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Posted: Thu Jan 18, 2007 12:57 pm
Dear all, my aim is to estimate the efficacy over time of a treatment
for headache prevention. Data consist of long sequences of repeated
binary outcomes

(1 if the subject has at least 1 episode of headache , 0 otherwise) on
subjects randomized to placebo or treatment.

I have fit a logistic regression model with Huber cluster sandwich
covariance estimator.
Initially, I have put in the model only the variable treatment (trt)
and a restricted cubic spline of time (days) to allow for non-linear
treatment effects:

I use the functions lrm and robcov from R Design library:

h<-lrm(head ~ trt*rcs(days),x=T,y=T)

h.rob<-robcov(h,id)

For day=1:

summary(h.rob,day=1)

the OR of treatment is 1.16(0.72 to 1.89,95%CI).

For day=210

summary(h.rob,day=210)

the OR of treatment is 0.58(0.33 to 1.01,95%CI).

How can I interpret it? The treatment group has a disavantage at day=1
(OR=1.16), however at day=210 I can see a reduction of headache risk
(OR=0.5Cool, but I

have a p-value>0.05. Question: has the treatment an effect on the
headache prevention?

Can I detract 0.16 from the OR at day=210? Is it a "swear"?


Best regards,

Andrea Evangelista
 
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