Handling missing values in cost effectiveness analyses that use data from cluster randomized trials

Public policy makers use cost effectiveness analyses (CEAs) to decide which health and social care interventions to provide. Missing data are common in CEAs, but most studies use complete-case analysis. Appropriate methods have not been developed for handling missing data in complex settings, exempl...

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Veröffentlicht in:Journal of the Royal Statistical Society. Series A, Statistics in society Statistics in society, 2014-02, Vol.177 (2), p.457-474
Hauptverfasser: Díaz-Ordaz, K., Kenward, Michael G., Grieve, Richard
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container_title Journal of the Royal Statistical Society. Series A, Statistics in society
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creator Díaz-Ordaz, K.
Kenward, Michael G.
Grieve, Richard
description Public policy makers use cost effectiveness analyses (CEAs) to decide which health and social care interventions to provide. Missing data are common in CEAs, but most studies use complete-case analysis. Appropriate methods have not been developed for handling missing data in complex settings, exemplified by CEAs that use data from cluster randomized trials. We present a multilevel multiple-imputation approach that recognizes the hierarchical structure of the data and is compatible with the bivariate multilevel models that are used to report cost effectiveness. We contrast this approach with single-level multiple imputation and complete-case analysis, in a CEA alongside a cluster randomized trial. The paper highlights the importance of adopting a principled approach to handling missing values in settings with complex data structures.
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source Wiley Online Library Journals Frontfile Complete; EBSCOhost Business Source Complete; Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current)
subjects Bivariate models
Clustered continuous data
Cost analysis
Cost effectiveness
Effectiveness
Health care
Missing data
Multidimensional analysis
Multiple imputation
Public policy
Random sampling
Social work
Statistical analysis
title Handling missing values in cost effectiveness analyses that use data from cluster randomized trials
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