Thank you Maarten.
I have read someone mentioning to use survival analysis to model
hospital LOS but have not seen it in practice or found a reference
describing the principle. After reading your comment I found this
reference (Basu A et al, Health Economics 2004) which describes the
use of OLS on log transformed data, GLM models with a log-link and Cox
regression on LOS data. Do you have another reference?
I understand that this was a more problematic task than I first
realised. I am not sure that using Cox regression wilkl solve my
problem as I would like to simply express the difference in LOS in
days after adjustment for confounders. I do not think that
Cox-regression will help me there.
I will read your other references on the interpretation of log
transformed regression output.
Greetings
Roland Andersson
2008/11/3 Maarten buis <[email protected]>:
> The way to model length of stay data is to use survival analysis and
> not to use -regress-. Some online resources for learning about that
> are:
> http://www.iser.essex.ac.uk/teaching/degree/stephenj/ec968/
> http://www.ats.ucla.edu/stat/stata/seminars/stata_survival/default.htm
> http://home.fsw.vu.nl/m.buis/wp/survival.html
>
> regarding the interpretation of a -regress- model after transforming
> the dependent variable see:
> http://www.stata.com/statalist/archive/2008-11/msg00039.html
> http://www.stata.com/statalist/archive/2008-10/msg01362.html
> http://www.stata.com/statalist/archive/2008-10/msg01364.html
>
> Hope this helps,
> Maarten
>
> --- roland andersson <[email protected]> wrote:
>
>> I am analysisng the impact of laparoscopic surgery on hospital length
>> of stay (LOS). The LOS is skewed and the median and 5-95 percentil
>> range is exactly the same for laparoscopic and open surgery. The
>> Mann-Whitney test is non significant.
>>
>> I want to model the LOS with some confounders (diagnosis at
>> operation,
>> sex, comorbidity, age). I have used linear regression on the
>> ln-transformed LOS
>>
>> lnLOS Coef. Std. Err. t P>t [95% Conf.
>> Interval]
>> lapscopic .0023183 .0070385 0.33 0.742 -.0114774 .0161141
>> snip
>> a number of covariates
>> snip
>> _cons .7079673 .0127527 55.52 0.000 .6829717 .7329628
>>
>> How can I revert the result of the linear regresion of ln-transformed
>> LOS to difference between laparoscopic and open in days? Exp(0.002)
>> gives 1.002 but this can not represent the difference between the
>> laparoscopic and open surgical methods.
>>
>> Somewhere on the statalist I have read that poissonregression can be
>> used in this situation. This is the result of a poissonregression:
>>
>> LOS Coef. Std. Err. z P>z [95% Conf. Interval]
>> lapscopic -.0225546 .0075029 -3.01 0.003 -.03726 -.0078492
>> snip
>> a number of covariates
>> snip
>> _cons .986855 .0131518 75.04 0.000 .9610779 1.012632
>>
>> How do I interepret this result? Is the laparoscopic LOS
>> significantly
>> shorter with 0.02 days?
>>
>> I would appreciate your help.
>>
>> Regards
>> Roland Andersson
>> *
>> * For searches and help try:
>> * http://www.stata.com/help.cgi?search
>> * http://www.stata.com/support/statalist/faq
>> * http://www.ats.ucla.edu/stat/stata/
>>
>
>
> -----------------------------------------
> Maarten L. Buis
> Department of Social Research Methodology
> Vrije Universiteit Amsterdam
> Boelelaan 1081
> 1081 HV Amsterdam
> The Netherlands
>
> visiting address:
> Buitenveldertselaan 3 (Metropolitan), room N515
>
> +31 20 5986715
>
> http://home.fsw.vu.nl/m.buis/
> -----------------------------------------
>
>
>
> *
> * For searches and help try:
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> * http://www.stata.com/support/statalist/faq
> * http://www.ats.ucla.edu/stat/stata/
>
*
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