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纵向研究中失访的影响:重复有序模型的应用

Effect of dropouts in a longitudinal study: an application of a repeated ordinal model.

作者信息

Lesaffre E, Molenberghs G, Dewulf L

机构信息

Catholic University Leuven, Belgium.

出版信息

Stat Med. 1996 Jun 15;15(11):1123-41. doi: 10.1002/(SICI)1097-0258(19960615)15:11<1123::AID-SIM228>3.0.CO;2-L.

Abstract

An analysis is presented of a longitudinal study of fluvoxamine, an antidepressant drug, with ordinal responses, regressed on a combination of discrete and continuous covariates and with a substantial proportion of dropouts. Classical methods, such as weighted least squares (SAS procedure CATMOD) and logistic regression, are not suitable for the analysis of such data. Instead, we illustrate how a recently introduced model can be used to solve most of the problems posed. The method is likelihood-based and is an extension of the bivariate Dale model to an arbitrary number of outcomes. The method is suitable for several types of designs commonly employed in clinical trials.

摘要

本文对一种抗抑郁药物氟伏沙明的纵向研究进行了分析,该研究具有有序反应,以离散和连续协变量的组合为回归变量,且有相当比例的失访情况。经典方法,如加权最小二乘法(SAS过程CATMOD)和逻辑回归,不适用于此类数据分析。相反,我们说明了如何使用一种最近引入的模型来解决所提出的大多数问题。该方法基于似然,是双变量戴尔模型到任意数量结局的扩展。该方法适用于临床试验中常用的几种设计类型。

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