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CCRAT Readme - Female Model


Installing and operating the Women Colorectal Cancer Absolute Risk Assessment Tool
version 1.0                                                 creation date 04/02/12

This installation and operation pertains to Windows 2000, Windows XP,
Windows Vista and Windows 7 for either 32 or 64 bit operating systems.

(1) Contents of the Zip file "":

(a) Women_CRC_Risk_Tool.gcg      gauss program which performs the CRC Risk Projection
                                and 95% confidence interval calculations
                               (32-bit version  operable on both 32 or 64 bit OS)

(b) Women_CRC_Risk_Input.dat     sample relative risk profile input file read by the
                                risk program  "Women_CRC_Risk_Tool.gcg"

(c) Women_CRC_Risk_Tool.list     projected risks by reading the above sample input file

(d) WomenColnCaCovPat            ancillary file used by the risk program
                                Women_CRC_Risk_Tool.gcg for data editing of the input
                                file  Women_CRC_Risk_Input.dat.  If it is not found,
                                data editing on the input file will not be performed

(e) Women_CRC_Risk_Tool.err      input data editing error file listing

(f) WomenCov_1_AR_RPD            ancillary file used by the risk program
                                Women_CRC_Risk_Tool.gcg for 95% for confidence interval
                                calculations.  If not found, confidence intervals will
                                not be produced.

(g) GRTM_11_Win_32.msi           setup file for Gauss Run Time Module for Windows with
                                a 32 or 64 bit operating system

(h) WReadMe.fil                  this file you are reading

After unzipping the contents of  "",  check to see that all files
listed above are included.

Ref: "Colorectal Cancer Risk Prediction Tool for White Men and Women Without Known
     Susceptibility".   A Freedman et al.  JCO  27:686-693 2008.

(2) Installing the Gauss Run Time Moduel:

Note:  If you have previously installed the gauss run-time module using
      GRTM_11_Win_32.msi,  you can ignore this section.

The gauss run-time module will execute any pre-compiled gauss program.  It is
needed for the user to perform CRC Absolute Risk Projections for women by executing
the provided pre-compiled Gauss program   "Women_CRC_Risk_Tool.gcg".

click on  "GRTM_11_Win_32.msi"  to start the installation process and you are
using 32-bit Windows operating system.

(a) the installer will ask you to accept the standard license agreement. After
   you accept the agreement, it will ask you where you want to install the
   gauss run-time module.  The default folder is  "C:\gsrun11".  If the default
   is acceptable click "next", otherwise click "browse".  If you clicked "browse",
   a box will appear where you can type in the destination of your installation
   process.  In the following discussion, the installation will be into the folder

(b) at the completion of the installation process, the installer will place a
   gauss run time module icon on your desktop.  It is recommended leaving the
   icon on the desktop for ease of use.

(c) copy the six files:


   to where you installed the gauss run time module, i.e. in this example,

(d) you may want to copy this "WReadMe.fil" to the folder c:\CRC_AbsRisk.

(e) the installation process is now complete.

(3)  Input file desciription:

The women's colorectal cancer absolute risk projection Gauss program,  Women_CRC_Risk_Tool.gcg,
needs the following information as input to project for absolute risk of colorectal cancer.
The ordering of each field  MUST  be in the indicated order given below. So Col 11 must
contain  BMI >= 30.  Similarly for all of the columns.
Compare following with the header area of the sample input file   Women_CRC_Risk_Input.dat:

Col  1   Race          =1, white
                      =2, african-american
                      =3, hispanic
                      =4, asian-american

Col  2   Posi 0        =1, yes sigmoidoscopy and/or colonscopy last 10 years,  no history of polyps
                      =0, otherwise

Col  3   Posi 1        =1. no sigmoidoscopy and/or colonscopy last 10 years
                      =0, otherwise

Col  4   Posi 2        =1, yes sigmoidoscopy and/or colonscopy last 10 years, yes history of polyps
                      =0, otherwise

Col  5   No Strogn     =0, regular user of Estrogen
                      =1,     non user of Estrogen

Col  6   Rel CRC >=1   =0, 0         relative  with CRC  (CRC=Colorectal Cancer)
                      =1, 1 or more relatives with CRC

Col  7   No NSaids     =0, regular user of asprin/NSaids
                      =1,     non user of asprin/NSaids

Col  8   VigrXrcis 0   =1, 0 hrs/wk
                      =0, otherwise

Col  9   VigrXrcis 1   =1, greater than 2 and less than equal 4 hrs/wk
                      =0, otherwise

Col 10   VigrXrcis 2   =1, greater than 0 and less than equal 2 hrs/wk
                      =0, otherwise

Col 11   BMI >= 30     =0, BMI <  30
                      =1, BMI >= 30

Col 12   Hours Xrcise  =0, greater than 4 hrs/wk
                      =1, greater than 2 and less than equal 4 hrs/wk
                      =2, greater than 0 and less than equal 2 hrs/wk
                      =3, 0 hrs/wk

               Note: Hours Xrcise coding is "backward" i.e.  0 is most exercise,  3 is no exercise

Col 13   Veg <5        =1, less      than     five servings of vegetables per day
                      =0, greater   equal to five servings of vegetables per day

Col 14   Posi 1        =1. no  sigmoidoscopy and/or colonscopy last 10 years
                      =0, otherwise

Col 15   Posi 2        =1, yes sigmoidoscopy and/or colonscopy last 10 years, yes history of polyps
                      =0, otherwise

