Confounding adjustment plan

Specify covariates adjustment and diagnostics

Select adjustment variables using their causal and temporal roles. Avoid indiscriminate adjustment for post-exposure mediators or colliders. Examine overlap and measured balance; neither establishes absence of unmeasured confounding.

Flow diagram

Confounding adjustment planF1.S1Define causal structureF1.S2Specify baseline covariatesF1.S3Choose adjustment strategyF1.S4Assess overlap and positivityF1.S5Assess balance and fitF1.S6Assess residual confoundingF1.N1Adjustment variablesVariableCausal roleWindowDefinitionMissingnessEvidenceF1.N2Adjustment diagnosticsDiagnosticAssessment ruleActionTarget populationimpactF1.N3Identification assumptionsF1.S0 Start flowConfounding adjustment planF1.S999 End flowEnd flow

Steps

Define causal structure

Identify confounders, mediators and colliders using substantive evidence.

Specify baseline covariates

Define measurements and timing before exposure.

Choose adjustment strategy

Prespecify modeling, weighting or matching with justification.

Assess overlap and positivity

Define diagnostics, extreme-weight handling and target-population consequences.

Assess balance and fit

Set diagnostics and revision rules before outcomes are examined.

Assess residual confounding

Document unmeasured confounding and sensitivity or negative-control plans.

Confounding adjustment plan

End flow

Tables and supporting information

Adjustment variables

Adjustment variablesVariableCausal roleWindowDefinitionMissingnessEvidence

Avoid automatic variable selection based only on observed significance.

Adjustment diagnostics

Adjustment diagnosticsDiagnosticAssessment ruleActionTarget populationimpact

Specify decisions without prefilled thresholds.

Identification assumptions

For a causal interpretation, justify consistency of the specified strategies, conditional exchangeability (no remaining confounding given the adjustment set), and positivity (support for both strategies). Examine interference and informative censoring. Measured balance cannot establish these assumptions.

Sources