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Missing data: A statistical framework for practice
Open accessAbstract
Missing data are ubiquitous in medical research, yet there is still uncertainty over when restricting to the complete records is likely to be acceptable, when more complex methods (e.g. maximum likelihood, multiple imputation and Bayesian methods) should be used, how they relate to each other and the role of sensitivity analysis. This article seeks to address both applied practitioners and researchers interested in a more formal explanation of some of the results. For practitioners, the framework, illustrative examples and code should equip them with a practical approach to address the issues raised by missing data (particularly using multiple imputation), alongside an overview of how the various approaches in the literature relate. In particular, we describe how multiple imputation can be readily used for sensitivity analyses, which are still infrequently performed. For those interested in more formal derivations, we give outline arguments for key results, use simple examples to show how methods relate, and references for full details. The ideas are illustrated with a cohort study, a multi‐centre case control study and a randomised clinical trial.
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“MI assumes data are missing at random (MAR), but missingness in loneliness and anxiety/depression was likely due to participants experiencing these conditions, making MI unreliable [111].”
From The prospective association of adolescent loneliness and low resilience with anxiety and depression in young adulthood: The HUNT study (2025) · cites this paper as [111]
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“Weighting does not fully remove bias when missingness relates to the outcome [111].”
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Metadata
- Authors
- Carpenter, J. R., & Smuk, M.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Corresponding author
- Carpenter, James R.
- Venue
- Biometrical Journal
- Publisher
- Wiley
- Published
- 2021-02-24
- Volume
- 63
- Issue
- 5
- Pages
- 915-947
- ISSN
- 0323-3847 (ISSN-L)
- 1521-4036
- PMC
- PMC7615108
- OpenAlex
- W3130968222
- Cited by
- 198
- References
- 94
- Citations by year
- 2026: 38 · 2025: 54 · 2024: 36 · 2023: 32 · 2022: 31 · 2021: 7
- FWCI
- 4.92
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Biometrical Journal (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by-nc)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Funders
- Medical Research Council (MC_UU_12023/21, MC_UU_12023/29, MC_UU_00004/07)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods and Bayesian Inference
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Keywords
- missing data, multiple imputation, sensitivity analysis, maximum likelihood estimation, Bayesian analysis, missing data mechanisms, cohort studies, case-control study, randomized controlled trials
- MeSH terms
- Bayes Theorem, Data Interpretation, Statistical, Humans, Cohort Studies, Case-Control Studies, Uncertainty
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