Commentary and Review Series 2-92

Application of generalized estimating equations to a study in vitro of radiation sensitivity

Cologne JB, Carter RL, Fujita S, Ban S
Biometrics 49:927-34, 1993
Summary
We describe an application of the generalized estimating equation (GEE) method (Liang K-Y, Zeger SL: Longitudinal data analysis using generalized linear models. Biometrika 73:13-22, 1986) for regression analyses of correlated Poisson data. As an alternative to the use of an arbitrarily chosen working correlation matrix, we demonstrate the use of GEE with a reasonable model for the true covariance structure among repeated observations within individuals. We show that, under such a split-plot design with large clusters, the asymptotic relative efficiency of GEE with simple (independence or exchangeable) working correlation matrices is rather low. We also illustrate the use of GEE with an empirically estimated model for overdispersion in a large study of radiation sensitivity where cluster size is small and a simple working correlation structure is sufficient. We conclude by summarizing issues and needs for further work concerning efficiency of the GEE parameter estimates in practice.

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