On Sun, 08 Sep 2002 00:17:52 +0000, jim clark wrote:

>> To be more specific on the setup: I have data from a hospital. During a
>> period of four years, a number of patient were checked once or twice
>> every year. During that period, the operator has changed. The changes in
>> the measurement for the healthy patient are supposedly due to ageing of
>> the patient, the operator that does the measurements and possibly the
>> time at the moment of measurement (compare for example the length of a
>> patient; if he/she ages, he/she gets shorter, but you also get shorter
>> during the day). Maybe the changes are also influenced by the age of the
>> patient (for an older patient, the changes may be slower/faster).
> Might it be possible to set it up as a regression with indicator variables
> for patients, operators, and perhaps time.  Whether time needs to be coded
> as indicators of some meaningful kind or simply treated as a linear
> predictor would depend on the nature of the effects expected (e.g., aging,
> as mentioned above).  If you have too many patients to use indicator
> variables, patient means can be used as a predictor to get the
> corresponding SSs, but dfs need to be adjusted if statistical tests are
> done.

I think time needs to be treated as a linear predictor. The next step
would be to determine whether or not a specific change after some time is
pathological or not. So, I need to set a bound on the changes that are
considered 'normal'. But I've read up on some statistics books, and while
most discuss balanced setups, I still have plenty things to try.

What program would you think would be best for this kind of thing? Or
should I just write my own Matlab-routines?

> Building on Rich's point, might the variability associated with patients
> "controlling statistically" for operators and times (i.e., a multiple
> regression) provide a way to get at the reliability of measurement?

I hope so. The changes in time are quite small (an effect will not be
noticed when sampling is repeated within months), so if measurements are
repeated within a reasonable amount of time, one may assume the time has
not changed.

As I stated, I have read some books and am trying to fit my problem into
one of the discussed methods. I will do some more reading and thinking and
then come back to the group with what I hope is a correct description for
my problem. Thanks for the help!

Regards,
Koen
.
.
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