Literature DB >> 26155760

Authors' Reply to 'Pyogenic Liver Abscess and Risk of Acute Pancreatitis'.

Shih-Wei Lai1, Kuan-Fu Liao, Cheng-Li Lin, Pei-Chun Chen.   

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Year:  2015        PMID: 26155760      PMCID: PMC4483378          DOI: 10.2188/jea.JE20150109

Source DB:  PubMed          Journal:  J Epidemiol        ISSN: 0917-5040            Impact factor:   3.211


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Dear Dr. Shen, We sincerely thank you for your interest in our study, which was recently published in the Journal of Epidemiology.[1] First, we agree that, in the presence of non-proportional hazards, presenting an average hazard ratio (HR) over the entire follow-up period might not be informative because the magnitude of effect changes over time. However, a methodology report has shown that period-specific HRs (ie, HRs estimated in time-partitioned periods) may have built-in selection bias.[2] Therefore, instead of time-partitioned estimations, we presented a series of average HRs with increasingly longer follow-up time, with findings showing that the elevated risk of acute pancreatitis associated with pyogenic liver abscess steadily decreased over time and that the association persisted for 5 years (Table 2 of our paper). Second, we agree that the strength of interaction effects of pyogenic liver abscess and comorbidities on risk of acute pancreatitis (Table 3 of our paper) may differ among time-partitioned periods. If possible, we will analyze this effect for each time-partitioned period in further research. We appreciate your helpful comments.
  2 in total

1.  The hazards of hazard ratios.

Authors:  Miguel A Hernán
Journal:  Epidemiology       Date:  2010-01       Impact factor: 4.822

2.  Pyogenic liver abscess correlates with increased risk of acute pancreatitis: a population-based cohort study.

Authors:  Shih-Wei Lai; Kuan-Fu Liao; Cheng-Li Lin; Pei-Chun Chen
Journal:  J Epidemiol       Date:  2015-01-31       Impact factor: 3.211

  2 in total

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