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Hello,

I am conducting a retrospective cohort study using the General
Practice Research Database. I have 17,000 exposed patients matched
by age and gender to 85,000 non-exposed subjects. The outcome is time to malignancy which I want to relate to exposure which is recorded as a simple binary value.

(i) Can Cox regression adjust for the matching?Should I account for the
matching by bringing in a variable representing the  matched subjects and use it as a STRATA variable in SPSS? Or do I just perform the standard regression to generate the hazard ratios?

Dr John Belcher
Department of Primary Care and Public Health
North Wales Clinical School
Cardiff University 
Gwenfro Unit 6/7
Wrexham Technology Park
Wrexham LL13 7YP

Tel +44 (0)1978 726074