Confounding risk

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9 results
Systematic review & meta-analysis
Helmet use mortality OR ~0.48 in recent meta-analysis; other cohorts ~0.65
Causal status: Strong for helmet intervention; riding-vs-nonriding mortality effect not cleanly estimated
Reliability / bias notes: Confounding by riding behaviour, speed, alcohol, road exposure; helmet evidence often crash-conditioned
Ratnasekera et al. · 2025 · PMID 40462278
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Systematic review & meta-analysis
90-cohort meta-analysis: isolation pooled effect ~1.32; loneliness ~1.14 for all-cause mortality
Causal status: Association; intervention evidence for mortality less direct
Reliability / bias notes: Definitions differ; loneliness ≠ isolation; socioeconomic/health confounding
Wang et al · Nat Hum Behav · 2023 · PMID 37337095
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Systematic review & meta-analysis
2025 pooled estimate: single HR ~1.55; divorced ~1.39; widowed ~1.43 vs married
Causal status: Association
Reliability / bias notes: Health selection into/out of relationships; social support and income confounding
Wang et al. · 2020 · PMID 32161813
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Observational study
Large IPD analysis: mortality lowest around or below 100 g ethanol/week; higher intake progressively associated with lower life expectancy
Causal status: Association; causal interpretation complicated by abstainer/former-drinker bias
Reliability / bias notes: Former-drinker bias; drinking pattern and socioeconomic confounding
Wood et al · Lancet · 2018 · PMID 29676281
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Systematic review & meta-analysis
~10% lower all-cause mortality per 200 g/day increase in combined intake; older cohorts suggest benefit around ~5 servings/day
Causal status: Association
Reliability / bias notes: Dietary measurement error; healthy lifestyle clustering; socioeconomic confounding
Aune et al. · 2017 · PMID 28338764
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Meta-analysis
Each 3-fold (1-SD) higher log-CRP associated with 1.55x non-vascular mortality (95% CI 1.41–1.69) and similar magnitude for vascular mortality, in an individual-participant meta-analysis of 160,309 people across 54 studies
Causal status: Causal role debated; CRP likely partly a marker of underlying inflammation/disease rather than a direct cause
Reliability / bias notes: Association attenuates but persists after adjusting for conventional risk factors and fibrinogen; residual confounding by subclinical illness possible
Emerging Risk Factors Collaboration (Kaptoge et al) · Lancet · 2010 · PMID 20031199
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Observational study
Adjusted death risk rose stepwise as eGFR fell below 60 mL/min/1.73m2, from HR 1.2 (eGFR 45–59) up to HR 5.9 (eGFR <15), in a cohort of 1.12 million adults
Causal status: Causal support strong; graded, dose-dependent association independent of comorbidities
Reliability / bias notes: Single-measurement creatinine-based eGFR; residual confounding by unmeasured comorbidity possible
Go et al · N Engl J Med · 2004 · PMID 15385656
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Cohort study
Job strain meta-analysis: CHD RR ~1.26; multicohort mortality HR 1.68 in men with cardiometabolic disease
Causal status: Association
Reliability / bias notes: Construct heterogeneity; socioeconomic confounding; reverse causation
PMID 29884468
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