# Example 8.15: Firth logistic regression

**SAS and R**, and kindly contributed to R-bloggers]. (You can report issue about the content on this page here)

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In logistic regression, when the outcome has low (or high) prevalence, or when there are several interacted categorical predictors, it can happen that for some combination of the predictors, all the observations have the same event status. A similar event occurs when continuous covariates predict the outcome too perfectly.

This phenomenon, known as “separation” (including complete and quasi-complete separation) will cause problems fitting the model. Sometimes the only symptom of separation will be extremely large standard errors, while at other times the software may report an error or a warning.

One approach to handling this sort of problem is exact logistic regression, which we discuss in section 4.1.2. But exact logistic regression is complex and may require prohibitive computational resources. Another option is to use a Bayesian approach. Here we show how to use a penalized likelihood method originally proposed by Firth (1993 Biometrika 80:27-38) and described fully in this setting by Georg Heinze (2002 Statistics in Medicine 21:2409-2419 and 2006 25:4216-4226). A nice summary of the method is shown on a web page that Heinze maintains. In later entries we’ll consider the Bayesian and exact approaches.

**SAS**

In SAS, the corrected estimates can be found using the `firth` option to the `model` statement in `proc logistic`. We’ll set up the problem in the simple setting of a 2×2 table with an empty cell. Here, we simply output three observations with three combinations of predictor and outcome, along with a `weight` variable which contains the case counts in each cell of the table

data testfirth; pred=1; outcome=1; weight=20; output; pred=0; outcome=1; weight=20; output; pred=0; outcome=0; weight=200; output; run;

In the `proc logistic` code, we use the `weight` statement, available in many procedures, to suggest how many times each observation is to be replicated before the analysis. This approach can save a lot of space.

proc logistic data = testfirth; class outcome pred (param=ref ref='0'); model outcome(event='1') = pred / cl firth; weight weight; run;

Without the `firth` option, the parameter estimate is 19.7 with a standard error of 1349. In contrast, here is the result of the above code.

Analysis of Maximum Likelihood Estimates Standard Wald Parameter DF Estimate Error Chi-Square Pr > ChiSq Intercept 1 -2.2804 0.2324 96.2774

Note here that these no suggestion in this part of the output that the Firth method was employed. That appears only at the very top of the voluminous output.

**R**

In R, we can use Heinze’s `logistf` package, which includes the `logistf()` function. We’ll make the same table as in SAS by constructing two vectors of length 240 using the `c()` and `rep()` functions.

pred = c(rep(1,20),rep(0,220)) outcome = c(rep(1,40),rep(0,200)) lr1 = glm(outcome ~ pred, binomial) >summary(lr1) Call: glm(formula = outcome ~ pred, family = binomial) Deviance Residuals: Min 1Q Median 3Q Max -0.4366 -0.4366 -0.4366 -0.4366 2.1899 Coefficients: Estimate Std. Error z value Pr(>|z|) (Intercept) -2.3026 0.2345 -9.818

Note that the estimate differs slightly from what SAS reports. Here’s a more plausible answer.

>library(logistf) >lr2 = logistf(outcome ~ pred) >summary(lr2) logistf(formula = outcome ~ pred) Model fitted by Penalized ML Confidence intervals and p-values by Profile Likelihood coef se(coef) lower 0.95 upper 0.95 Chisq p (Intercept) -2.280389 0.2324057 -2.765427 -1.851695 Inf 0 pred 5.993961 1.4850029 3.947048 10.852893 Inf 0 Likelihood ratio test=78.95473 on 1 df, p=0, n=240 Wald test = 16.29196 on 1 df, p = 5.429388e-05 Covariance-Matrix: [,1] [,2] [1,] 0.05401242 -0.05401242 [2,] -0.05401242 2.20523358

Here, the estimates are nearly identical to SAS, but the standard errors differ.

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