18.2 – Nonlinear regression

Introduction

The linear model is incredibly relevant in so many cases. A quick look “linear model” in PUBMED returns about 22 thousand hits; 3.7 million in Google Scholar; 3 thousand hits in ERIC database. These results compare to search of “statistics” in the same databases: 2.7 million (PUBMED), 7.8 million (Google Scholar), 61.4 thousand (ERIC). But all models are not the same.

Fit of a model to the data can be evaluated by looking at the plots of residuals (Fig 1), where we expect to find random distribution of residuals across the range of predictor variable.

Figure 1. Ideal plot of residuals against values of X, the predictor variable, for a well-supported linear model fit to the data.

However, clearly, there are problems for which assumption of fit to line is not appropriate. We see this, again, in patterns of residuals, eg, Figure 2.

Figure 2. Example of residual plot; pattern suggests nonlinear fit.

Fitting of polynomial linear model

Fit simple linear regression, data set Yuan et al lifespan, listed below.

R code

LinearModel.1 <- lm(cumFreq~Months, data=yuan)

summary(LinearModel.1)

Call:
lm(formula = cumFreq ~ Months, data = yuan)

Residuals:
     Min       1Q   Median      3Q     Max 
-0.11070 -0.07799 -0.01728 0.06982 0.13345

Coefficients:
                 Estimate Std. Error t value Pr(>|t|) 
(Intercept)     -0.132709   0.045757   -2.90  0.0124 * 
Months           0.029605   0.001854   15.97  6.37e-10 ***
---
Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Residual standard error: 0.09308 on 13 degrees of freedom
Multiple R-squared: 0.9515, Adjusted R-squared: 0.9477 
F-statistic: 254.9 on 1 and 13 DF, p-value: 6.374e-10

We see from the R² (95%), a high degree of fit to the data. However, residual plot reveals obvious trend (Fig 3)

Figure 3. Residual plot, residuals against fitted values.

We can fit a polynomial regression.

First, a second order polynomial

LinearModel.2 <- lm(cumFreq ~ poly( Months, degree=2), data=yuan)

summary(LinearModel.2)

Call:
lm(formula = cumFreq ~ poly(Months, degree = 2), data = yuan)

Residuals:
     Min       1Q   Median      3Q     Max 
-0.13996 -0.06720 -0.02338 0.07153 0.14277

Coefficients:
                           Estimate Std. Error  t value   Pr(>|t|) 
(Intercept)                 0.48900    0.02458   19.891   1.49e-10 ***
poly(Months, degree = 2)1   1.48616    0.09521   15.609   2.46e-09 ***
poly(Months, degree = 2)2   0.06195    0.09521    0.651   0.528 
---
Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Residual standard error: 0.09521 on 12 degrees of freedom
Multiple R-squared: 0.9531, Adjusted R-squared: 0.9453 
F-statistic: 122 on 2 and 12 DF, p-value: 0.0000000106

Second, try a third order polynomial

LinearModel.3 <- lm(cumFreq ~ poly(Months, degree = 3), data=yuan)

summary(LinearModel.3)

Call:
lm(formula = cumFreq ~ poly(Months, degree = 3), data = yuan)

Residuals:
      Min        1Q   Median       3Q      Max 
-0.052595 -0.021533 0.001023 0.025166 0.048270

Coefficients:
                           Estimate Std. Error t value   Pr(>|t|) 
(Intercept)                0.488995   0.008982  54.442   9.90e-15 ***
poly(Months, degree = 3)1  1.486157   0.034787  42.722   1.41e-13 ***
poly(Months, degree = 3)2  0.061955   0.034787   1.781   0.103 
poly(Months, degree = 3)3 -0.308996   0.034787  -8.883   2.38e-06 ***
---
Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Residual standard error: 0.03479 on 11 degrees of freedom
Multiple R-squared: 0.9943, Adjusted R-squared: 0.9927 
F-statistic: 635.7 on 3 and 11 DF, p-value: 1.322e-12

Which model is best? We are tempted to compare R-squared among the models, but R² turn out to be untrustworthy here. Instead, we compare using Akaike Information Criterion, AIC

