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Thesis
Lisa Fredman, Ph.D. Department of Epidemiology, BUSPH CREST Seminar March 17, 2009
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Outline: 1. Research fundamentals (the basics) 2. Analytic plan in research a. Hypothesis guides plan b. Identify measures for E, D, and covariables c. Descriptive statistics on E, D, and covariables d. Analyses on E-D association i. Crude analyses ii. Evaluate potential confounders iii. Multivariable analyses 3. Present results in tables and text Aim: describe how dummy tables used in Steps 2a-d, 3
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Research fundamentals:
- systematic investigation of E-D association - analysis follows sequential steps from descriptive analyses -> univariate E-D association -> confounder assessment -> multivariate modeling - document methods and variables - document analytic steps, results at each step, decisions that influence next steps - clear communication throughout - hypothesis - methods - analytic steps - results
Dummy tables
Definition: Dummy tables (aka mock tables) are shells of tables with variable names, SAS names, and statistical measures. Do not include data. Create dummy tables when develop analysis plan. Fill in dummy tables as perform analyses. Use dummy tables to guide analyses record SAS programs used for analyses names of measures used document interim results draft methods and results
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Distribution
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Generic dummy table aka Shopping List Shopping list for Corned Beef dinner
Ingredients Amount
(Title)
Cost Stop & Shop, or Shaws?
(Variables)
Cabbage Carrots 1 head 3 large
6 small
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(Title)
Cost Stop & Shop, or Shaws?
(Variables)
Cabbage Carrots 1 head 3 large $1.49/lb
Either
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Another example: is positive affect associated with better recovery in physical functioning following hip fracture? Main study hypothesis: Elderly hip fracture patients with high positive affect will show recovery in more ADLs, and in more mobility-related ADLs over 2-years following fracture than patients with low positive affect or depression.
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Sociodemographic variables Age groups: % (AGE) Sex: % female (RACE) Medical conditions Past stroke: % (V508) Past hip fx: % (V515) Functional status at baseline ADL limitations (0-7): mean, std (KATZ0)
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1.98 (0.19) 2.02 (0.18) 2.14 (0.30) 1.91 (0.28) 2.86 (0.16) 2.63 (0.15)
Summary of age-adjusted analyses: Respondents with low positive affect (PA) reported the fewest ADL limitations at baseline, and those with depressive symptoms reported the most. On average, respondents in each affect category reported more ADL limitations at each interview following the fracture. On the KatzADL variable, the high PA group reported the fewest ADL limitations 2months through 18-months post-fracture. However, there were no statistically significant differences between respondents with high and low PA. 19
KATZ ADL measure: model with cesd* time interaction term OCESDlevel 1 OCESDlevel 2
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KATZ ADL measure: model with cesd* time interaction term OCESDlevel 1 OCESDlevel 2 -0.3805 -0.2796 -0.354 -0.4252 107.5 65.8 -0.3969 -0.3021 95.9 92.6 -0.3612 -0.2544
105.3
109.9
from hipKatzmix1_mixed models baseline, 5/3/06 Summary: Age and 1 or more medical conditions (medsum42) met the criteria as potential confounders. I will also include race in the multivariable models since it may turn out to be a confounder in the models of the KatzADL outcome. 21
Mean (se)
High positive affect -0.10 -0.32 -0.57 -0.68 -0.35 Summary: vs.the multivariable model, positive affect and followup time were associated with In depr. (-0.46,0.25) (-.68,0.05) (-0.94,-.20) (-1.08, .29) (-0.76,.06) the KatzADL score over time. Mean KatzADL scores were significantly lower (ie, less impaired) in respondents with high positive affect compared to those with depressive symptoms at months 12 and 18; there were no differences between respondents with high and low positive affect. 23
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Conclusion:
Dummy tables are an organizational tool to ensure that data analyses follow hypothesis and are systematically recorded. Provide internal documentation. Link analytic plan, interim results, final tables and manuscript.
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