Advanced Regression Methods Symposium on Updates on Clinical Research Methodology March 18, 2013 Lloyd Mancl, PhD Charles Spiekerman, PhD Oral Health Sciences Oral Health Sciences University of Washington University of Washington
[email protected] [email protected] Outline • Introduce common regression methods for different types of outcomes – Logistic regression – Multiple linear regression – Cox proportional hazards regression – Poisson or log-linear regression • Uses of regression: – Adjust for confounding – Assess for effect modification or interaction – Account for non-independent outcomes Uses for Multiple regression analysis • Used to adjust for confounding – In observational studies, groups of interest can differ on other variables that may be related to the outcome. – In an RCT, randomization may not result in balanced groups. • Used to assess simultaneously the associations for several explanatory variables, as well as, interactions between variables – In observational studies, you may be interested in how several explanatory variables are related to an outcome. – In an RCT, we are often interested in testing if treatment is modified by another variable (i.e., interaction or moderation). – In designed experiments, we typically test for interactions between the different study factors. • Used to develop a prediction equation – Not commonly used for this purpose; not covered in this workshop. Multiple regression analysis Models the association between one outcome variable, Y, and multiple variables of interest, X1, X2,…,Xk. Multiple Linear