Table 3.
Results for the Beam et al mammography study [2] for an ordinal GLMM with several characteristics including patient’s age (young = 0, old = 1), rater experience (experienced = 0, inexperienced = 1), rater’s annual volume of reading mammograms (<2500 mammograms = 0, ≥2500 mammograms = 1) and rater gender (1= male, 2 = female).
| Parameter | Symbol | Estimate | S.E. | Z-value | |
|---|---|---|---|---|---|
| Ordinal GLMM parameters: | |||||
| Thresholds: ( ) | |||||
| Between categories 1 and 2 |
|
−0.621 | 0.170 | −3.657 | |
| Between categories 2 and 3 |
|
0.079 | 0.170 | 0.467 | |
| Between categories 3 and 4 |
|
1.037 | 0.170 | 6.103 | |
| Between categories 4 and 5 |
|
2.816 | 0.171 | 16.425 | |
| Fixed Coefficients: | |||||
| Subject’s age (Older) |
|
0.549 | 0.258 | 2.130 | |
| Rater Inexperience (Inexperienced=1) |
|
−0.063 | 0.099 | −0.635 | |
| Rater Volume (Higher) |
|
0.134 | 0.079 | 1.700 | |
| Rater Gender (Female) |
|
0.008 | 0.120 | 0.063 | |
| Random Effect Variance Components: | |||||
| Subject intercept |
|
2.746 | 0.324 | ||
| Subject’s age slope |
|
0.719 | 0.084 | ||
| Subject correlation coefficient |
|
−0.505 | 0.062 | ||
| Rater intercept |
|
0.154 | 0.022 | ||
| Rater’s inexperience slope |
|
0.142 | 0.019 | ||
| Rater’s volume slope |
|
0.089 | 0.012 | ||
| Rater’s gender slope |
|
0.009 | 0.001 | ||
| Rater correlation coefficient |
|
−0.126 | 0.097 | ||
| Agreement Measures: | |||||
| Experienced male radiologists with a high volume rating younger patients: | |||||
| - GLMM Observed Agreement | p0 | 0.470 | |||
| - Model-based Kappa | κm | 0.306 | 0.016 | ||
| Inexperienced male radiologists with a low volume rating older patients: | |||||
| - GLMM Observed Agreement | p0 | 0.462 | |||
| - Model-based Kappa | κm | 0.254 | 0.019 |