the %lrpowercorr10 sas macro power estimation for logistic regression models with several predictors...

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The %LRpowerCorr10 SAS Macro er Estimation for Logistic Regress ls with Several Predictors of Inter in the Presence of Covariates D. Keith Williams M.P.H. Ph.D. Zoran Bursac M.P.H. Ph.D. Department of Biostatistics University of Arkansas for Medical Sciences

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The %LRpowerCorr10 SAS Macro

Power Estimation for Logistic RegressionModels with Several Predictors of Interest

in the Presence of Covariates

D. Keith Williams M.P.H. Ph.D.Zoran Bursac M.P.H. Ph.D.Department of Biostatistics

University of Arkansas for Medical Sciences

The Premise for Linear and Logistic Regression Power and Sample

Size

• Power to detect significance among specific predictors in the presence of other covariates in a model.

• For linear regression Proc Power works great!

• Logistic regression power estimation is ‘quirky’

Common Approaches to Estimate Logistic Regression Power

• Power for one predictor possibly in the presence of other covariates.

• There may exist correlation among these predictors using %powerlog macro

• A weakness…commonly we are interested in power to detect the significance of more than one predictor

A quick look at %LRpowerCorr10

LRpowerCorr101. Up to 10 predictors

2. 2 binary, 4 uniform (-3,3), and 4 normal

3. Specify a correlation among predictors

4. Specify an odds ratio value for the predictors

5. Specify the set of factors of interest and the set of

covariates

A Power Scenario

logit = -2.2 + ln (1.5) x1 + ln(1.5) x2 + ln(1.1) x3 +

ln(1.05) x4 + ln(1.02) x5 + ln(1.05) x6 +

ln(1.01) x7 + ln(1.05)x8 +ln( 1.02) x9 + ln(1.03) x10

Risk factors of interest

Covariates of interest

%LRpowerCorr Example %LRpowerCorr10(2000,1000,.2,.1,

1.5,1.5,

1.1, 1.05,1.02,1.05,

1.01,1.05,1.02,1.03,

cx1 cx2 cx3 cx4 cx5 cx6 cx7 cx8 cx9 cx10, cx4 cx5 cx6 cx7 cx8 cx9 cx10,

.05, 3, 0.1,0.5);

The 3 riskfactors ofinterest

Full model

Reduced model

Level of signficance

The number of terms ofinterest

Prob of ‘1’ for the binary cx1 and cx2

nnumber of simulations

Correlationamongpredictors

mean numberof ‘1’s

%LRpowerCorr10 Output

Sample size = 2000; Simulations = 1000; Rho = .2; P(Y=1) = .1

OR1=1.5, OR2=1.5, OR3=1.1, OR4=1.05, OR5=1.02,OR6=1.05

OR7=1.01, OR8=1.05, OR9=1.02, OR10=1.03

Full Model: cx1 cx2 cx3 cx4 cx5 cx6 cx7 cx8 cx9 cx10 Reduced Model: cx4 cx5 cx6 cx7 cx8 cx9 cx10

Power LCL UCL

88% 86% 90%

A look at regular linear regression.

The basic structure is the same.

A Key Point about Linear Regression

• We rarely have a conjectured values for particular betas in a regular linear regression

• Therefore for linear regression models, one conjectures the difference in R-square between a model that includes predictors of interest and a model without these predictors.

Example Data Set

The Hypothetical ScenarioA model with 4 terms

Predictors for PSA of interest that we choose to power:

1.SVI2.c_volume

Two Covariates to be included : cpen, gleason

Details

gleasoncopenvolCSVIy43210

_

gleasoncopeny430

The full model We want to power the test that a model with these

2 predictors is statistically better than a model excluding them.

The reduced model

The Corresponding Hypothesis

H(o):

H(a): At least one of the above is

non-zero in the full model when the difference in Rsquare = ?

