RE: covariates
From: "Leonid Gibiansky" leonidg@metrumrg.com
Subject: RE: [NMusers] covariates
Date: Thu, September 16, 2004 8:46 am
Nick, Renee,
Allometric model may be a valid guess, but I would be cautious to take those
laws for granted. You may test them, but at least the results should be
checked: plots of random effects (computed by the allometric-scale model)
against WT should be reviewed. If the plots reveal any WT-trends, then
allometric scaling is not accounting for the entire WT-dependence. You may
argue that the remaining dependences should be treated via gender-dependence
(gender is highly correlated with WT) or age-dependence (for pediatric
patients age and WT are very strongly correlated) but in any case, this
should be considered. On the other hand, if the model without WT describes
data better than the one with WT (you can check it via OF or just looking on
the fit) then it make no sense to use allometric scaling in the model.
I think it is better to report the results for pediatric patients (say, 0-5
year old) using base WT that is close to the mean/median WT in the target
population rather than using base WT=70. At least, the parameter values for
a typical patient in the target population should be provided.
Screening of covariates can be done formally, via likelihood test (OF) or
informally, just looking on the plots of random effects (computed from the
base model) versus covariates. You should be able to catch all strong
dependencies just by eye.
Leonid
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