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Statistics, experimentation, causal reasoning · insight-1024

Quantify how strong an unmeasured confounder must be before dismissing or trusting an observational effect

Evidence type
documented fact
Difficulty
medium
Roles
Data scientist, Data analyst
Industries
healthcare, aviation, retail

Summary: situation, action, reason, boundary

  1. Situation

    Customers who use app check-in show a 1.5 times higher ancillary purchase rate, and the room splits between "it works" and "it is just engaged customers".

  2. Action

    Report the E-value for the point estimate and for the confidence limit closest to no effect. Compare it with the association strength of the strongest measured confounders, and state whether a plausible hidden factor could reach that level.

  3. Reason

    The E-value is the minimum strength of association an unmeasured confounder would need with both treatment and outcome to explain the result away, which turns a vague worry into a number to argue about.

  4. Boundary

    Observational risk-ratio style estimates where randomisation is not available.

Symptom or risk

The argument is unfalsifiable on both sides and the decision follows the louder voice.

Exceptions

Estimates on scales that cannot be converted to approximate risk ratios without assumptions.

Trade-offs

It bounds one kind of bias and says nothing about selection or measurement error.

Pitfalls

Reading a large E-value as proof of causation.

Example

A risk ratio of 1.5 gives an E-value of 1.5 + sqrt(1.5 x 0.5), about 2.37.

Lessons and concepts

Claims and their sources

  • The E-value is the minimum strength of association, on the risk-ratio scale, that an unmeasured confounder would need with both treatment and outcome to fully explain away an association given measured covariates, and it should be computed for the estimate and the confidence limit closest to the null.

    Sensitivity Analysis in Observational Research: Introducing the E-Value