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st: stpower cox with a binary covariate


From   Anders Gaarsdal Holst <anders@kanten.dk>
To   statalist@hsphsun2.harvard.edu
Subject   st: stpower cox with a binary covariate
Date   Thu, 17 Feb 2011 20:15:40 +0100

Dear Statalist,

I'm trying to do a sample size calculation for a study we are
planning. In the study we are going to examine the cardiac rhythm
disorder atrial fibrillation (binary covariate) as a predictor for
stroke (endpoint) and analyze the data in a Cox ph model. We are
probably going to analyze it with atrial fibrillation as a time
dependent covariate but for power calculation purposes I regard the
covariate as non time dependent.

The probability of having a stroke in the follow up period is assumed
to be 4%, the prevalence of atrial fibrillation is assumed to be 10%
and the desired detectable difference is set to a HR of 3.

When I try to do as described in the Stata 11 manual, I calculate the
SD of my covariate as:

. di 0.1*(1 -0.1)^0.5
.09486833

This gives me following:
. stpower cox, failprob(0.04) hratio(3.00) sd(0.095) hr

Estimated sample size for Cox PH regression
Wald test, hazard metric
Ho: [b1, b2, ..., bp] = [0, b2, ..., bp]

Input parameters:

         alpha =    0.0500  (two sided)
        hratio =    3.0000
            sd =    0.0950
         power =    0.8000
     Pr(event) =    0.0400

Estimated number of events and sample size:

             E =       721
             N =     18015

This sample size seems very high, and I think I am doing something
wrong, but what?

Sincere regards,
Anders Gaarsdal Holst
MD, Research Fellow
Department of Cardiology, B2142
University Hospital Rigshospitalet
Blegdamsvej 9
2100 Copenhagen

Phone: +45 35450639
Email: anders@kanten.dk
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