Related Experiment Video
Updated: Jul 1, 2026

An R-Based Landscape Validation of a Competing Risk Model
Published on: September 16, 2022
What's the Risk? A simple approach for estimating adjusted risk measures from nonlinear models including logistic
Lawrence C Kleinman1, Edward C Norton
1Department of Health Policy, Mount Sinai School of Medicine, Box 1077, New York, NY 10029, USA. lawrence.kleinman@mssm.edu
Objective:
To develop and validate a general method (called regression risk analysis) to estimate adjusted risk measures from logistic and other nonlinear multiple regression models. We show how to estimate standard errors for these estimates. These measures could supplant various approximations (e.g., adjusted odds ratio [AOR]) that may diverge, especially when outcomes are common.
Study Design:
Regression risk analysis estimates were compared with internal standards as well as with Mantel-Haenszel estimates, Poisson and log-binomial regressions, and a widely used (but flawed) equation to calculate adjusted risk ratios (ARR) from AOR.
Data Collection:
Data sets produced using Monte Carlo simulations.
Principal Findings:
Regression risk analysis accurately estimates ARR and differences directly from multiple regression models, even when confounders are continuous, distributions are skewed, outcomes are common, and effect size is large. It is statistically sound and intuitive, and has properties favoring it over other methods in many cases.
Conclusions:
Regression risk analysis should be the new standard for presenting findings from multiple regression analysis of dichotomous outcomes for cross-sectional, cohort, and population-based case-control studies, particularly when outcomes are common or effect size is large.
Related Concept Videos
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Statistical Methods for Analyzing Epidemiological Data
Mechanistic Models: Compartment Models in Algorithms for Numerical Problem Solving
In individual population analyses, different algorithms are employed, such as Cauchy's method, which uses a...
Kaplan-Meier Approach
Nonlinear Pharmacokinetics: Overview
Nonlinearity can arise due to the saturation of plasma protein-binding or...
Mechanistic Models: Compartment Models in Individual and Population Analysis
