Data and Statistical Sciences, Pharma Development, Roche, Basel, Switzerland.
Data and Statistical Sciences, Pharma Development, Roche, Welwyn Garden City, UK.
Pharm Stat. 2022 Nov;21(6):1246-1257. doi: 10.1002/pst.2234. Epub 2022 May 19.
Clinical trials with longitudinal outcomes typically include missing data due to missed assessments or structural missingness of outcomes after intercurrent events handled with a hypothetical strategy. Approaches based on Bayesian random multiple imputation and Rubin's rules for pooling results across multiple imputed data sets are increasingly used in order to align the analysis of these trials with the targeted estimand. We propose and justify deterministic conditional mean imputation combined with the jackknife for inference as an alternative approach. The method is applicable to imputations under a missing-at-random assumption as well as for reference-based imputation approaches. In an application and a simulation study, we demonstrate that it provides consistent treatment effect estimates with the Bayesian approach and reliable frequentist inference with accurate standard error estimation and type I error control. A further advantage of the method is that it does not rely on random sampling and is therefore replicable and unaffected by Monte Carlo error.
临床研究中,由于错过评估或在发生并发事件后结局缺失,通常会出现纵向结局的缺失数据。为处理这些数据,研究人员采用了基于贝叶斯随机多重插补和 Rubin 规则的方法,以对多个插补数据集的结果进行汇总,从而使这些试验的分析与目标估计值保持一致。我们提出并证明了确定性条件均值插补与刀切法联合推断是一种替代方法。该方法适用于在随机缺失假设下的插补,也适用于基于参照的插补方法。在一个应用实例和一项模拟研究中,我们证明该方法与贝叶斯方法相比,可提供一致的治疗效果估计值,并且在准确估计标准误和控制Ⅰ类错误方面,提供可靠的频率推断。该方法的另一个优点是,它不依赖于随机抽样,因此具有可重复性,并且不受蒙特卡罗误差的影响。