Col 16   Posi 3        =1, unk sigmoidoscopy and/or colonscopy last 10 years, unk history of polyps
                      =0, otherwise

Col 17   #Rel Trend    =0, 0         relative  with CRC  (CRC=Colorectal Cancer)
                      =1, 1         relative  with CRC
                      =2, 2 or more relatives with CRC

Col 18   BMI30YesStrgn =0,   BMI ge 30 * (1 - No Strogn) = 0
                      =1,   BMI ge 30 * (1 - No Strogn) = 1

Col 19   Age1          current age,
Col 20   Age2          projection age,  ranges from:  50 <= Age1 < Age2 <=90

Alogrithm used for calculating Risk Covariate Pattern ID for each input covariate pattern:

Pattrn_ID  =  2*2*2*4*2*3*1* Hours Exercis (0,1,2,3)   +
               2*2*4*2*3*1* NoStrogen     (0,1)       +
                 2*4*2*3*1* VEGlt5        (0,1)       +
                   4*2*3*1* BMIge30       (0,1)       +
                     2*3*1* sigmod        (0,1,2,3)   +
                       3*1* NoNSaids      (0,1)       +
                         1* #RelTrnd      (0,1,2)     +
                         1* 1

Pattrn_ID ranges in values from 1:768

Pattrn_ID used for input Risk Covariate Pattern edit checking as well as
for 95% CI calculations.  The numbers separated by commas in the parenthesis
is the number of levels and valid values for the levels for the associated
risk covariate.  Note that  "sigmod"  is the trend variable created from
Posi 0, Posi 1, Posi 2 and Posi 3:

 sigmod = 0    if Posi 0=1
          1    if Posi 1=1
          2    if Posi 2=1
          3    if Posi 3=1

Before exeucting the risk projection program, it should prove beneficial to
take a brief examination of the input file  "Women_CRC_Risk_Input.dat"
included with this package.

(4) Executing Women's colorectal cancer (CRC) risk program  "Women_CRC_Risk_Tool.gcg":

Method 1:  Associate any file which ends with  ".gcg"  with the gauss run time module.
          Once this has been performed, you can just click on  "Women_CRC_Risk_Tool.gcg"
          or any file ending with  ".gcg" for that matter, and the gauss run time
          moduele will execute the file and the absolute risk program will start to

Method 2:  Click on the gauss run time module icon which has been placed on your desktop
          by the installer.  The gauss run time module window will open.  On top of the
          window, will be a white rectangular box, with the name of the folder which the
          gauss run time module is pointing.  If it is pointing at the folder which
          contains  "Women_CRC_Risk_Tool.gcg" then you don't have to navigate anywhere.  If
          it is not pointing at the folder which contains  "Women_CRC_Risk_Tools.gcg", then
          either use the browse buttom  (the little gray rectangle with three dots on it)
          to navigate to the correct folder, or just type in the name of the folder in the
          white rectangle.  In this discussion, you would type  "c:\CRC_AbsRisk".  Once
          this is done, at the ">>" symbol, type  "run  Women_CRC_Risk_Tool.gcg" and the
          absolute risk program will start to execute.

Once the absolute risk program  "Women_CRC_Risk_Tool.gcg"  completes execution, it will output
two files.   One is the output file:

           "Women_CRC_Risk_Tool.out"  which contains absolute risk associated quantities.

            the other is the edit error file :

           "Women_CRC_Risk_Tool.err"  which indicates input records with editing errors.

It would be beneficial to look at both files.  If the error file only contains a table heading,
this means that no editing errors was discovered by the program.  Please note that this does
not guarantee that unanticipated errors have not occured in the input file.  Integrity of the
input data is still the user's responsibility.

The included error file lists errors for seven records.

  1st error: Incorrect value  5 for race.          Race takes on the values 1,2,3 and 4
  2nd error: Incorrect value 49 for Age1.          Age1 must be ge 50.
  3rd error: Incorrect value 60 for Age1 and Age2. Age2 must be gt Age1.
  4th error: Incorrect value 91 for Age2.          Age2 must be le 90.
  5th error: Incorrect value  9 for #Rel012.       #Rel012 takes only values of 0,1,2.
  6th error: Incorrect value  9 for Hours Xrcise.  Hours Xrcise takes only values of 0,1,2,3.
  7th error: NoStrgn=1, BMIge30=1 but BMI*YesStrgn=1.  BMI*YesStrogn should be ZERO.

The above seven errors are but a sub-set of all possible errors and are not meant to be exhaustive
of all possible errors.

Note that if the Pattrn_ID obtained for an input covariateis pattern from the above formula, is
not within the range of 1:768, the inputted covariate pattern is inadmissable and flagged.

Even when the Pattrn_ID is within this range, different covariate patterns may give rise to the
same Pattrn_ID.  So if an input covariate pattern is flagged, the "correct" covariate pattern
associated with the Pattrn_ID is given below the "incorrect" input covariate pattern and a
covariate by covariate comparison might help in pinpointing the error.

Looking at the output file  "Women_CRC_Risk_Tool.out",  first note all the constants utilized by
this tool are listed.  Next you will see all the inputed risk covariate information for each
person, as well the the projected absolute risk and 95% confidence interval.  Note that for
covariate patterns which have editing errors (the first 7 records in this case), all the
absolute risk related output quantities are set to a missing value of  ".".  Compare the output
which you obtained with the file  "Women_CRC_Risk_Tool.list".  There should be complete agreement,
with the exception of the date when the program was executed.