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Concern over the impact of flawed measurement continues to nag epidemiology. Early studies indicated that the impact of measurement error is benign, leading generally only to attenuation of associations; more recent research has documented that this impact, especially within the setting of multivariate modeling, cannot be expected always to be benign. It can, for example, be a source of unsettling inconsistency. Fewell and colleagues (Am J Epidemiol 2007;166:646-655) show that residual confounding is especially persistent in the presence of multivariate confounding.

Invited Commentary: Fewell and Colleagues Fuel for Debate