Table 2 Multivariable Mendelian randomization for smoking and alcohol consumption with risk of HNSCC by HPV status

From: Smoking and alcohol by HPV status in head and neck cancer: a Mendelian randomization study

Outcomes

Exposures

F statistic

Q-statistic for Instrument Validity

P value

Method

OR (95% CI)

P value

HPV-negative HNSCC vs controls

CSI

30.4

207.2

0.09

IVW

3.03 (1.75, 5.24)

7.00E-05

    

MVMR Egger

2.49 (1.40, 4.43)

0.002

    

Ridge Regression

4.93 (2.24, 10.66)

 

Drinks per Week

6.13

  

IVW

7.72 (3.63, 16.4)

1.00E-07

   

MVMR Egger

14.02 (5.42, 36.28)

5.00E-08

 
   

Ridge Regression

7.70 (2.94, 16.23)

  

HPV-positive HNSCC vs controls

CSI

30.4

174.8

0.63

IVW

2.73 (1.39, 5.36)

0.003

    

MVMR Egger

2.05 (1, 4.12)

0.048

    

Ridge Regression

3.90 (1.62, 9.67)

 

Drinks per Week

6.13

  

IVW

2.66 (1.06, 6.68)

0.038

   

MVMR Egger

6.51 (2.01, 21.12)

0.002

 
   

Ridge Regression

2.49 (0.89, 5.63)

  
  1. All tests are two-sided. Odds ratios for CSI and drinks per week are for a standard deviation change.
  2. HPV human papillomavirus, CSI comprehensive smoking index, IVW inverse variance-weighted, MVMR multivariable Mendelian randomization, OR odds ratio, CI confidence interval.