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ACCOUNTING FOR DROPOUT BIAS USING MIXED-EFFECTS MODELS
Abstract
Treatment effects are often evaluated by comparing change over time in outcome measures. However, valid analyses of longitudinal data can be problematic when subjects discontinue (dropout) prior to completing the study. This study assessed the merits of likelihood-based repeated measures analyses (MMRM) compared with fixed-effects analysis of variance where missing values were imputed using the last observation carried forward approach (LOCF) in accounting for dropout bias. Comparisons were made in simulated data and in data from a randomized clinical trial. Subject dropout was introduced in the simulated data to generate ignorable and nonignorable missingness. Estimates of treatment group differences in mean change from baseline to endpoint from MMRM were, on average, markedly closer to the true value than estimates from LOCF in every scenario simulated. Standard errors and confidence intervals from MMRM accurately reflected the uncertainty of the estimates, whereas standard errors and confidence intervals from LOCF underestimated uncertainty.
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“Missing data were managed using LMM, which is based on all observed data and accounts for data missing at random [108-110].”
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Metadata
- Authors
- Mallinckrodt, C. H., Clark, W. S., & David, S. R.
- Affiliations
- Eli Lilly (United States) (US)
- Venue
- Journal of Biopharmaceutical Statistics
- Publisher
- Informa UK Limited
- Published
- 2001-01-01
- Volume
- 11
- Issue
- 1-2
- Pages
- 9-21
- ISSN
- 1054-3406 (ISSN-L)
- 1520-5711
- OpenAlex
- W2073155558
- Cited by
- 398
- References
- 14
- Citations by year
- 2026: 12 · 2025: 13 · 2024: 21 · 2023: 12 · 2022: 27 · 2021: 19 · 2020: 20 · 2019: 13 · 2018: 14 · 2017: 14 · 2016: 18 · 2015: 21 · 2014: 16 · 2013: 23 · 2012: 19
- FWCI
- 11.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Biopharmaceutical Statistics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods and Bayesian Inference
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Keywords
- mixed models, last observation carried forward, missing data, non-ignorable missingness, treatment effect estimation, longitudinal data, randomized controlled trials, standard error estimation
- MeSH terms
- Analysis of Variance, Humans, Longitudinal Studies, Patient Dropouts, Models, Statistical, Bias, Confidence Intervals, Randomized Controlled Trials as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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