Improved exact confidence intervals for the odds ratio in two independent binomial samples

For two independent binomial samples, the usual exact confidence interval for the odds ratio based on the conditional approach can be very conservative. Recently, Agresti and Min (2002) showed that the unconditional intervals are preferable to conditional intervals with small sample sizes. We use the unconditional approach to obtain a modified interval, which has shorter length, and its coverage probability is closer to and at least the nominal confidence coefficient.     

An 'unconditional-like' structure for the conditional estimator of odds ratio from 2 x 2 tables

In the estimation of the odds ratio (OR), the conditional maximum-likelihood estimate (cMLE) is preferred to the more readily computed unconditional one (uMLE). However, the exact cMLE does not have a closed form to help divine it from the uMLE or to understand in what circumstances the difference between the two is appreciable. Here, the cMLE is shown to have the same 'ratio of cross-products' structure as its unconditional counterpart, but with two of the cell frequencies augmented, so as to shrink the unconditional estimator towards unity. The augmentation involves a factor, similar to the finite population correction, derived from the minimum of the marginal totals.     

Complementary Log–Log Regression for the Estimation of Covariate‐Adjusted Prevalence Ratios in the Analysis of Data from Cross‐Sectional Studies

We assessed complementary log–log (CLL) regression as an alternative statistical model for estimating multivariable‐adjusted prevalence ratios (PR) and their confidence intervals. Using the delta method, we derived an expression for approximating the variance of the PR estimated using CLL regression. Then, using simulated data, we examined the performance of CLL regression in terms of the accuracy of the PR estimates, the width of the confidence intervals, and the empirical coverage probability, and compared it with results obtained from log–binomial regression and stratified Mantel–Haenszel analysis. Within the range of values of our simulated data, CLL regression performed well, with only slight bias of point estimates of the PR and good confidence interval coverage. In addition, and importantly, the computational algorithm did not have the convergence problems occasionally exhibited by log–binomial regression. The technique is easy to implement in SAS (SAS Institute, Cary, NC), and it does not have the theoretical and practical issues associated with competing approaches. CLL regression is an alternative method of binomial regression that warrants further assessment.     

Performance of the Peto odds ratio compared to the usual odds ratio estimator in the case of rare events

For the calculation of relative measures such as risk ratio (RR) and odds ratio (OR) in a single study, additional approaches are required for the case of zero events. In the case of zero events in one treatment arm, the Peto odds ratio (POR) can be calculated without continuity correction, and is currently the relative effect estimation method of choice for binary data with rare events. The aim of this simulation study is a variegated comparison of the estimated OR and estimated POR with the true OR in a single study with two parallel groups without confounders in data situations where the POR is currently recommended. This comparison was performed by means of several performance measures, that is the coverage, confidence interval (CI) width, mean squared error (MSE), and mean percentage error (MPE). We demonstrated that the estimator for the POR does not outperform the estimator for the OR for all the performance measures investigated. In the case of rare events, small treatment effects and similar group sizes, we demonstrated that the estimator for the POR performed better than the estimator for the OR only regarding the coverage and MPE, but not the CI width and MSE. For larger effects and unbalanced group size ratios, the coverage and MPE of the estimator for the POR were inappropriate. As in practice the true effect is unknown, the POR method should be applied only with the utmost caution.     

A randomized test for the conditional odds ratio of matched pairs in an inverse binomial sampling design

Matched case‐control paired data are commonly used to study the association between a disease and an exposure of interest. This work provides a consistent test for this association with respect to the conditional odds ratio (), which is a measure of association that is also valid in prospective studies. We formulate the test from the maximum likelihood (ML) estimate of by using data under inverse binomial sampling, in which individuals are selected sequentially to form matched pairs until for the first time one obtains either a prefixed number of index pairs with the case unexposed but the control exposed or with the case exposed but the control unexposed. We discuss the situation of possible early stopping. We compare numerically the performance of our procedure with a competitor proposed by Lui ( 1996 ) in terms of type I error rate, power, average sample number (ASN) and the corresponding standard error. Our numerical study shows a gain in sample size without loss in power as compared to the competitor. Finally, we use the data taken from a case‐control study on the use of X‐rays and the risk of childhood acute myeloid leukemia for illustration.     

Associated LAH Numbers,Factorial Series Distributions and Unbiased Estimation of a Size Parameter

A finite population consists of kN individuals of N different categories with k individuals each. It is required to estimate the unknown parameter N, the number of different classes in the population. A sequential sampling scheme is considered in which individuals are sampled until a preassigned number of repetitions of already observed categories occur in the sample. Corresponding fixed sample size schemes were considered by Charalambides (1981). The sequential sampling scheme has the advantage of always allowing unbiased estimation of the size parameter N. It is shown that relative to Charalambides' fixed sample size scheme only minor adjustments are required to account for the sequential scheme. In particular, MVU estimators of parametric functions are expressible in terms of the C-numbers introduced by Charalambides.     

Estimation of the odds ratio in a proportional odds model with censored time-lagged outcome in a randomized clinical trial

In many randomized clinical trials of therapeutics for COVID-19, the primary outcome is an ordinal categorical variable, and interest focuses on the odds ratio (OR; active agent vs control) under the assumption of a proportional odds model. Although at the final analysis the outcome will be determined for all subjects, at an interim analysis, the status of some participants may not yet be determined, for example, because ascertainment of the outcome may not be possible until some prespecified follow-up time. Accordingly, the outcome from these subjects can be viewed as censored. A valid interim analysis can be based on data only from those subjects with full follow-up; however, this approach is inefficient, as it does not exploit additional information that may be available on those for whom the outcome is not yet available at the time of the interim analysis. Appealing to the theory of semiparametrics, we propose an estimator for the OR in a proportional odds model with censored, time-lagged categorical outcome that incorporates additional baseline and time-dependent covariate information and demonstrate that it can result in considerable gains in efficiency relative to simpler approaches. A byproduct of the approach is a covariate-adjusted estimator for the OR based on the full data that would be available at a final analysis.     

The Use of Adaptive Blocks in the Design of Clinical Trials

This paper introduces a class of data-dependent allocation rules for use in sequential clinical trials designed to choose the better of two competing treatments, or to decide that they are of equal efficacy. These readily understood and easily implemented rules are shown to reduce, substantially the number of tests with the poorer treatment for a broad category of experimental situations. Allocation rules of this type are applied both to trials with an instantaneous binomial response and to delayed response trials where interest centers on exponentially distributed survival time. In each case, a comparison of this design with alternative designs given in the literature shows that the proposed design is superior with respect to ease of application and is comparable to the alternatives regarding inferior treatment number and average sample number. In addition, the proposed rules mitigate many of the difficulties generally associated with adaptive assignment rules, such as selection and systematic bias.     

Fixed-Width Estimation of the Mean of Logistic Response Function Using Spearman-Karber Estimator

In this paper we study the asymptotic properties of the sequential fixed-width rule developed for the estimation of the mean of the logistic response function based on the quantal responses observed at equally spaced dose levels. The Spearman-Karber (S-K) and Spearman-type variance (S-T-V) estimator are used for the mean and variance, respectively, in the sequential estimation. We compute the coverage probabilities and stop     

Nonparametric Estimation of Population Density for Line Transect Sampling Using FOURIER Series

A nonparametric, robust density estimation method is explored for the analysis of right-angle distances from a transect line to the objects sighted. The method is based on the FOURIER series expansion of a probability density function over an interval. With only mild assumptions, a general population density estimator of wide applicability is obtained.