Standards should be applied in the prevention and handling of missing data for patient-centered outcomes research: a systematic review and expert consensus.

Abstract:

OBJECTIVES:To recommend methodological standards in the prevention and handling of missing data for primary patient-centered outcomes research (PCOR). STUDY DESIGN AND SETTING:We searched National Library of Medicine Bookshelf and Catalog as well as regulatory agencies' and organizations' Web sites in January 2012 for guidance documents that had formal recommendations regarding missing data. We extracted the characteristics of included guidance documents and recommendations. Using a two-round modified Delphi survey, a multidisciplinary panel proposed mandatory standards on the prevention and handling of missing data for PCOR. RESULTS:We identified 1,790 records and assessed 30 as having relevant recommendations. We proposed 10 standards as mandatory, covering three domains. First, the single best approach is to prospectively prevent missing data occurrence. Second, use of valid statistical methods that properly reflect multiple sources of uncertainty is critical when analyzing missing data. Third, transparent and thorough reporting of missing data allows readers to judge the validity of the findings. CONCLUSION:We urge researchers to adopt rigorous methodology and promote good science by applying best practices to the prevention and handling of missing data. Developing guidance on the prevention and handling of missing data for observational studies and studies that use existing records is a priority for future research.

journal_name

J Clin Epidemiol

authors

Li T,Hutfless S,Scharfstein DO,Daniels MJ,Hogan JW,Little RJ,Roy JA,Law AH,Dickersin K

doi

10.1016/j.jclinepi.2013.08.013

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

15-32

issue

1

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(13)00351-X

journal_volume

67

pub_type

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