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. Author manuscript; available in PMC: 2018 Jul 1.
Published in final edited form as: Alzheimer Dis Assoc Disord. 2017 Jul-Sep;31(3):209–217. doi: 10.1097/WAD.0000000000000198

Table 3.

Summary of GEE models results for the relationship between outcomes of interests (healthcare costs and HRQoL) and other covariates.

Healthcare costs HRQoL§
HUI:2 EQ5D-US

Covariates     Model 1     Model 2     Model 1     Model 2     Model 1     Model 2
Patients characteristics
Age at baseline −0.002 0.001 0.003** 0.004* 0.003*** 0.004**
Sex (female=0) −0.040 −0.092 −0.005 0.003 0.022 0.023
Education (≤12 years =0)
 >12 years 0.048 0.040 0.011 0.013 0.019 0.021
Marital status (currently married=0)
 Not currently married −0.057 −0.069 −0.043* −0.038 0.008 −0.002
Clinical measurement
  Total NPI score 0.004 0.002 0.002*** −0.002 −0.002** −0.002**
  CIRS 0.031** 0.030** −0.004 −0.003 −0.007** −0.007**
  Summated dependence scale 0.173*** 0.172*** −0.050*** −0.050*** −0.058*** −0.060***
 Parkinson’s disease rating scale 0.006 0.007 −0.007*** −0.007*** −0.008*** −0.008***
Caregiver characteristic
Age at baseline −0.004 −0.001 −0.001
Sex (female=0) −0.064 0.014 0.015
Relationship to patients (spouse=0)
 Non-spouse −0.108 −0.016 −0.006
Caregiver subjective burden 0.00004 0.00002 0.002
Caregiver NPI distress score 0.005 −0.002 0.00001
*

P < 0.05;

**

P < 0.01;

***

P < 0.001.

CDR, CDR-SB, MMSE, HUI:2 and EQ5D-US were removed from the models due to collinearity with dependence scale (r = 0.77, 0.81, −0.70, −0.78, and −0.78, respectively); Age at onset was removed from the model due to collinearity with age at baseline (r = 0.93); We kept NPI in the GEE models because an independent association between NPI scores and pharmacoeconomic outcomes, over and above dependence scale scores, was found in our previous study.23

Numbers presented in Table are coefficients from GEE models.

GEE models with Gamma distribution and log link. The estimate of costs of healthcare was applied by y=exp(xβ).

§

GEE models with Gaussian distribution and identity link. The estimate of HRQoL was applied by y=xβ.

The difference between Model 1 and Model 2 was whether caregiver characteristics were included in the model or not.

Abbreviation: HQRoL, health-related quality of life; GEE, generalized estimating equation; MMSE, Mini–Mental State Examination; CDR, Clinical Dementia Rating; CDR-SB, Clinical Dementia Rating sum of boxes scoring; NPI, Neuropsychiatric Inventory; CIRS, Cumulative Illness Rating Scale; HUI:2, Health Utilities Index Mark 2; EQ5D-US, EuroQoL 5 Dimensions with US population scoring.