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Clinical Epidemiology
Article . 2013 . Peer-reviewed
License: CC BY NC
Data sources: Crossref
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Clinical Epidemiology
Article
License: CC BY NC
Data sources: UnpayWall
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PubMed Central
Other literature type . 2013
Data sources: PubMed Central
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Clinical Epidemiology
Article . 2013 . Peer-reviewed
Data sources: Dove Medical Press
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Causal diagrams and the cross-sectional study

Authors: Doron J. Shahar; Eyal Shahar;

Causal diagrams and the cross-sectional study

Abstract

The cross-sectional study design is sometimes avoided by researchers or considered an undesired methodology. Possible reasons include incomplete understanding of the research design, fear of bias, and uncertainty about the measure of association. Using causal diagrams and certain premises, we compared a hypothetical cross-sectional study of the effect of a fertility drug on pregnancy with a hypothetical cohort study. A side-by-side analysis showed that both designs call for a tradeoff between information bias and variance and that neither offers immunity to sampling colliding bias (selection bias). Confounding bias does not discriminate between the two designs either. Uncertainty about the order of causation (ambiguous temporality) depends on the nature of the postulated cause and the measurement method. We conclude that a cross-sectional study is not inherently inferior to a cohort study. Rather than devaluing the cross-sectional design, threats of bias should be evaluated in the context of a concrete study, the causal question at hand, and a theoretical causal structure.

Related Organizations
Keywords

Methodology, Clinical Epidemiology

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    influence
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
42
Top 10%
Top 10%
Average
Green
gold