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Interpretation of 'interquartile effects' in summary.lrm

To: <s-news@lists.biostat.wustl.edu>
Subject: Interpretation of 'interquartile effects' in summary.lrm
From: "Inman, Brant A. M.D." <Inman.Brant@mayo.edu>
Date: Mon, 27 Nov 2006 22:36:51 -0600
Thread-index: AccSpsacYYMXzeyHQSKxOwMQv4j7tw==
Thread-topic: Interpretation of 'interquartile effects' in summary.lrm
S-experts:  

I am using the Design and Hmisc libraries to fit a logistic regression
model in a manner similar to that given below (note that this model may
not make sense, I just use it to demonstrate my question):
---------------------------

library(Hmisc)
library(Design)

data(pbc)
pbc$ascites[pbc$ascites==-9] <- NA
pbc$ascites <- as.factor(pbc$ascites)
pbc$edema <- as.factor(pbc$edema)
pbc$hepmeg[pbc$hepmeg==-9] <- NA
pbc$hepmeg <- as.factor(pbc$hepmeg)
pbc$stage[pbc$stage==-9] <- NA
pbc$stage <- as.ordered(pbc$stage)
attach(pbc)

ddist <- datadist(pbc)
options(datadist='ddist')
fit <- lrm(edema ~ age + alb + ascites + hepmeg, data=pbc)
--------------------------

Since my goal is to extract the odds ratios from this model, I have
tried two different methods: the obvious method of exponentiation of the
regression coefficients and using the summary.Design function.

--------------------------

exp(fit$coef)
summary(fit)

--------------------------

The problem that I have is with the "summary(fit)" output, namely that
its odds ratios are different from those of "exp(fit$coef)".  From the
documentation that is provided by the function's author, I surmise that
the reason the odds ratios for the continuous variables are different is
that the function calculates the odds ratios using "inter-quartile
effects".  I have not previously encountered this method of computing
odds ratios and would appreciate any advice from the experts regarding
the reasons for using the inter-quartile method for calculating the odds
ratios rather than the usual method.  Which method should be reported in
a paper and is there evidence/publications to support this choice?


Brant Inman
Mayo Clinic

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