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We commend Nickerson and Brown on their insightful exposition of the mathematical algebra behind Simpson’s paradox, suppression and Lord’s paradox; we also acknowledge there can be differences in how Lord’s paradox is approached analytically, compared to Simpson’s paradox and suppression, though not in every example of Lord’s paradox. Furthermore, Simpson’s paradox, suppression and Lord’s paradox ask the same  contextual  questions, seeking to understand if statistical adjustment is valid and meaningful, identifying which analytical option is correct. In our exposition of this, we focus on the perspective of context, which must invoke causal thinking. From a causal thinking perspective, Simpson’s paradox, suppression and Lord’s paradox present very similar analytical challenges.

emerging themes in epidemiology

Response to: Simpson’s Paradox is suppression, but Lord’s Paradox is neither: clarification of and correction to Tu, Gunnell, and Gilthorpe (2008) by Nickerson CA &amp; Brown NJL (https://doi.org/10.1186/1742-7622-5-2)