中国医院统计2024,Vol.31Issue(1) :47-49,55.DOI:10.3969/j.issn.1006-5253.2024.01.009

应用累积比数logit模型和偏比例优势模型分析肺癌手术患者住院费用影响因素

Application of cumulative ratio logit model and partial proportional odds model in analyzing factors influencing hospital-ization costs for lung cancer surgery patients

曾祥嫚
中国医院统计2024,Vol.31Issue(1) :47-49,55.DOI:10.3969/j.issn.1006-5253.2024.01.009

应用累积比数logit模型和偏比例优势模型分析肺癌手术患者住院费用影响因素

Application of cumulative ratio logit model and partial proportional odds model in analyzing factors influencing hospital-ization costs for lung cancer surgery patients

曾祥嫚1
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作者信息

  • 1. 宁波市第二医院,315010浙江宁波
  • 折叠

摘要

目的 阐明累积比数logit模型和偏比例优势模型在有序分类资料中的应用.方法 以肺癌手术住院费用的相关因素分析为例,采用累积比数logit模型和偏比例优势模型对肺癌手术住院费用与各相关因素关系进行拟合,通过模型的对数似然值(-2ln L)判断2种模型拟合的优度.结果 在自变量不全满足比例优势假定条件时(性别x2=15.888,P<0.001;手术术式x2=35.874,P<0.001),2种分析方法拟合结果不同.在不同分割点,住院费用与手术术式关系的差别较大.偏比例优势模型(-2ln L=5 797.112)优于累积比数logit模型(-2ln L=5 852.420),差异具有统计学意义(P<0.05).结论 有序分类资料的分析,首先应进行比例优势假定条件验证,如果自变量均满足该条件,选择累积比数logit模型,否则采用偏比例优势模型拟合.

Abstract

Objective To illuminate the application of cumulative odds logit model and partial proportional odds model in ordinal categorical data.Methods The cumulative odds logit model and partial proportional odds model were used to fit the re-lationship between hospital costs and relative factors of lung cancer surgery.The goodness of fit of the two models was compared by the log likelihood value(-2ln L)of the models.Results When the independent variables did not fully satisfy the propor-tional odds assumption(gender x2=15.888,P<0.001;surgical procedure x2=35.874,P<0.001),the fitting results of the two methods were different.At different segmentation points,there was a significant difference in the relationship between hospi-talization costs and surgical procedures.The partial proportional odds model(-2ln L=5 797.112)was better than the cumula-tive odds logit model(-2ln L=5 852.420).The difference of the log likelihood values was statistically significant(P<0.05).Conclusion In order to analyze the ordinal categorical data,the proportional odds assumption should be verified firstly.If all the independent variables satisfy the condition,the cumulative odds logit model is selected,otherwise the partial proportional odds model is used to study the data.

关键词

有序分类资料/累积比数logit模型/偏比例优势模型/比例优势假定条件

Key words

ordinal categorical data/cumulative odds logit model/partial proportional odds model/proportional odds as-sumption

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基金项目

宁波市第二医院华美一般研究基金(2023HMKY39)

出版年

2024
中国医院统计
卫生部统计信息中心,滨州医学院

中国医院统计

影响因子:0.564
ISSN:1006-5253
参考文献量8
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