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. 2013 Jun;10(3):255–260. doi: 10.1513/AnnalsATS.201303-054FR

Figure 2.

Figure 2.

A first example relating instrumental variables to randomized control trials (RCTs). (A) RCT with perfect compliance. Note the absence of an arrow between the confounder and the treatment. (B) RCT with imperfect compliance. If harder to ventilate patients with worse lung disease are more likely to be protocol deviations, then confounding re-enters.