021BB

Lets go back through those last 3 slides again

Hypothetical Full Model

Root MSE 30.98987 R-Square 0.4467

Dependent Mean 23.73013 Adj R-Sq 0.4226

Coeff Var 130.59291Predictors of interest

Note

Parameter Estimates

Variable DFParameter

EstimateStandard

Error t Value Pr > |t|

Intercept 1 -40.76878 33.24420 -1.23 0.2232

c_volume 1 2.02821 0.58404 3.47 0.0008

svi 1 17.85690 10.75049 1.66 0.1001

cpen 1 1.10381 1.32538 0.83 0.4071

gleason 1 6.39294 5.02522 1.27 0.2065

Hypothetical Reduced Model

Root MSE 33.42074 R-Square 0.3424

Dependent Mean 23.73013 Adj R-Sq 0.3285

Coeff Var 140.83671

NoteR-Square difference

0.45 – 0.34=

0.11

Parameter Estimates

Variable DFParameter

EstimateStandard

Error t Value Pr > |t|

Intercept 1 -71.59827 34.91893 -2.05 0.0431

cpen 1 4.82868 1.01632 4.75 <.0001

gleason 1 12.28661 5.19873 2.36 0.0202

proc power ;multreg model=fixedalpha= .05nfullpredictors= 4ntestpredictors= 2rsqfull=0.45rsreduced=0.34ntotal= 97 80 70 60 50 40power=. ;plot x=n min=40 max=100key = oncurvesyopts=(ref=0.8 .977 crossref=yes);run;

The POWER Procedure Type III F Test in Multiple Regression

Fixed Scenario Elements

Method Exact Model Random X Number of Predictors in Full Model 4 Number of Test Predictors 2 Alpha 0.05 R-square of Full Model 0.45 Difference in R-square 0.11

Computed Power

N Index Total Power

1 97 0.979 2 80 0.949 3 70 0.916 4 60 0.864 5 50 0.787 6 40 0.677

51. 45 95. 14

0. 8

0. 98

40 50 60 70 80 90 100

Tot al Sampl e Si ze

0. 65

0. 70

0. 75

0. 80

0. 85

0. 90

0. 95

1. 00

Now the logistic regression case

Logistic Regression LR test review

Model Fit Statistics Intercept

Intercept and Criterion Only Covariates AIC 124.318 113.996 SC 126.903 139.846

-2 Log L 122.318 93.996

The SAS System Analysis of Maximum Likelihood Estimates

Standard Wald

Parameter DF Estimate Error Chi-Square Pr > ChiSq Intercept 1 -5.5161 2.2471 6.0260 0.0141 age 1 0.0646 0.0583 1.2294 0.2675 sesdum2 1 -1.7862 3.0841 0.3354 0.5625 sesdum3 1 0.2955 2.2550 0.0172 0.8957 sector 1 2.9796 1.2481 5.6988 0.0170 age_ses2 1 0.1054 0.0559 3.5514 0.0595 age_ses3 1 0.0140 0.0316 0.1952 0.6586 age_sect 1 -0.0342 0.0309 1.2231 0.2688 ses2_sect 1 -0.3094 1.4409 0.0461 0.8300 ses3_sect 1 -0.7396 1.2489 0.3507 0.5537

Model Fit Statistics Intercept Intercept and

Criterion Only Covariates AIC 124.318 111.054 SC 126.903 123.979

-2 Log L 122.318 101.054

Analysis of Maximum Likelihood Estimates

Standard Wald Parameter DF Estimate Error Chi-Square Pr > ChiSq

Intercept 1 -3.8874 0.9955 15.2496 <.0001 age 1 0.0297 0.0135 4.8535 0.0276 sesdum2 1 0.4088 0.5990 0.4657 0.4950 sesdum3 1 -0.3051 0.6041 0.2551 0.6135 sector 1 1.5746 0.5016 9.8543 0.0017

The Corresponding Hypothesis

H(o):

H(a): At least one of the above is non-zero in the full model

LRchisq = 101.054 – 93.996 = 7.0582

Pvalue = 0.22 (Implies none are helpful)

04321 BBBB

Power for Logistic Models Background

• Most existing tools are based on Hsieh, Block, and Larsen (1998) paper, and Agresti (1996) text.

• %powerlog macro and other software.

