Output from using the GEE approach is pre-
sented on the left. An exchangeable correlation
structure is assumed. (This GEE output has
previously been presented in Chap. 15)
The correlation parameter estimate obtained
from the working correlation matrix of the
GEE model is0.0954, which suggests a nega-
tive association between reocclusions on the
same bypass patient.
Output obtained from SAS PROC GENMOD
using the ALR approach is shown on the left
for comparison. An exchangeable odds ratio
structure is assumed. The assumption underly-
ing the exchangeable odds ratio structure is
that the odds ratio between theith subject’s
jth andkth responses is the same (for alljand
k, j 6 ¼k). The estimated exchangeable odds
ratio is obtained by exponentiating the coeffi-
cient labeled ALPHA1.
EXAMPLE (continued)
GEE Approach (Exchangeabler)
Variable Coefficient
Empirical
Std Err
zWald
p-value
INTERCEPT0.4713 1.6169 0.7707
ASPIRIN 1.3302 0.1444 0.0001
AGE 0.0086 0.0087 0.3231
GENDER 0.5503 0.2559 0.0315
WEIGHT 0.0007 0.0066 0.9200
HEIGHT 0.0080 0.0105 0.4448
Scale 1.0076
Exchangeable Ci (GEE: r= –0.0954)
ALR approach (Exchangeable OR)
Variable Coefficient
Empirical
Std Err
zwald
p-value
INTERCEPT 0.4806 1.6738 0.7740
ASPIRIN 1.3253 0.1444 0.0001
AGE 0.0086 0.0088 0.3311
GENDER 0.5741 0.2572 0.0256
WEIGHT 0.0003 0.0066 0.9665
HEIGHT 0.0077 0.0108 0.4761
ALPHA1 0.4716 0.1217 0.0001
expðALPHA1Þ¼cORjkðexchangeableÞ
Presentation: II. The Alternating Logistic Regressions Algorithm 573