Table 1

Summary of applied Mr methods

MethodAssumptionsStrengthsWeaknessesPubMed ID
IVWAll genetic instruments are valid.Has optimal statistical power.Estimates are biased if there is directional pleiotropy.24 114 802
Weighted medianMore than 50% of the weight comes from valid genetic instruments.Informs the estimate supported by the majority of evidence.May be less efficient.27 061 298
MR-PRESSOThe largest group of candidate instruments with similar estimates is the group of valid instruments.Detects outliers and provides an estimate after removal of outliersMay have high false-positive rate.29 686 387
MR-EggerAssociations of genetic instruments with the exposure are uncorrelated with any pleiotropic effects of the instruments on the outcome (InSIDE assumption).Quantifies directional pleiotropy and provides a consistent estimate even if all genetic variants are pleiotropic.Has low precision and can be strongly influenced by outliers.29 040 600
  • IVW, inverse variance weighted; MR, Mendelian randomization; PRESSO, pleiotropy residual sum and outlier.