R code/results

AIC(LinearModel.1,LinearModel.2, LinearModel.3)
              df       AIC
LinearModel.1  3 -24.80759
LinearModel.2  4 -23.32771
LinearModel.3  5 -52.83981

Smaller the AIC, better fit.

anova(RegModel.5,LinearModel.3, LinearModel.4)
Analysis of Variance Table

Model 1: cumFreq ~ Months
Model 2: cumFreq ~ poly(Months, degree = 2)
Model 3: cumFreq ~ poly(Months, degree = 3)
  Res.Df   RSS    Df Sum of Sq       F      Pr(>F)
1     13 0.112628
2     12 0.108789  1  0.003838  3.1719 0.1025
3     11 0.013311  1  0.095478 78.9004 0.000002383 ***
---
Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Logistic regression

The Logistic regression is a classic example of nonlinear model.

R code

logisticModel <-nls(yuan$cumFreq~DD/(1+exp(-(CC+bb*yuan$Months))), start=list(DD=1,CC=0.2,bb=.5),data=yuan,trace=TRUE)
5.163059 : 1.0 0.2 0.5
2.293604 : 0.90564552 -0.07274945 0.11721201
1.109135 : 0.96341283 -0.60471162 0.05066694
0.429202 : 1.29060000 -2.09743525 0.06785993
0.3863037 : 1.10392723 -2.14457296 0.08133307
0.2848133 : 0.9785669 -2.4341333 0.1058674
0.1080423 : 0.9646295 -3.1918526 0.1462331
0.005888491 : 1.0297915 -4.3908114 0.1982491
0.004374918 : 1.0386521 -4.6096564 0.2062024
0.004370212 : 1.0384803 -4.6264657 0.2068853
0.004370201 : 1.0385065 -4.6269276 0.2068962
0.004370201 : 1.0385041 -4.6269822 0.2068989

summary(logisticModel)

Formula: yuan$cumFreq ~ DD/(1 + exp(-(CC + bb * yuan$Months)))

Parameters:
      Estimate  Std. Error  t value      Pr(>|t|)
DD    1.038504    0.014471    71.77   < 2e-16 ***
CC   -4.626982    0.175109   -26.42  5.29e-12 ***
bb    0.206899    0.008777    23.57  2.03e-11 ***
---
Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

Residual standard error: 0.01908 on 12 degrees of freedom

Number of iterations to convergence: 11
Achieved convergence tolerance: 0.000006909

> AIC(logisticModel)
[1] -71.54679

Logistic regression is a statistical method for modeling the dependence of a categorical (binomial) outcome variable on one or more categorical and continuous predictor variables (Bewick et al 2005).

The logistic function is used to transform a sigmoidal curve to a more or less straight line while also changing the range of the data from binary (0 to 1) to infinity (-∞,+∞). For event with probability of occurring p, the logistic function is written as

where ln refers to the natural logarithm.

The logit link function is used in models to transform a probability, which is restricted between 0 and 1, into the log-odds scale, which ranges from negative infinity to positive infinity. This transformation makes the relationship between predictors and the outcome linear. In other words, this is an odds ratio. It represents the effect of the predictor variable on the chance that the event will occur. Much of our contingency table work in Chapter 7 would be best analyzed with the logistic regression.

The logistic regression model then very much resembles the same as we have seen before.

In R and Rcmdr we use the glm() function to model the logistic function. Logistic regression is used to model a binary outcome variable. What is a binary outcome variable? It is categorical! Examples include: Living or Dead; Diabetes Yes or No; Coronary artery disease Yes or No. Male or Female. One of the categories could be scored 0, the other scored 1. For example, living might be 0 and dead might be scored as 1. (By the way, for a binomial variable, the mean for the variable is simply the number of experimental units with “1” divided by the total sample size.)

With the addition of a binary response variable, we are now really close to the Generalized Linear Model. Now we can handle statistical models in which our predictor variables are either categorical or ratio scale. All of the rules of crossed, balanced, nested, blocked designs still apply because our model is still of a linear form.

We write our generalized linear model

just to distinguish it from a general linear model with the ratio-scale Y as the response variable.

