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Chunk #39 — Discussion

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Consistent Estimation in Mendelian Randomization with Some Invalid Instruments Using a Weighted Median Estimator.
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We clarify that the objective of this paper is not to provide guidance on how to choose genetic variants for a Mendelian randomization analysis. This is an important question, but not one that it is possible to answer in a general way, in that it requires biological as well as statistical considerations of the specific analysis question in each case. The robust analysis methods presented in this paper are able to weaken the assumptions necessary for the consistent estimation of a causal effect. However, they do not eliminate the need to assess the validity of the IV assumptions. This is particularly true for the median‐based approaches, as the assumption that 50% of the information in the analysis comes from valid IVs is still required. As a corollary, these robust methods should not be used to promote analysis approaches based on the whole genome for causal inference without further justification.