Spondyloarthritis & psoriatic arthritis

Challenge of missing data in observational studies: investigating cross-sectional imputation methods for assessing disease activity in axial spondyloarthritis

RMD OpenPublished Simulation study

Authors' conclusion

Hot deck imputation using predictive mean matching exhibited the highest robustness

Study context

Population
Patients with axial spondyloarthritis (axSpA) in longitudinally collected observational data from ten European registries
Participants
8,583 patients10 European registries
Exposure
Cross-sectional imputation methods for missing disease activity
Outcome
Performance of imputation (relative bias and coverage of 95% CIs) for mean Axial Spondyloarthritis Disease Activity Score (ASDAS) and proportion in LDA (ASDAS<2.1)
Follow-up
Baseline, 6 and 12 months
Methodological detailsregistry data from ten European registries, nine single and five multiple imputation methods
  • Registry data from ten European registries
  • Nine single and five multiple imputation methods

Main finding

As reported in the abstract

Performance of imputation methods (relative bias, coverage)
  • Hot deck methods outperformed mean and regression methods, particularly for low disease activity (LDA)
  • Multiple imputation gave better coverage than corresponding single imputation
  • No method gave unbiased estimates with adequate coverage across all time points; worse for missing baseline than follow-up data
  • Predictive mean and weighted predictive mean hot deck consistently gave low bias

Observational data: associations, not effects.

Original publication

Challenge of missing data in observational studies: investigating cross-sectional imputation methods for assessing disease activity in axial spondyloarthritis. RMD Open. Published 20 February 2025. doi:10.1136/rmdopen-2024-004844

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