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Because no family is specified, the command fits a Gaussian identity-link generalized additive model:The $s_j$ are centered penalized regression splines with cubic regression bases; centering separates them from the intercept. The age curve in the original figure falls to a minimum near age 25, then rises markedly, particularly from about 40 onwards. Its effective degrees of freedom are $4.05$, reflecting curvature. The white-cell curve has effective degrees of freedom one and is nearly flat with a slight positive slope; the pointwise uncertainty bands are consistent with no substantial effect. These plots display centered partial mean contributions, not numbers of prescriptions by themselves.

A simpler mean model keeps the age regression spline and replaces the white-cell smooth by a linear term. A separate issue is that the response is a nonnegative count: a Poisson regression with logarithmic link function respects that support and positivity of the mean. A reasonable candidate isIf diagnostics show overdispersion, one can fitusing a negative binomial regression. Alternatively, if a Gaussian approximation is adequate, the minimal simplification is gam(npres ~ s(age, bs="cr") + wbc). These are candidates to compare by diagnostics and validation, rather than guaranteed improvements from the partial plots alone. Retain the curved age effect; consider a linear or removable white-cell effect, and assess an appropriate count family. Refit before interpreting the old curves on a new link scale.