Adjustment for misclassification in studies of familial aggregation of disease using routine register data
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Adjustment for misclassification in studies of familial aggregation of disease using routine register data. / Andersen, Elisabeth Anne Wreford; Andersen, Per Kragh.
I: Statistics in Medicine, Bind 21, Nr. 23, 15.12.2002, s. 3595-607.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Adjustment for misclassification in studies of familial aggregation of disease using routine register data
AU - Andersen, Elisabeth Anne Wreford
AU - Andersen, Per Kragh
N1 - Copyright 2002 John Wiley & Sons, Ltd.
PY - 2002/12/15
Y1 - 2002/12/15
N2 - This paper discusses the misclassification that occurs when relying solely on routine register data in family studies of disease clustering. A register study of familial aggregation of schizophrenia is used as an example. The familial aggregation is studied using a regression model for the disease in the child including the disease status of the parents as a risk factor. If all the information is found in the routine registers then the disease status of the parents is only known from the time when the register started and if this information is used unquestioningly the parents who have had the disease before this time are misclassified as disease-free. Two methods are presented to adjust for this misclassification: regression calibration and an EM-type algorithm. These methods are used in the schizophrenia example where the large effect of having a schizophrenic mother hardly shows any signs of bias due to misclassification. The methods are also studied in simulations showing that the misclassification problem increases with the disease frequency.
AB - This paper discusses the misclassification that occurs when relying solely on routine register data in family studies of disease clustering. A register study of familial aggregation of schizophrenia is used as an example. The familial aggregation is studied using a regression model for the disease in the child including the disease status of the parents as a risk factor. If all the information is found in the routine registers then the disease status of the parents is only known from the time when the register started and if this information is used unquestioningly the parents who have had the disease before this time are misclassified as disease-free. Two methods are presented to adjust for this misclassification: regression calibration and an EM-type algorithm. These methods are used in the schizophrenia example where the large effect of having a schizophrenic mother hardly shows any signs of bias due to misclassification. The methods are also studied in simulations showing that the misclassification problem increases with the disease frequency.
KW - Adolescent
KW - Bias (Epidemiology)
KW - Case-Control Studies
KW - Cluster Analysis
KW - Computer Simulation
KW - Denmark
KW - Female
KW - Humans
KW - Male
KW - Models, Statistical
KW - Mothers
KW - Registries
KW - Regression Analysis
KW - Risk Factors
KW - Schizophrenia
U2 - 10.1002/sim.1319
DO - 10.1002/sim.1319
M3 - Journal article
C2 - 12436458
VL - 21
SP - 3595
EP - 3607
JO - Statistics in Medicine
JF - Statistics in Medicine
SN - 0277-6715
IS - 23
ER -
ID: 32106409