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From |
Ronán Conroy <rconroy@rcsi.ie> |

To |
"statalist hsphsun2.harvard.edu" <statalist@hsphsun2.harvard.edu> |

Subject |
st: A little problem with clustered data |

Date |
Fri, 30 Apr 2004 12:01:45 +0100 |

I would like to show you the results of two logistic regressions and get ideas on how to carry the analysis forward. The situation is this: a survey was run in 38 hospitals. The survey used two depression scales. Half the hospitals received the first scale, the other half the second. Not all patients completed a depression scale. The researcher suspected that one of the scales was less likely to be returned (it was more threatening than the other). So he ran a logistic regression, which confirmed his suspicions. . logistic depress_scale_ok which_scale Logistic regression Number of obs = 1206 LR chi2(1) = 13.09 Prob > chi2 = 0.0003 Log likelihood = -758.99238 Pseudo R2 = 0.0086 --------------------------------------------------------------------------- depress_sc~k | Odds Ratio Std. Err. z P>|z| [95% Conf. Interval] -------------+------------------------------------------------------------- which_scale | 1.560516 .1927593 3.60 0.000 1.22497 1.987975 --------------------------------------------------------------------------- However, when he used -svyset- to set the PSU to hospital, to account for patient clustering within hospitals, this is what happens (same point estimate, but much wider confidence intervals) . svylogit depress_scale_ok which_scale if which_scale <3, or Survey logistic regression pweight: <none> Number of obs = 1206 Strata: <one> Number of strata = 1 PSU: hospital_number Number of PSUs = 38 Population size = 1206 F( 1, 37) = 3.15 Prob > F = 0.0839 --------------------------------------------------------------------------- depress_sc~k | Odds Ratio Std. Err. t P>|t| [95% Conf. Interval] -------------+------------------------------------------------------------- which_scale | 1.560516 .390986 1.78 0.084 .9392774 2.592642 --------------------------------------------------------------------------- So it would seem that the variation between hospitals in the rate of return is greater than the variation you would expect from a binomial process. This accords with the researcher's experience. Some hospitals took a dislike to the depression scales, and this was more likely to happen with the more threatening one. My question, finally, is what next? Clearly, one source of variability in the return of completed depression scales is whether the hospital thinks that it is a useful exercise or not. But are hospitals allocated the second scale more likely to withhold their collaboration? How much of the poorer return rate is the unwillingness of patients to fill in the scale, and how much is the way in which the hospital handles the task of administering the scale and making sure it is returned? A good two-pipe problem, as my old metaphysics tutor used to say. Ronan M Conroy (rconroy@rcsi.ie) Lecturer in Biostatistics Royal College of Surgeons Dublin 2, Ireland +353 1 402 2431 (fax 2764) -------------------- Just say no to drug reps http://www.nofreelunch.org/ -------------------------------------------------------------------------------------------------------------------- This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the originator of the message. This footer also confirms that this email message has been scanned for the presence of computer viruses. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of The Royal College Of Surgeons in Ireland. -------------------------------------------------------------------------------------------------------------------- * * For searches and help try: * http://www.stata.com/support/faqs/res/findit.html * http://www.stata.com/support/statalist/faq * http://www.ats.ucla.edu/stat/stata/

**Follow-Ups**:**Re: st: A little problem with clustered data***From:*"Mark Schaffer" <M.E.Schaffer@hw.ac.uk>

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