• Recent publication by Demidenko (2008)

SAS 9.2 Proc Power for Logistic

The LOGISTIC statement performs power and sample size analyses for the likelihood ratio chi-square test of a single predictor in binary logistic regression, possibly in the presence of one or more covariates. All predictor variables are assumed to be independent of each other. So, this analysis is not applicable to studies with correlated predictors — for example, most observational studies (as opposed to randomized studies).

Common Approaches to Estimate Logistic Regression Power

• Calculate the power to detect significance of one predictor possibly in the presence of other predictors.

• There may exist correlation among these predictors using %powerlog macro

• A weakness…In many instances we are interested in power to detect the significance of more than one predictor

A demonstration of the %Powerlog macro

The %PowerLog MacroLogistic Regression

• Power for a one s.d. unit increase from the mean of X1

• Any number of other covariates in the model are accounted for by putting the R-Square of a regular regression model:

kkXBXBBX

12101...

kkXBXBXBBLogit ...22110

%Powerlog Function Example

%powerlog(p1=.5, p2=.6667, power=.8,rsq=%str(0,.0565,

.1141),alpha=.05);Prob of 1 at mean ofX1 Prob of 1

at mean + SD ofX1 Three hypothetical

values of the rsquare ofX1 regressed on any numberof other covariates

%Powerlog Output

Alpha=.05, p1=.5 p2=.6667

%LRpowerCorr10 versus %powerlog n=70

Sample size = 70; Simulations = 1000; Rho = 0; P(Y=1) = .5

OR1=1, OR2=1, OR3=1, OR4=1, OR5=1, OR6=1

OR7=2, OR8=1, OR9=1, OR10=1

Full Model: cx7 cx8 cx9 cx10

Reduced Model: cx8 cx9 cx10

Power LCL UCL

79% 76% 81%

%LRpowerCorr10 versus %powerlog n=75

Sample size = 75; Simulations = 1000; Rho = .1; P(Y=1) = .5

OR1=1, OR2=1, OR3=1, OR4=1, OR5=1, OR6=1

OR7=2, OR8=1, OR9=1, OR10=1

Full Model: cx7 cx8 cx9 cx10

Reduced Model: cx8 cx9 cx10

Power LCL UCL

81% 78% 83%

%LRpowerCorr10 versus %powerlog n=80

Sample size = 80; Simulations = 1000; Rho = .2; P(Y=1) = .5

OR1=1, OR2=1, OR3=1, OR4=1, OR5=1, OR6=1

OR7=2, OR8=1, OR9=1, OR10=1

Full Model: cx7 cx8 cx9 cx10

Reduced Model: cx8 cx9 cx10

Power LCL UCL

80% 77% 82%

Again…only one predictor of interest using %powerlog

The %LRpowerCorr10 Macro

• Power Estimation– One or more predictors of interest– Different distributions of predictors– Other covariates in model– Correlation among predictors– Specify OR values associated with predictors– Average proportion of ‘1’s

%LRpowerCorr(N, Simulations, Correlation)

Define logit: Specify associations betweeneach covariate x and outcome y through

parameter estimate .

PROC LOGISTIC: fit the full multivariatemodel. Save -2LnLikelihood.

PROC LOGISTIC: fit the reduced multivariatemodel.

Save -2LnLikelihood.

Perform Likelihood Ratio test.(The difference in the reduced and full -2LnLikelihoods)

Is the resulting chi-square test statistic> chi-square critical value?(With respect to correct number of d.f.)

Loop

If so reject the null.

If not fail to reject the null.

Save the result.

Calculate the proportion of correct rejections(i.e. power to detect the specified associations)

Sample of size N from thespecified logit. Convert logits to binary.

