Poisson regression analysis in clinical research

Generalized linear models (GLM) are now widely used in analyzing data from clinical trials and in epidemiological studies. In Poisson regression, which fits in the framework of a GLM, the response variable is a count that follows the Poisson distribution. This article describes the basic methodology of Poisson regression analysis and its application to clinical research. Overdispersion, model diagnostics, and sample size issues are discussed. The methodology is illustrated on a data set from a clinical trial for the treatment of bladder cancer, using a new procedure (PROC GENMOD) in the statistical package SAS.

Similar articles

McIntosh J. McIntosh J. J Biopharm Stat. 2001 Feb-May;11(1-2):65-74. doi: 10.1081/BIP-100104198. J Biopharm Stat. 2001. PMID: 11459443

Baetschmann G, Winkelmann R. Baetschmann G, et al. Biom J. 2013 Sep;55(5):679-86. doi: 10.1002/bimj.201200021. Biom J. 2013. PMID: 24003010

Lindsey JK. Lindsey JK. Stat Med. 2001 Jun 15;20(11):1625-38. doi: 10.1002/sim.934. Stat Med. 2001. PMID: 11391692

Hayat MJ, Higgins M. Hayat MJ, et al. J Nurs Educ. 2014 Apr;53(4):207-15. doi: 10.3928/01484834-20140325-04. Epub 2014 Mar 25. J Nurs Educ. 2014. PMID: 24654593 Review.

Greenland S. Greenland S. Int J Epidemiol. 2007 Feb;36(1):195-202. doi: 10.1093/ije/dyl289. Epub 2007 Feb 28. Int J Epidemiol. 2007. PMID: 17329317 Review.

Cited by

Hailegebireal AH, Kitila AT. Hailegebireal AH, et al. PLoS One. 2024 Sep 6;19(9):e0308104. doi: 10.1371/journal.pone.0308104. eCollection 2024. PLoS One. 2024. PMID: 39240873 Free PMC article.

Anwar A, Akter N, Yadav UN, Ghimire S, Bhattacharjee S, Eusufzai SZ, Mahumud RA, Ali ARMM, Huda MN, Majumder MSI, Zahid A, Mondal PK, Rizwan AAM, Shuvo SD, Rosenbaum S, Mistry SK. Anwar A, et al. Sci Rep. 2024 Aug 2;14(1):17918. doi: 10.1038/s41598-024-68795-9. Sci Rep. 2024. PMID: 39095644 Free PMC article.

Zazara DE, Giannou O, Schepanski S, Pagenkemper M, Giannou AD, Pincus M, Belios I, Bonn S, Muntau AC, Hecher K, Diemert A, Arck PC. Zazara DE, et al. World J Pediatr. 2024 May;20(5):481-495. doi: 10.1007/s12519-023-00782-y. Epub 2024 Jan 23. World J Pediatr. 2024. PMID: 38261172 Free PMC article.

Persaud N, Azarpazhooh A, Keown-Stoneman C, Birken CS, Isaranuwatchai W, Maguire JL, Mamdani M, Allen C, Mason D, Kowal C, Jaleel M, Bazeghi F, Thorpe KE, Laupacis A, Parkin PC. Persaud N, et al. Arch Dis Child. 2024 Jan 22;109(2):121-124. doi: 10.1136/archdischild-2023-325565. Arch Dis Child. 2024. PMID: 37890960 Free PMC article. Clinical Trial.

Sabir QUA, Shafqat A, Aslam M. Sabir QUA, et al. Epidemiol Infect. 2023 May 19;151:e89. doi: 10.1017/S0950268823000730. Epidemiol Infect. 2023. PMID: 37203211 Free PMC article.