Systematic inclusion of time in observational epidemiological studies may h
elp strengthen the inference to be drawn, but new epidemiological challenge
s arise, such as time-dependent confounders - covariates which may change f
rom being confounders to being intermediate variables. The focus of this pr
esentation concerns two sets of tools: event history analysis and structura
l nested failure time models, both applied to a particularly intricate prob
lem in observational epidemiology, of empirically assessing the graft-versu
s-leukaemia effect after bone marrow transplantation. Copyright (C) 1999 Jo
hn Wiley & Sons, Ltd.