Accounting for Outcome Misclassification in Estimates of the Effect of Occupational Asbestos Exposure on Lung Cancer Death

Edwards, Jessie K.; Cole, Stephen R.; Chu, Haitao; Olshan, Andrew F.; & Richardson, David B. (2014). Accounting for Outcome Misclassification in Estimates of the Effect of Occupational Asbestos Exposure on Lung Cancer Death. American Journal of Epidemiology, 179(5), 641-7. PMCID: PMC3927979

Edwards, Jessie K.; Cole, Stephen R.; Chu, Haitao; Olshan, Andrew F.; & Richardson, David B. (2014). Accounting for Outcome Misclassification in Estimates of the Effect of Occupational Asbestos Exposure on Lung Cancer Death. American Journal of Epidemiology, 179(5), 641-7. PMCID: PMC3927979

Octet Stream icon 8120.ris — Octet Stream, 1 kB (1,652 bytes)

In studies of the health effects of asbestos, lung cancer death is subject to misclassification. We used modified maximum likelihood to explore the effects of outcome misclassification on the rate ratio of lung cancer death per 100 fiber-years per milliliter of cumulative asbestos exposure in a cohort study of textile workers in Charleston, South Carolina, followed from 1940 to 2001. The standard covariate-adjusted estimate of the rate ratio was 1.94 (95% confidence interval: 1.55, 2.44), and modified maximum likelihood produced similar results when we assumed that the specificity of outcome classification was 0.98. With sensitivity assumed to be 0.80 and specificity assumed to be 0.95, estimated rate ratios were further from the null and less precise (rate ratio = 2.17; 95% confidence interval: 1.59, 2.98). In the present context, standard estimates for the effect of asbestos on lung cancer death were similar to estimates accounting for the limited misclassification. However, sensitivity analysis using modified maximum likelihood was needed to verify the robustness of standard estimates, and this approach will provide unbiased estimates in settings with more misclassification.


XX
1D
2d


JOUR



Edwards, Jessie K.
Cole, Stephen R.
Chu, Haitao
Olshan, Andrew F.
Richardson, David B.



2014


American Journal of Epidemiology

179

5

641-7








PMC3927979


8120

Wink Plone Theme by Quintagroup © 2013.

Personal tools
This is themeComment for Wink theme