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| Case-Time-Control Design× | Poisson Rate Regression× | |
|---|---|---|
| Područje | Social Epidemiology | Social Epidemiology |
| Obitelj≠ | Process / pipeline | Regression model |
| Godina nastanka≠ | 1995 | 1983 |
| Tvorac≠ | Samy Suissa; Sander Greenland | E. L. Frome (rate formulation); A. C. Cameron & P. K. Trivedi (modern count-data treatment) |
| Vrsta≠ | Self-controlled observational design with a time-trend control series | Generalized linear model for event rates and counts with log link and person-time offset |
| Temeljni izvor≠ | Suissa, S. (1995). The case-time-control design. Epidemiology, 6(3), 248-253. DOI ↗ | Frome, E. L. (1983). The Analysis of Rates Using Poisson Regression Models. Biometrics, 39(3), 665-674. DOI ↗ |
| Drugi nazivi | Case-Time-Control Method, Trend-Adjusted Case-Crossover, Suissa Case-Time-Control Design, Case-Crossover with Time Controls | Poisson Regression for Rates, Log-Linear Rate Model, Incidence-Rate-Ratio Regression, Poisson Regression with Offset |
| Srodne≠ | 4 | 3 |
| Sažetak≠ | The case-time-control design is a pharmacoepidemiologic study design that repairs a specific weakness of the case-crossover study: bias from a secular trend in exposure. In a case-crossover analysis each case acts as their own control, comparing exposure in a short hazard window just before the event to exposure in earlier reference windows, which automatically removes all fixed, time-invariant confounders. But if the prevalence of exposure is rising or falling over calendar time for reasons unrelated to the outcome, this within-person comparison is biased. Samy Suissa's 1995 design adds a separate control series, analyzed the same way, to estimate that pure time trend; dividing the case-crossover odds ratio by the control odds ratio cancels the trend and leaves the exposure effect. Sander Greenland's 1996 analysis clarified the assumptions: the correction works only if the controls share the same exposure trend and there is no within-subject confounder, and it can introduce new bias if those conditions fail. | Poisson rate regression is the standard generalized linear model for analyzing event rates and counts, such as the number of deaths, hospitalizations, or new cases observed over a span of person-time. It models the logarithm of the expected event rate as a linear function of covariates, using a Poisson likelihood and a log link, and accommodates differing amounts of exposure by including the log of person-time as an offset. Because coefficients enter on the log scale, their exponentials are incidence-rate ratios that quantify multiplicative effects on the rate. The rate formulation was crystallized in Frome's 1983 Biometrics paper, and the model sits within the broader count-data framework developed comprehensively by Cameron and Trivedi, who also detail its central practical concern: overdispersion, where the variance exceeds the Poisson assumption and standard errors must be corrected. |
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