Introductory Biostatistics

(Chris Devlin) #1
lðt;nonexposedÞ¼l 0 ðtÞ

lðt;exposedÞ¼l 0 ðtÞeb

so that the ratio


eb¼

lðt;exposedÞ
lðt;nonexposedÞ

represents the relative risk (RR) of the exposure, exposed versus nonexposed.
In other words, the regression coe‰cientbis the value of the relative risk on
the log scale.
Similarly, we have for a continuous covariateXand any valuexofX,


lðt;X¼xÞ¼l 0 ðtÞebx

lðt;X¼xþ 1 Þ¼l 0 ðtÞebðxþ^1 Þ

so that the ratio


eb¼

lðt;X¼xþ 1 Þ
lðt;X¼xÞ

represents the relative risk (RR) due to a 1-unit increase in the value ofX,
X¼xþ1 versusX¼x. For example, a systolic blood pressure of 114 mmHg
versus 113 mmHg. For anm-unit increase in the value ofX, sayX¼xþm
versusX¼x, the corresponding relative risk isemb.
The regression coe‰cientbcan be estimated iteratively using the first and
second derivatives of the partial likelihood function. From the results we can
obtain a point estimate


dRRRR¼e^bb

and its 95% confidence interval


exp½bb^G 1 :96 SEðbb^ފ

It should be noted that the calculation of the relative risk, used as a measure
of association between survival time and a covariate, depends on the coding
scheme for a binary factor and for a continuous covariateX, the scale with
which to measureX. For example, if we use the following coding for a factor:


Xi¼

 1 if the patient is not exposed
1 if the patient is exposed




SIMPLE REGRESSION AND CORRELATION 393
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