Covariance adjustment of rates based on the multiple logistic regression model

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Abstract

The multiple logistic regression method is gaining wide acceptance in the analysis of epidemiologic data where simultaneous adjustments for a number of confounding covariates is desired. However, the method is used primarily to determine the covariates-adjusted odds ratio, a statistic pertinent in epidemiologic research but not in the context of a comparative clinical trial. The main interest in a comparative clinical trial is to determine the covariates-adjusted difference in the ‘success’ (e.g. recovery) rate between therapeutic groups that is analogous to the statistical information obtained from analysis of covariance for quantitative response variables. By way of numeric examples, this paper provides a non-technical overviewing of the multiple logistic regression model, describes the meaning of the statistics obtained from multiple logistic regression analysis, and illustrates the computation of the covaries-adjusted ‘success’ rates for the respective therapies in a comparative clinical trial.

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