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. Author manuscript; available in PMC: 2020 Sep 14.
Published in final edited form as: Cancer Epidemiol Biomarkers Prev. 2017 Oct;26(10):1558–1563. doi: 10.1158/1055-9965.EPI-17-0277

Table 3:

Mediation analysis with causal effects estimated for presence of dementia at the mean level of the covariates, based on accelerated failure time models (AFT).

NDE b (95% CI) NIE c (95% CI)
Pre-existing dementia 0.63 (0.55, 0.72) 0.91 (0.88, 0.94)
Co-existing dementia 0.76 (0.67, 0.85) 0.93 (0.91, 0.95)
a

NDE (natural direct effect): estimated effect on the mean survival time of a person simply having dementia but treated just like a person without dementia, compared to a person without dementia. It captures decrease in survival due to having dementia.

b

NIE (natural indirect effect): estimated impact on effect on the mean survival time of current chemotherapy practice for people with dementia, compared to the hypothetical situation where a person with dementia is as likely to get chemotherapy as a person without dementia. It captures the decrease in survival time due to someone with dementia potentially receiving more aggressive treatment.