Analysis of overdispersed paired count data

This article is about the statistical analysis of overdispersed paired count data for comparing two treatments. The data consist of the number of events obtained in a stratum during the fixed observation period. Three types of model are discussed: the Poisson, a mixed, and a semiparametric model. Overdispersion is represented in the last two models but not in the Poisson model. Of particular interests are to examine whether there is any loss of efficiency in using the estimate of the treatment effect obtained under other two models if the mixed model is true, and also whether overdispersion leads to a larger variance of the estimate than that expected from the Poisson model. It is shown that all three models provide the same estimate of the treatment effect (i.e., there is no loss of efficiency) and that the variance of the estimate of;he treatment effect obtained under the Poisson model is the same as that based on the mixed model. However, the semiparametric model provides the variance of the estimate larger than those obtained under the other two models.