Survival bias may explain findings
- Peter Aaby, professor (psb@mail.gtelecom.gw),
- Henrik Jensen, senior statistician,
- Christine Stabell Benn, senior researcher,
- Ida Maria Lisse, registrar
- Bandim Health Project, Danish Epidemiology Science Centre, Statens Serum Institute, Apartado 861, Bissau, Guinea-Bissau
EDITOR—Vaugelade et al found the BCG and diphtheria-tetanus and pertussis vaccines (DTP) to be associated with reductions in mortality greater than expected from disease prevention.1 However, as they admit, dead vaccinated children may have been misclassified because their vaccination cards were destroyed.
In a survival analysis using vaccination dates as time dependent covariates, surviving children change status at date of vaccination even though vaccinations …
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