Logistic Regression: A Self-learning Text, Third Edition (Statistics in the Health Sciences)

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  1. Backward forCs, then
    forward forECj:
     Start withEand allCj,
    j¼1,...,p
     Sequentially drop
    nonsignif.Cj
     Sequentially addECjfor
    remainingCj


COMMENTS/CRITICISMS OF


OPTIONS:


Option 2: next section.


Option 3:


þStarts with small-sized model


Can still be unreliable if large
number ofCs


Interactions not assessed
simultaneously


Option 4:


þFrequently used in practice (??)


Inappropriately uses statistical
testing to exclude potential
confounders


Questionably excludesCs before
assessingECs


Screening:
Good ways and questionable ways


Purpose:


 Reduce number of predictors


 Obtain a reliable and
interpretable final model



  1. Start with a model containing allCjterms,
    proceed backward to eliminate nonsignificant
    Cjterms, and then sequentially add statistically
    significant product terms among the remain-
    ingCjterms.


Option 2 above will be described in the next
section. It cannot be used, however, if initial
model does not run.

Option 3 has the advantage of starting with a
small-sized model, but has two disadvantages:
the model may still have reliability problems if
there are a “large” number ofCs, and the for-
ward approach to assess interaction does not
allow all interaction terms to be assessed
simultaneously as with a backward approach.

Option 4, which is frequently used in practice,
can bestrongly criticizedbecause it uses statis-
tical testing to determine whether potential
confounders Cj should stay in the model,
whereas statistical testing should not be used
to assess confounding. Furthermore, option 4
excludes potential confounders prior to asses-
sing interaction, whereas interaction should be
assessed before confounding.

We now return to describe Option 1: screening.
As we will describe below, there are good ways
and questionable ways to carry out screening.

The purpose of screening is to reduce the num-
ber of predictors being considered so that a
reliable and interpretable final model can be
obtained to help answer study questions of
interest.

264 8. Additional Modeling Strategy Issues

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