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末次观察结转:一个水晶球?

Last observation carried forward: a crystal ball?

作者信息

Kenward Michael G, Molenberghs Geert

机构信息

Medical Statistics Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom.

出版信息

J Biopharm Stat. 2009 Sep;19(5):872-88. doi: 10.1080/10543400903105406.

Abstract

In spite of widespread criticism and notwithstanding the availability of flexible, broadly valid, and conveniently implemented methods like direct-likelihood and direct-Bayesian analyses, last observation carried forward (LOCF), baseline observation carried forward (BOCF), and complete case analysis remain popular for handling incomplete clinical trial data. To the well-known criticisms toward LOCF and BOCF, namely, that they can be either conservative or liberal depending on the context, that they can violate the intention-to-treat principle, and so on, we add that, with the exception of certain degenerate and unrealistic special cases, these methods are incompatible with the sensible requirement that the mechanism governing dropout be independent of future, unobserved measurements, given covariates, past observed measurements, and the current possibly missing measurement.

摘要

尽管存在广泛批评,且有诸如直接似然法和直接贝叶斯分析等灵活、广泛适用且易于实施的方法,末次观测结转(LOCF)、基线观测结转(BOCF)和完整病例分析在处理不完整的临床试验数据时仍然很受欢迎。对于针对LOCF和BOCF的众所周知的批评,即它们可能根据具体情况而保守或宽松,它们可能违反意向性分析原则等等,我们补充一点,除了某些退化和不现实的特殊情况外,这些方法不符合一个合理要求:在给定协变量、过去观测到的测量值以及当前可能缺失的测量值的情况下,导致失访的机制应独立于未来未观测到的测量值。

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