Evidence map›Paper›PMID 31062649›Full record

SynthesisJournal of neurotrauma2019

Handling of Missing Outcome Data in Traumatic Brain Injury Research: A Systematic Review.

Sophie Richter, Susan Stevenson, Tom Newman, Lindsay Wilson, David K Menon, Andrew I R Maas, Daan Nieboer, Hester Lingsma, Ewout W Steyerberg, Virginia F J Newcombe

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of neurotrauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sophie RichterUniversity Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, United Kingdom.
Susan StevensonUniversity Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, United Kingdom.
Tom NewmanUniversity Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, United Kingdom.
Lindsay WilsonDivision of Psychology, University of Stirling, Stirling, United Kingdom.
David K MenonUniversity Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, United Kingdom.
Andrew I R MaasDepartment of Neurosurgery, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Daan NieboerDepartment of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.
Hester LingsmaDepartment of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.
Ewout W SteyerbergDepartment of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.
Virginia F J NewcombeUniversity Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, United Kingdom.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Traumatic brain injury (TBI) research commonly measures long-term functional outcome, but studies often suffer from missing data as patients are lost to follow-up. This review assesses the extent and handling of missing outcome data in the TBI literature and provides a practical guide for future research. Relevant electronic databases were searched from January 1, 2012 to October 27, 2017 for TBI studies that used the Glasgow Outcome Scale or Glasgow Outcome Scale-Extended (GOS/GOSE) as an outcome measure. Studies were screened and data extracted in line with Cochrane guidance. A total of 195 studies, 21 interventional, 174 observational, with 104,688 patients were included. Using the reported follow-up rates in a mixed model, on average 91% of patients were predicted to return to follow-up at 6 months post-injury, 84% at 1 year, and 69% at 2 years. However, 36% of studies provided insufficient information to determine the number of subjects at each time-point. Of 139 studies that did report missing outcome data, only 50% attempted to identify why data were missing, with just 4 reporting their assumption on the "missingness mechanism." The handling of missing data was heterogeneous, with the most common method being its exclusion from analysis. These results confirm substantial variability in the standard of reporting and handling of missing outcome data in TBI research. We conclude that practical guidance is needed to facilitate meaningful and accurate study interpretation, and therefore propose a framework for the handling of missing outcome data in future TBI research.

Indexed as

Brain Injuries, TraumaticGlasgow Outcome ScaleResearchData Interpretation, StatisticalHumansResearch Designfollow-upmissing datamultiple imputationtraumatic brain injury

Identifiers

PMID31062649
PMCPMC6744946

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.