Think of the logistic regression as modeling a threshold of change between the 0 and the 1 value. In another way, think of all of the processes in nature in which there is a slow increase, followed by a rapid increase once a transition point is met, only to see the rate of change slow down again. Growth is like that. We start small, stay relatively small until birth, then as we reach our early teen years, a rapid change in growth (height, weight) is typically seed (well, not in my case … at least for the height). The fitted curve I described is a logistic one (other models exist too). Where the linear regression function was used to minimize the squared residuals as the definition of the best fitting line, now we use the logistic as one possible way to describe or best fit this type of a curved relationship between an outcome and one or more predictor variables. We then set out to describe a model which captures when an event is unlikely to occur (the probability of dying is close to zero) AND to also describe when the event is highly likely to occur (the probability is close to one).

A simple way to view this is to think of time being the predictor (X) variable and risk of dying. If we’re talking about the lifetime of a mouse (lifespan typically about 18-36 months), then the risk of dying at one months is very low, and remains low through adulthood until the mouse begins the aging process. Here’s what the plot might look like, with the probability of dying at age X on the Y axis (probability = 0 to 1) (Fig 4).

Figure 4. Lifespan of 1881 mice from 31 inbred strains (Data from Yuan et al (2012) available at https://phenome.jax.org/projects/Yuan2).

We ask — of all the possible models we could draw, which best fits the data? The curve fitting process is called the logistic regression.

With some minor, but important differences, running the logistic regression is the same as what you have been doing so far for ANOVA and for linear regression. In Rcmdr, access the logistic regression function by invoking the Generalized Linear Model (Fig 5).

Rcmdr: Statistics → Fit models → Generalized linear model.

Figure 5. Screenshot Rcmdr GLM menu. For logistic on ratio-scale dependent variable, select gaussian family and identity link function.

Select the model as before. The box to the left accepts your binomial dependent variable; the box at right accepts your factors, your interactions, and your covariates. It permits you to inform R how to handle the factors: Crossed? Just enter the factors and follow each with a plus. If fully crossed, then the interactions may be specified with “:” to explicitly call for a two-way interaction between two (A:B) or a three-way interaction between three (A:B:C) variables. In the later case, if all of the two way interactions are of interest, simply typing A*B*C would have done it. If nested, then use %in% to specify the nesting factor.

R output

> GLM.1 <- glm(cumFreq ~ Months, family=gaussian(identity), data=yuan)

> summary(GLM.1)

Call:
glm(formula = cumFreq ~ Months, family = gaussian(identity),
data = yuan)

Deviance Residuals:
Min 1Q Median 3Q Max
-0.11070 -0.07799 -0.01728 0.06982 0.13345

Coefficients:
Estimate Std. Error t value Pr(>|t|)
(Intercept) -0.132709 0.045757 -2.90 0.0124 *
Months 0.029605 0.001854 15.97 6.37e-10 ***
---
Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1

(Dispersion parameter for gaussian family taken to be 0.008663679)

Null deviance: 2.32129 on 14 degrees of freedom
Residual deviance: 0.11263 on 13 degrees of freedom
AIC: -24.808

Number of Fisher Scoring iterations: 2

Assessing fit of the logistic regression model

Some of the differences you will see with the logistic regression is the term deviance. Deviance in statistics simply means compare one model to another and calculate some test statistic we’ll call “the deviance.” We then evaluate the size of the deviance like a chi-square goodness of fit. If the model fits the data poorly (residuals large relative to the predicted curve), then the deviance will be small and the probability will also be high — the model explains little of the data variation. On the other hand, if the deviance is large, then the probability will be small — the model explains the data, and the probability associated with the deviance will be small (significantly so? You guessed it! P < 0.05).

The Wald test statistic

where n and β refers to any of the n coefficient from the logistic regression equation and SE refers to the standard error if the coefficient. The Wald test is used to test the statistical significance of the coefficients. It is distributed approximately as a chi-squared probability distribution with one degree of freedom. The Wald test is reasonable, but has been found to give values that are not possible for the parameter (eg, negative probability).

