The data set Migraine
contains hypothetical data for a clinical trial of migraine treatment. Subjects of both genders receive either a new drug
therapy or a placebo. Their response to treatment is coded as 'Better' or 'Same'. The data are recorded as cell counts, and
the number of subjects for each treatment and response combination is recorded in the variable Count
.
data Migraine; input Gender $ Treatment $ Response $ Count @@; datalines; female Active Better 16 female Active Same 11 female Placebo Better 5 female Placebo Same 20 male Active Better 12 male Active Same 16 male Placebo Better 7 male Placebo Same 19 ;
The following PROC FREQ statements create a multiway table stratified by Gender
, where Treatment
forms the rows and Response
forms the columns. The RELRISK option in the TABLES statement requests the odds ratio and relative risks for the twoway
tables of Treatment
by Response
. The PLOTS= option requests a relative risk plot, which shows the relative risk and its confidence limits for each level
of Gender
and overall. The CMH option requests CochranMantelHaenszel statistics for the multiway table. For this stratified table, the CMH option also produces estimates of the common relative risk and the BreslowDay test for homogeneity of the
odds ratios. The NOPRINT option suppresses the display of the crosstabulation tables.
ods graphics on; proc freq data=Migraine; tables Gender*Treatment*Response / relrisk plots(only)=relriskplot(stats) cmh noprint; weight Count; title 'Clinical Trial for Treatment of Migraine Headaches'; run; ods graphics off;
Output 38.7.1 through Output 38.7.4 show the results of the analysis. The relative risk plot (Output 38.7.1) displays the relative risks and confidence limits for the two levels of Gender
and for the overall (common) relative risk. Output 38.7.2 displays the CMH statistics. For a stratified table, the three CMH statistics test the same hypothesis. The significant pvalue (0.004) indicates that the association between treatment and response remains strong after adjusting for gender.
The CMH option also produces a table of overall relative risks, as shown in Output 38.7.3. Because this is a prospective study, the relative risk estimate assesses the effectiveness of the new drug; the “Cohort (Col1 Risk)” values are the appropriate estimates for the first column (the risk of improvement). The probability of migraine improvement with the new drug is just over two times the probability of improvement with the placebo.
The large pvalue for the BreslowDay test (0.2218) in Output 38.7.4 indicates no significant gender difference in the odds ratios.
Output 38.7.2: CochranMantelHaenszel Statistics
CochranMantelHaenszel Statistics (Based on Table Scores)  

Statistic  Alternative Hypothesis  DF  Value  Prob 
1  Nonzero Correlation  1  8.3052  0.0040 
2  Row Mean Scores Differ  1  8.3052  0.0040 
3  General Association  1  8.3052  0.0040 
Output 38.7.3: CMH Option: Common Relative Risks
Estimates of the Common Relative Risk (Row1/Row2)  

Type of Study  Method  Value  95% Confidence Limits  
CaseControl  MantelHaenszel  3.3132  1.4456  7.5934 
(Odds Ratio)  Logit  3.2941  1.4182  7.6515 
Cohort  MantelHaenszel  2.1636  1.2336  3.7948 
(Col1 Risk)  Logit  2.1059  1.1951  3.7108 
Cohort  MantelHaenszel  0.6420  0.4705  0.8761 
(Col2 Risk)  Logit  0.6613  0.4852  0.9013 
Output 38.7.4: CMH Option: BreslowDay Test
BreslowDay Test for Homogeneity of the Odds Ratios 


ChiSquare  1.4929 
DF  1 
Pr > ChiSq  0.2218 