Handling missing covariate data in clinical studies in haematology

Research output: Contribution to journalReview articleContributedpeer-review

Contributors

  • Edouard F Bonneville - , Leiden University (Author)
  • Johannes Schetelig - , Department of internal Medicine I, DKMS Clinical Trials Unit (Author)
  • Hein Putter - , Leiden University (Author)
  • Liesbeth C de Wreede - , Leiden University (Author)

Abstract

Missing data are frequently encountered across studies in clinical haematology. Failure to handle these missing values in an appropriate manner can complicate the interpretation of a study's findings, as estimates presented may be biased and/or imprecise. In the present work, we first provide an overview of current methods for handling missing covariate data, along with their advantages and disadvantages. Furthermore, a systematic review is presented, exploring both contemporary reporting of missing values in major haematological journals, and the methods used for handling them. A principal finding was that the method of handling missing data was explicitly specified in a minority of articles (in 76 out of 195 articles reporting missing values, 39%). Among these, complete case analysis and the missing indicator method were the most common approaches to dealing with missing values, with more complex methods such as multiple imputation being extremely rare (in 7 out of 195 articles). An example analysis (with associated code) is also provided using hematopoietic stem cell transplantation data, illustrating the different approaches to handling missing values. We conclude with various recommendations regarding the reporting and handling of missing values for future studies in clinical haematology.

Details

Original languageEnglish
Article number101477
JournalBest practice & research. Clinical haematology
Volume36
Issue number2
Publication statusPublished - Jun 2023
Peer-reviewedYes

External IDs

Scopus 85160568639

Keywords

Keywords

  • Humans, Data Interpretation, Statistical, Hematology, Research Design

Library keywords