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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1995-7-19
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pubmed:abstractText |
The case-crossover study design is a method to assess the effect of transient exposures on the risk of onset of acute events. Control information for each case is based on his/her past exposure experience, and a self-matched analysis is conducted. Empiric evaluation of five approaches to the analysis of case-crossover data from a study of heavy physical exertion and acute myocardial infarction onset is shown. The data presented are from the Onset Study, a case-crossover study of the determinants of myocardial infarction onset conducted in 45 centers from August 1989 to October 1992. In model 1, exactly one control period (matched on clock-time) was sampled per case. In models 2-4, up to 25 control periods were sampled, and the effect of clock-time on the baseline hazard of infarction was modeled. In model 5, a census of the person-time experienced by each subject over the year preceding the infarction was sampled. The 95% confidence interval for model 1 was 2.7 times wider, and the relative efficiency, defined as v infinity/vM, where vM represents the asymptotic variance estimate of the estimated log relative risk with M control periods sampled per case, was only about 14% of model 5. In models 2-4, the efficiency increased with the number of control periods, regardless of the modeling assumptions. Even with many control periods sampled, models 2-4 achieved only half the efficiency of model 5. The control sampling strategy in any given case-crossover study should be selected with the trade-offs between precision and potential biases of the estimates in mind.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0002-9262
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
142
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
91-8
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:7785679-Adult,
pubmed-meshheading:7785679-Aged,
pubmed-meshheading:7785679-Aged, 80 and over,
pubmed-meshheading:7785679-Bias (Epidemiology),
pubmed-meshheading:7785679-Case-Control Studies,
pubmed-meshheading:7785679-Confounding Factors (Epidemiology),
pubmed-meshheading:7785679-Cross-Over Studies,
pubmed-meshheading:7785679-Exercise,
pubmed-meshheading:7785679-Female,
pubmed-meshheading:7785679-Humans,
pubmed-meshheading:7785679-Male,
pubmed-meshheading:7785679-Middle Aged,
pubmed-meshheading:7785679-Models, Statistical,
pubmed-meshheading:7785679-Myocardial Infarction,
pubmed-meshheading:7785679-Risk
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pubmed:year |
1995
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pubmed:articleTitle |
Control sampling strategies for case-crossover studies: an assessment of relative efficiency.
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pubmed:affiliation |
Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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