Likelihood ratio tests are generally preferred over the Wald test. For a coefficient, the likelihood test is written as

where L₀ is the likelihood of the data when the coefficient is removed from the model (ie, set to zero value), whereas L₁ is the likelihood of the data when the coefficient is the estimated value of the coefficient. It is also distributed approximately as a chi-squared probability distribution with one degree of freedom.

Questions

1. Write up three learning outcomes for this page. Hint: Point your favorite generative AI to this page and ask for help.
2. What is the primary difference between linear regression and logistic regression?
3. What type of dependent variable is used in logistic regression?
4. What is the purpose of the sigmoid (or logistic) function in this model?
5. What is the role of a significance test (eg, a Wald test) in logistic regression?
6. Why is the LRT generally considered more reliable than the Wald test for logistic regression, especially with smaller sample sizes?

Quiz Chapter 18.2

Nonlinear regression

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Data set

Yuan data

Chapter 18 content

• Introduction
• Multiple linear regression
• Nonlinear regression
• Logistic regression
• Generalized Linear Squares
• Selecting the best model
• Compare two linear models
• References and suggested readings (Ch17 & 18)

7.6 – Confidence intervals

Quantifying uncertainty.

Although I’ve already presented the concept (eg, Chapter 3.4), and equations for confidence intervals of risk estimates (Chapter 7.4, Chapter 7.5), here, we expand on the idea of confidence intervals. Confidence intervals are a central part of meeting one of the main objectives of statistics, that is, estimation and communicating uncertainty with any reported estimate.

There are three components of statistical analysis

1. Estimation
2. Inference
3. Modeling

Inference refers to statistical hypothesis testing — we ask questions of observations — do men (Rice et al 1999) and women (Fisher et al 2012) differ for blood glucose levels following a bout of aerobic exercise? T-tests, analysis of variance (ANOVA), chi-square, correlation, regression are types of statistical procedures used to do statistical inference. Modeling on the other hand refers to procedures used to relate cause and effect or for use in prediction of future values given new data. Many of the statistical procedures one uses for inference are also used to build statistical models (ANOVA, regression). Studies may intend to either test some hypothesis (inference) or to provide a predictive equation (modeling). But most studies that relate observations gathered from an experiment are obliged to also report statistics, and this is the realm of estimation. Estimates of the mean and standard deviation, for example, would be typical statistics one expects to find in a report. We call these descriptive statistics, and together with graphics, descriptive statistics are the chief way we describe our results.

Confidence intervals are crucial in statistics because they provide a range of values where the true population parameter is likely to fall, offering a more nuanced understanding of the estimate beyond just a single point value. Similarly, for statistical model model building, confidence intervals quantify the uncertainty inherent in data, providing a range of plausible values for model parameters rather than a single point estimate.

We will review how to calculate confidence intervals for proportions and for NNT. These intervals are available in epiR package and automatically returned in RcmdrPlugin.EBM.

Confidence interval for proportions

A proportion is the fraction of individuals in a population with some characteristic. The characteristic might be HIV positive for example. This would be called the population proportion and it would be a parameter of interest. In reality, we calculate a sample proportion and therefore estimate the population proportion with error. We can calculate the confidence interval (CI) of the proportion to communicate the precision of our estimate. For proportions, we use the binomial distribution — either a sample has the characteristic of interest or it does not — there are only two possibilities. There are a variety of ways to go here, and the simplest is to use a normal approximation. This will work well provided the sample size was reasonably large and the proportion is not close to zero or one, that is, we invoke the Central Limit Theorem here. Although the outcomes are binomial, the error is assumed to be normally distributed. The Wald confidence interval for p is

where is the proportion of individuals with the characteristic (also called successes), z is the percentile from the normal distribution that corresponds to 1 – 1/2α.  For 95% CI then α = 0.05 and z would be 1.965. (See standard normal table.) Of course, if making the normal approximation for the binomial is not appropriate, the CI is less than ideal. The binomial after all is a discrete distribution whereas the normal distribution is continuous, so errors will enter particularly for low sample numbers.

Other approaches may be used to get better estimates of CI for proportions, including Wilson score intervals and Jeffrey Intervals (Agresti and Coull 1998). See R package propCIs.

