A comparison of imputation strategies in cluster randomized trials with missing binary outcomes.

Abstract:

:In cluster randomized trials, clusters of subjects are randomized rather than subjects themselves, and missing outcomes are a concern as in individual randomized trials. We assessed strategies for handling missing data when analysing cluster randomized trials with a binary outcome; strategies included complete case, adjusted complete case, and simple and multiple imputation approaches. We performed a simulation study to assess bias and coverage rate of the population-averaged intervention-effect estimate. Both multiple imputation with a random-effects logistic regression model or classical logistic regression provided unbiased estimates of the intervention effect. Both strategies also showed good coverage properties, even slightly better for multiple imputation with a random-effects logistic regression approach. Finally, this latter approach led to a slightly negatively biased intracluster correlation coefficient estimate but less than that with a classical logistic regression model strategy. We applied these strategies to a real trial randomizing households and comparing ivermectin and malathion to treat head lice.

journal_name

Stat Methods Med Res

authors

Caille A,Leyrat C,Giraudeau B

doi

10.1177/0962280214530030

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

2650-2669

issue

6

eissn

0962-2802

issn

1477-0334

pii

0962280214530030

journal_volume

25

pub_type

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