How to manage missing covariates in randomized controlled trials: a comparison of strategies

This article clarifies the assumptions and mechanisms by which different missing data strategies accommodate missingness in covariates and reconcile recommendations that sometimes appear contradictory in the literature. Under MAR, "MI by arm" produces unbiased estimates for both the average treatment effect and subgroup treatment effects. Leveraging the randomization design, "baseline-only MI", grand mean imputation, and the missing indicator method produce unbiased estimates for the average treatment effect, but biased subgroup treatment effects, regardless of the missing data mechanism.

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Publication Details

Journal
BMC Medical Research Methodology
Published
2025-11-25
DOI
https://doi.org/10.1186/s12874-025-02708-w
Primary Topic
Statistical Methods and Bayesian Inference
Type
article
Field-Weighted Citation Impact
0.00

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article

How to manage missing covariates in randomized controlled trials: a comparison of strategies

Yajuan Si, John J. Dziak, Shiyu Zhang
BMC Medical Research Methodology
Statistical Methods and Bayesian Inference
article

How to manage missing covariates in randomized controlled trials: a comparison of strategies

Yajuan Si, John J. Dziak, Shiyu Zhang
article en

Abstract

This article clarifies the assumptions and mechanisms by which different missing data strategies accommodate missingness in covariates and reconcile recommendations that sometimes appear contradictory in the literature. Under MAR, "MI by arm" produces unbiased estimates for both the average treatment effect and subgroup treatment effects. Leveraging the randomization design, "baseline-only MI", grand mean imputation, and the missing indicator method produce unbiased estimates for the average treatment effect, but biased subgroup treatment effects, regardless of the missing data mechanism.

BMC Medical Research MethodologyVol. 25(1)
Institute for Social Research (NO)
National Institutes of Health
Openalex Percentile: Top 66%
Statistical Methods and Bayesian Inference
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