Evidence map›Paper›PMID 41172039›Full record

ArticleStatistical methods in medical research2026

Using inverse probability of censoring weighting to estimate hypothetical estimands in clinical trials: Should we implement stabilisation, and if so how?

Jingyi Xuan, Shahrul Mt-Isa, Nicholas R Latimer, Helen Bell Gorrod, William Malbecq, Kristel Vandormael, Victoria Yorke-Edwards, Ian R White

Abstract read
In one paragraph

Article in Statistical methods in medical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Jingyi XuanMRC Clinical Trials Unit at UCL, University College London, London, UK.ORCID 0000-0002-5721-4857
Shahrul Mt-IsaBiostatistics and Research Decision Sciences (BARDS) Health Technology Assessment (HTA) Statistics, MSD, Zurich, Switzerland.
Nicholas R LatimerSheffield Centre for Health and Related Research, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.ORCID 0000-0001-5304-5585
Helen Bell GorrodSheffield Centre for Health and Related Research, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.ORCID 0000-0001-8054-8073
William MalbecqDepartment of Mathematics, University of Brussels, Brussels, Belgium.ORCID 0009-0004-6894-999X
Kristel VandormaelBiostatistics and Research Decision Sciences (BARDS) Health Technology Assessment (HTA) Statistics, MSD, Brussels, Belgium.
Victoria Yorke-EdwardsMRC Clinical Trials Unit at UCL, University College London, London, UK.ORCID 0000-0002-6465-7330
Ian R WhiteMRC Clinical Trials Unit at UCL, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inverse probability of censoring weighting is an approach used to estimate the hypothetical treatment effect that would have been observed in a clinical trial if certain intercurrent events had not occurred. Despite the unbiased estimates obtained by inverse probability of censoring weighting when its key assumptions are satisfied, large standard errors and wide confidence intervals can be potential concerns. Inverse probability of censoring weighting with unstabilised weights can be simply implemented by calculating the reciprocal of the probability of being uncensored by the intercurrent events. To improve precision, stabilisation can be realised by replacing the numerator in the unstabilised weights with functions of the time and baseline covariates. Here, we aim to investigate whether stabilised weight is a preferred choice and if so how we should specify the numerator. In a simulation study, we assessed the performance of inverse probability of censoring weighting implementations with unstabilised weights and with different forms of stabilisation when the outcome analysis model was correctly specified or mis-specified. Scenarios were designed to vary the prevalence of the intercurrent event in one or both randomised arms, the existence of a deterministic intercurrent event, the indirect effect through baseline covariates and overall treatment effect, the existence and the pattern of time-varying effect and sample size. Results show that compared with unstabilised weights, stabilisation improves the efficiency of the inverse probability of censoring weighting estimator in most cases and the improvement is obvious when we stabilise for the baseline covariates. However, stabilisation risks increasing the bias when the outcome analysis model is mis-specified.

Indexed as

Clinical Trials as TopicRandomized Controlled Trials as TopicComputer SimulationData Interpretation, StatisticalHumansModels, StatisticalProbabilitydependent censoringInverse probability of censoring weightnon-adherencepropensity scorestabilisationtreatment switching

Identifiers

PMID41172039
PMCPMC12783383

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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.