Missing data



  • What does it mean?

When a participant outcome is unavailable, due to a missing questionnaire or non-attendance to a trial related clinical appointment, their results are unknown. We call this missing data. In the toothpaste trial, this would mean we don’t know a participant's pain score at the end. We have a number of options available to try to account for the missing values. For example, we can use statistical tools that aim to predict what happened to patients that did not provide results, taking into account these predictions are uncertain, ie we do not know for sure what happened to those participants.

You can find out more about what missing data is and its impact on interpretation of treatment claims here.

  • How could patients be involved?

Patients can help us predict missing values so we can assess treatment effect with more certainty.

  • Example 

Some participants in the toothpaste trial will have their pain score missing. For those participants and to ensure we investigate different and realistic scenarios, we might need to predict what their value might have been, had they answered the question. We have different sources of information to make that prediction, like whether they attended urgent dental treatment and dentists’ opinions. However, it is still an informed guess. Should patients help make that informed guess? 

Comments

  1. Patients may be able to identify factors leading to missing data which will help the informed guess.

    ReplyDelete

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