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Estimating odds ratios adjusting for misclassification in Alzheimer's disease risk factor assessment

✍ Scribed by Christine L. Emsley; Sujuan Gao; Kathleen S. Hall; Hugh C. Hendrie


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
70 KB
Volume
19
Category
Article
ISSN
0277-6715

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✦ Synopsis


Epidemiological studies of Alzheimer's disease and dementia are often two-phase studies including a screening phase and a clinical assessment phase. It is common to interview a relative of the subject at each of these phases to obtain information about the subject's exposure to risk factors. This can result in a misclassiÿcation error when assessing risk factors, as the two responses of the relative often di er. This is especially a problem for risk factors involving life-style and family history which cannot be conÿrmed using the subject's medical records. A naive analysis using data from each phase separately would give two di erent estimates of the odds ratio; both estimates could be biased. In this paper, we extend the estimation methods adjusting for misclassiÿcation developed by Liu and Liang to data collected through two-phase sampling. We ÿrst use a latent class analysis and the EM algorithm to estimate the misclassiÿcation parameters. We then derive the maximum pseudo-likelihood estimators, conditional on the misclassiÿcation parameters, to estimate the odds ratios accounting for the complex sampling study design. We propose to use the jack-knife estimator for estimation of the variances. We apply the above method to data collected in the Indianapolis-Ibadan Dementia Study to estimate the odds ratio for smoking adjusting for misclassiÿcation error.


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