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Table 3 Aspects of association to consider prior to the provisional inference of causation as proposed by Sir Austin Bradford Hill (Adapted from [1])

From: The need to reform our assessment of evidence from clinical trials: A commentary

Criteria

Description

Strength

Correlation or relative measures of effect (i.e. risk ratio)

Consistency

Across variable studies in design, populations, settings, circumstances, and time

Specificity

Intervention causes the effect

Temporality

Intervention precedes effect

Biologic Gradient

Dose-response curve between intervention and effect

Plausibility

Based on the current biologic knowledge of mechanisms of disease

Coherence

In the context of knowledge of natural history and related treatments

Experiment

Prospective clinical investigations of hypotheses