e01

Issue

Section

EDITORIAL