Mediation analysis for logistic regression with interactions: Application of a surrogate marker in ophthalmology

PLoS One. 2018 Feb 12;13(2):e0192857. doi: 10.1371/journal.pone.0192857. eCollection 2018.

Abstract

Mediation analysis is often based on fitting two models, one including and another excluding a potential mediator, and subsequently quantify the mediated effects by combining parameter estimates from these two models. Standard errors of such derived parameters may be approximated using the delta method. For a study evaluating a treatment effect on visual acuity, a binary outcome, we demonstrate how mediation analysis may conveniently be carried out by means of marginally fitted logistic regression models in combination with the delta method. Several metrics of mediation are estimated and results are compared to findings using existing methods.

MeSH terms

  • Biomarkers
  • Humans
  • Interferon-alpha / therapeutic use
  • Logistic Models*
  • Macular Degeneration / drug therapy
  • Macular Degeneration / physiopathology
  • Ophthalmology / statistics & numerical data*
  • Randomized Controlled Trials as Topic / statistics & numerical data
  • Visual Acuity

Substances

  • Biomarkers
  • Interferon-alpha

Grants and funding

The authors received no specific funding for this work.