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Reporting of Multivariable Methods in the Medical Literature
  1. Jeanette M. Tetrault, MD,
  2. Maor Sauler, MD,
  3. Carolyn K. Wells, MPH,
  4. John Concato, MD, MS, MPH
  1. From the Veterans Affairs Clinical Epidemiology Research Center,West Haven; and Yale University School of Medicine, New Haven, CT.
  1. Presented at the Society of General Internal Medicine, 30th Annual (2007) Meeting, Toronto, Canada, April 26, 2007.
  2. Reprints: John Concato, MD, MS, MPH, Clinical Epidemiology Research Center, 950 Campbell Ave, Bldg 35A, Mail Code 151B, West Haven, CT 06516. E-mail: john.concato{at}yale.edu.

Abstract

Background Multivariable models are frequently used in the medical literature, but many clinicians have limited training in these analytic methods. Our objective was to assess the prevalence of multivariable methods in medical literature, quantify reporting of methodological criteria applicable to most methods, and determine if assumptions specific to logistic regression or proportional hazards analysis were evaluated.

Methods We examined all original articles in Annals of Internal Medicine, British Medical Journal, Journal of the American Medical Association, Lancet, and New England Journal of Medicine, from January through June 2006. Articles reporting multivariable methods underwent a comprehensive review; reporting of methodological criteria was based on each article's primary analysis.

Results Among 452 articles, 272 (60%) used multivariable analysis; logistic regression (89 [33%] of 272) and proportional hazards (76 [28%] of 272) were most prominent. Reporting of methodological criteria, when applicable, ranged from 5% (12/265) for assessing influential observations to 84% (222/265) for description of variable coding. Discussion of interpreting odds ratios occurred in 13% (12/89) of articles reporting logistic regression as the primary method and discussion of the proportional hazards assumption occurred in 21% (16/76) of articles using Cox proportional hazards as the primary method.

Conclusions More complete reporting of multivariable analysis in the medical literature can improve understanding, interpretation, and perhaps application of these methods.

Key Words
  • multivariable analysis
  • statistical models
  • regression analysis

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