SAMPLESIZE The sample size to be evaluated

NSIMS The number of simulation runs

P The correlation among the predictors

AVEP The average number of “1” responses in the samples with only intercept in model

OR1 - OR2 The odds ratios associated with binary CX1-CX2

OR3 – OR6 The odds ratio associated with uniform (-3,3) CX3-CX6

OR7 - CX10 The odds ratio associated with N(0,1) CX7-CX10

FULLMODEL The predictor terms in the full model among CX1 CX2 CX3 CX4 CX5 CX6 CX7 CX8 CX9 CX10

REDUCEDMODEL The predictor terms in the reduced model among CX1 CX2 CX3 CX4 CX5 CX6 CX7 CX8 CX9 CX10

ALPHA The significance level of the testing

DFTEST The degrees freedom of the testing

PCX1 Probability of ‘1’ for binary CX1

PCX2 Probability of ‘1’ for binary CX2

%LRpowerCorr10 Variables

Example from HosmerApplied Logistic Regression‘The low birth weight study’

uihtpltsmoke

ftvracelwtagelow

8765

43210

Primary Risk Factors of Interest

Confounders

We wish to find the power to detect significance for at least one of the risk

factors in the full model

uihtpltsmoke

ftvracelwtagelow

8765

43210

uihtpltsmokelow87650

Full Model

Reduced Model

The Corresponding Hypothesis

H(o):

H(a): At least one of the above is

non-zero in the full model

04321 BBBB

Hypothesized Odds Ratios

• AGE OR=1.1 (CX7) Normal• LBT OR=1.5 (CX1) Binary• RACE OR=1.5 (CX2) Binary• FTV OR=1.1 (CX3) Uniform

• SMOKE OR=1.02 (CX8) Normal• PLT OR=1.02 (CX9) Normal• HT OR=1.02 (CX10) Normal• UI OR=1.02 (CX4) Uniform

• P(Y=1)=0.1 Investigate N = 900• Rho=0.2

Macro Commands

%LRpowerCorr10 (900,1000,.2,.1,1.5,1.5,

1.1,1.02,1.02,1.02,

1.1,1.02,1.02,1.02,

cx1 cx2 cx3 cx7 cx4 cx8 cx9 cx10 ,

cx4 cx8 cx9 cx10,

.05,

4,

0.25,0.5);

Output

Sample size = 900; Simulations = 1000; Rho = .2; P(Y=1) = .1 OR1=1.5, OR2=1.5, OR3=1.1, OR4=1.02, OR5=1.02,OR6=1.02

OR7=1.1, OR8=1.02, OR9=1.02, OR10=1.02

Full Model: cx1 cx2 cx3 cx7 cx4 cx8 cx9 cx10

Reduced Model: cx4 cx8 cx9 cx10

Power LCL UCL

73% 70% 75%

Recent Development %Quickpower Macro

%quickpower2(100,.2,.1, 1.5,1.5,

1.1,1.02,1.02,1.02,

1.1,1.02,1.02,1.02,

cx1 cx2 cx3 cx7 cx4 cx8 cx9 cx10 ,

cx4 cx8 cx9 cx10,

8,

.05,

4,

0.25,0.5);

A trick to get a good guess for N

The POWER Procedure Type III F Test in Multiple Regression

Fixed Scenario Elements

Method Exact Model Random X Number of Predictors in Full Model 8 Number of Test Predictors 4 Alpha 0.05 R-square of Full Model 0.01971 R-square of Reduced Model 0.007397 Nominal Power 0.8

Computed N Total

Actual N Power Total

0.800 962

Resulting in…

Sample size = 962; Simulations = 1000; Rho = .2; P(Y=1) = .1 OR1=1.5, OR2=1.5, OR3=1.1, OR4=1.02, OR5=1.02,OR6=1.02 OR7=1.1, OR8=1.02, OR9=1.02, OR10=1.02

Full Model: cx1 cx2 cx3 cx7 cx4 cx8 cx9 cx10 Reduced Model: cx4 cx8 cx9 cx10

Power LCL UCL

76% 74% 79%

LRpowerCorr C MacroApproximate Power Curve

• %LRpowerCorr10C (50,150,500,.1,.5,• 1,1,• 1,1,1,1,• 2.0,1,1,1,• cx7 cx8 cx9 cx10,• cx8 cx9 cx10,• .05,• 1,• .25,.25);• ods graphics on;• proc logistic data=base desc plots(only)=(roc(id=obs) effect);• model reject=n1/;

• run;• ods graphics off;

The SAS Macros

• www.uams.edu/biostat/williams

• Text file versions of the %LRpowerCorr

and %quickpower SAS macros with an example

• Copy and paste into SAS to run.