Because a statistic like the mean or a calculation of absolute or relative risk reduction are calculated from samples drawn from a population, the estimate comes with error. The error is basically this – if we calculate a statistic like number needed to treat (NNT) or its converse, the number needed to harm (NNH), we need to communicate to the reader how precise our estimate is. Estimation has to do with accuracy, error, and precision.

Confidence interval for ARR

The ARR is simply

where is the number of treated or exposed individuals for which the event occurred and  is the number of untreated or unexposed individuals which the event occurred.

Our data from example (Ch 7.5), were a = 612, b = 2192, c = 375, and d = 2543.

and the 95% confidence interval is then

approximately. The “2” is only approximate; you need to use Z = 1.965, the value at probability value = 0.9725 (which comes from the Normal Table).

Confidence interval for NNT

For a sample of 100 people drawn at random from a population (which may number in the millions), then repeat the NNT calculation for a different sample of 100 people, do we expect the first and second NNT estimates to be EXACTLY the same number? No, but we do expect them to be close and we can define what we mean by close as we expect each estimate to be within certain limits. While we expect the second calculation to be close to the first estimate, we would be surprised if it was EXACTLY the same. And so, which is the correct estimate, the first or the second? They both are, in the sense that they both estimate the parameter NNT (a property of a population). But we can do better than two estimates. Confidence Intervals (CI) allow us to assign a probability to how certain we are about the statistic and whether it is likely to be close to the true value. We will

For CI of NNT, we need sample size for control and treatment groups; like all confidence intervals, we need to calculate the standard error of the statistic, in this, case, the standard error (SE) for NNT.

SE = sqrt(risk placebo * (1 - risk placebo) / (# in placebo group) + risk treatment * (1 - risk treatment) / (# in treatment group))

where SE is the standard error for NNT

The CI is approximately then

* – the “2” is only approximate; you need to use Z = 1.965, the value at probability value = 0.9725 (by multiplying this, which comes from the Standard Normal Table).

Odds ratio Standard error and 95% confidence interval

Like any statistic we can calculate, an estimate of odds ratio should be accompanied by the confidence limit. The standard error may be calculated with the following formula

R code

seOdds <- sqrt(sum(1/612, 1/2192,1/375,1/2543))

where ln refers to the natural logarithm. An estimate for the 95% confidence interval is

where exp is the exponential function 

and ln is natural logarithm.

R code

 exp(log(1.89,base=exp(1)) - 1.96*seOdds)

Our example the lower limit was 1.64. For the upper limit

Our example the upper limit was 2.19.

R code

 exp(log(1.89,base=exp(1)) + 1.96*seOdds)

Thus, our estimate was 1.89 and the 95% confidence interval was

which does not include one. Therefore, we conclude statistically different.

log(x, base = exp(1))

P-values from confidence intervals

While we expect certain reporting criteria for published, it is not uncommon that one or more elements are missing. For example, while we show how to obtain confidence intervals, the p-values were not reported. We discuss statistical inference and p-values in detail in Chapter 8, but for now, a low p-value (typically < 0.05) indicates that the odds ratio (OR) is statistically significant, meaning the observed relationship between a factor and an outcome is unlikely to be due to random chance. An OR of the difference may not be reported, or, an inexact p-value is reported like “< 0.05,” but we “need” an exact p-value for our meta-analysis.  A little math, and these missing statistics can be calculated.

We can use the OR example. We need to take the logarithm of ratios like OR or NNT or RRR. From above, we have the confidence intervals.

We need

The OR estimate, , which was 1.89

lower and upper confidence intervals: 1.64 and 2.19, respectively.

the standard error, which can be calculated as

the test statistic,

and then the p-value,

we would then report that the OR was not statistically different, p = 0.4044).

Questions

1. Instead of 95% confidence interval, obtain the 99% confidence interval for odds ratio 1.89.

Quiz Chapter 7.6

Confidence intervals

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Chapter 7 contents

• Introduction
• Epidemiology definitions
• Epidemiology basics
• Conditional Probability and Evidence Based Medicine
• Epidemiology: Relative risk and absolute risk, explained
• Odds ratio
• Confidence intervals
• References and suggested readings