Illustration
01
a 1 = log odds D ³ 1
a 2 = log odds D ³ 2
a 4 = log odds D ³ 4
a 3 = log odds D ³ 3
234
01234
01234
01234
As the picture on the left illustrates, with
five categories (D¼0, 1, 2, 3, 4), the log odds
ofD1 is greater than the log odds ofD2,
since forD1, the outcome can be in cate-
gories 1, 2, 3, or 4, whereas forD2, the
outcome can only be in categories 2, 3, or 4.
Thus, there is one more outcome category (cat-
egory 1) contained in the first inequality. Simi-
larly, the log odds ofD2 is greater than the
log odds ofD3, and the log odds ofD3is
greater than the log odds ofD4.
Returning to our example, the 95% confidence
interval for the OR for AGE is calculated as
shown on the left.
Hypothesis testing about parameter estimates
can be done using either the likelihood ratio
test or the Wald test. The null hypothesis is that
b 1 is equal to 0.
In the tumor grade example, theP-value for the
Wald test of the beta coefficient for RACE is
0.002, indicating that RACE is significantly
associated with tumor grade at the 0.05 level.
EXAMPLE (continued)
95% confidence interval for OR
95 %CI¼exp½ 0 : 7555 1 : 96 ð 0 : 2466 Þ
¼ð 1 : 31 ; 3 : 45 Þ
Hypothesis testing
Likelihood ratio test or Wald test
H 0 :b 1 ¼ 0
Wald test
Z¼
0 : 7555
0 : 2466
¼ 3 : 06 ; P¼ 0 : 002
Presentation: III. Odds Ratios and Confidence Limits 475