Evidence map›Paper›PMID 33752738›Full record

ArticleAlzheimer's research & therapy2021

A competing risk joint model for dealing with different types of missing data in an intervention trial in prodromal Alzheimer's disease.

Floor M van Oudenhoven, Sophie H N Swinkels, Hilkka Soininen, Miia Kivipelto, Tobias Hartmann, Dimitris Rizopoulos, LipiDiDiet clinical study group

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 5 countries.

Floor M van OudenhovenDepartment of Biostatistics, Erasmus Medical Center, PO Box 2040, 3000, Rotterdam, CA, the Netherlands. floor.van-oudenhoven@danone.com.ORCID http://orcid.org/0000-0001-5042-2250
Sophie H N SwinkelsDanone Nutricia Research, Uppsalalaan 12, 3584 CT, Utrecht, The Netherlands.
Hilkka SoininenDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, PO Box 1627, 70211, Kuopio, Finland.
Miia KivipeltoDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, PO Box 1627, 70211, Kuopio, Finland.
Tobias HartmannDeutsches Institut für Demenz Prävention (DIDP), Medical Faculty, Saarland University, Kirrbergerstraße, 66421, Homburg, Germany.
Dimitris RizopoulosDepartment of Biostatistics, Erasmus Medical Center, PO Box 2040, 3000, Rotterdam, CA, the Netherlands.
LipiDiDiet clinical study group
Erasmus MC · NLKarolinska University Hospital · SESaarland University · DEUniversity of Eastern Finland · FIDanone (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMissing data can complicate the interpretability of a clinical trial, especially if the proportion is substantial and if there are different, potentially outcome-dependent causes.

methodsWe aimed to obtain unbiased estimates, in the presence of a high level of missing data, for the intervention effects in a prodromal Alzheimer's disease trial: the LipiDiDiet study. We used a competing risk joint model that can simultaneously model each patient's longitudinal outcome trajectory in combination with the timing and type of missingness.

resultsUsing the competing risk joint model, we were able to provide unbiased estimates of the intervention effects in the presence of the different types of missingness. For the LipiDiDiet study, the intervention effects remained statistically significant after this correction for the timing and type of missingness.

conclusionMissing data is a common problem in (Alzheimer) clinical trials. It is important to realize that statistical techniques make specific assumptions about the missing data mechanisms. When there are different missing data sources, a competing risk joint model is a powerful method because it can explicitly model the association between the longitudinal data and each type of missingness.

trial registrationDutch Trial Register, NTR1705 . Registered on 9 March 2009.

Indexed as

Alzheimer DiseaseClinical Trials as TopicData AccuracyHumansResearch DesignAlzheimer’s diseaseDietary interventionDropoutFortasynJoint modelProdromalRandomized controlled trial

Identifiers

PMID33752738
PMCPMC7983401
OpenAlexW3139158714

What OpenQuestion holds

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Registered trials

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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.