Dropouts in the AB/BA crossover design.

Abstract:

:Missing data arise in crossover trials, as they do in any form of clinical trial. Several papers have addressed the problems that missing data create, although almost all of these assume that the probability that a planned observation is missing does not depend on the value that would have been observed; that is, the data are missing at random (MAR). In many applications, this assumption is likely to be untenable; in which case, the data are missing not at random (MNAR). We investigate the effect on estimates of the treatment effect that assume data are MAR when data are actually MNAR. We also propose using the assumption of no carryover treatment effect, which is usually required for this design, to permit the estimation of a treatment effect when data are MNAR. The results are applied to a trial comparing two treatments for neuropathic pain and show that the estimate of treatment effect is sensitive to the assumption of MAR.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

Ho WK,Matthews JN,Henderson R,Farewell D,Rodgers LR

doi

10.1002/sim.4497

subject

Has Abstract

pub_date

2012-07-20 00:00:00

pages

1675-87

issue

16

eissn

0277-6715

issn

1097-0258

journal_volume

31

pub_type

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