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Dictionary of Evidence-based Medicine.pdf

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<strong>Dictionary</strong> <strong>of</strong> <strong>Evidence</strong>-<strong>based</strong> <strong>Medicine</strong> 93<br />

example in expressing the logistic model in a linear form. Note that<br />

the logit model is a special case <strong>of</strong> the log linear model where the<br />

y variable is the odds and the link function is the log <strong>of</strong> an odds (see under<br />

Odds ratio, Generalized linear model, Logistic regression). (Bishop YM,<br />

Fienberg SE, Holland PW (1975) Discrete multivariate analysis: theory and<br />

practice. MIT Press, Cambridge, MA).<br />

Log linear model<br />

The log linear model is a special class <strong>of</strong> generalized linear models where<br />

the link function takes the form:<br />

The a and P values are the coefficients to be estimated in such models.<br />

Note that y can take only positive values in such models (Agresti A (1996)<br />

An introduction to categorical data analysis. John Wiley, New York).<br />

Longitudinal study (see a/so under Cohort study)<br />

A study in which subjects are recruited and followed up forward in time,<br />

usually over many months or years. For example, in such a study, diabetic<br />

patients may be followed over a period <strong>of</strong> years to investigate how good<br />

blood glucose control affects the likelihood <strong>of</strong> complications, such as<br />

cataracts or peripheral neuropathy, developing.<br />

Lorenz curve<br />

The Lorenz curve is a useful graphical method, invented by a 19th century<br />

German statistician for depicting the distribution <strong>of</strong> income in a population.<br />

If one were to plot the cumulative proportion <strong>of</strong> total income versus<br />

the cumulative proportion <strong>of</strong> income recipients in a population, we would<br />

observe a straight line with unit slope, given perfect equality in income<br />

among individuals (Figure 14). The line will curve downwards if the income<br />

distribution is unequal and the more unequal the distribution, the<br />

further the curve will be from the diagonal (Brown WS (1995) Principles<br />

<strong>of</strong> economics. West Publishing Company, Minneapolis). The Lorenz curve<br />

can be used to calculate a coefficient <strong>of</strong> inequality, referred to as the Gini<br />

coefficient. This is the ratio <strong>of</strong> the area between the line <strong>of</strong> equality and the<br />

Lorenz curve (area A) and the area below the line <strong>of</strong> equality (areas A + B).<br />

The Gini coefficient has a useful quantitative economic interpretation. A<br />

value <strong>of</strong> 0.25 can be interpreted as meaning that if two incomes are drawn

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