Semiparametric analysis for case-control studies: a partial smoothing spline approach

Case-control data are often used in medical-related applications, and most studies have applied parametric logistic regression to analyze such data. In this study, we investigated a semiparametric model for the analysis of case-control data by relaxing the linearity assumption of risk factors by using a partial smoothing spline model. A faster computation method for the model by extending the lower-dimensional approximation approach of Gu and Kim 4 developed in penalized likelihood regression is considered to apply to case-control studies. Simulations were conducted to evaluate the performance of the method with selected smoothing parameters and to compare the method with existing methods. The method was applied to Korean gastric cancer case-control data to estimate the nonparametric probability function of age and regression parameters for other categorical risk factors simultaneously. The method could be used in preliminary studies to identify whether there is a flexible function form of risk factors in the semiparametric logistic regression analysis involving a large data set.