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. 2023 May 31;38(9):921–927. doi: 10.1007/s10654-023-01003-6

Table 1.

Overview of key assumptions, interpretations, and practical considerations of the instrumental inequalities, MR-Egger intercept test and MR-PRESSO global test

Instrumental inequalities MR-Egger intercept test MR-PRESSO global test
Key assumptions in addition to the IV conditions Coarsening of continuous exposures does not induce violations of IV conditions [31] Homogeneity and linearity in associations between instrument, exposure, and outcome [34] Homogeneity and linearity in associations between instrument, exposure, and outcome [35]
Example interpretations of the falsification test

(1) A global test of the IV conditions and the coarsening assumption

(2) Assuming coarsening of continuous exposures did not induce violations, a test of the IV conditions

(1) A global test of the IV conditions, homogeneity, and linearity assumptions

(2) Assuming homogeneity and linearity, a test of the IV conditions

(1) A global test of the IV conditions, homogeneity, and linearity assumptions

(2) Assuming homogeneity and linearity, a test of the IV conditions

Considerations for statistical inference No consensus currently exists on the optimal approach for statistical inference [40] Often limited in power to be able detect violations of the instrumental conditions [38] Possibly limited in power to detect violations of the instrumental conditions if the percentage of horizontal pleiotropic proposed instruments is less than 10%; less powerful to detect violations of the instrumental conditions when pleiotropy is imbalanced [35]
Applicability to one sample and/or two sample data settings Presented approach only applicable in the one-sample setting Has been applied in both one- and two-sample settings, but may produce biased results when applied to one sample setting [37] Currently only applied to two-sample data settings