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Taking clinical risk factors into account

One way is to introduce a dose modifying factor:

Where

d

i

are fitting parameters and Y

i

are (typically)

indicator variables of presence/absence of a risk

factor.

If exp(

d

i

Y

i

)<1: Risk factor or protective factor?

  

....

exp

exp

22

11

50

50

Y

Y

D D

eff

d

d