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September 24, 2024Journal of Clinical Epidemiology19 citationsOpen Access

The performance of prognostic models depended on the choice of missing value imputation algorithm: a simulation study

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MDManja DeforthGHGeorg HeinzeUHUlrike Held

Key Points

  • Performance measures of clinical prediction models depend on the choice of missing value imputation algorithms.
  • The study shows that certain imputation methods consistently outperform others in predicting outcomes, indicating a crucial decision point.
  • Simulation analysis explores multiple imputation techniques versus single imputation methods for handling missing predictors in models for accurate predictions across varying scenarios. The findings emphasize the need for careful selection of imputation methods to improve predictive accuracy in clinical applications.

Abstract

The development of clinical prediction models is often impeded by the occurrence of missing values in the predictors. Various methods for imputing missing values before modeling have been proposed. Some of them are based on variants of multiple imputations by chained equations, while others are based on single imputation. These methods may include elements of flexible modeling or machine learning algorithms, and for some of them user-friendly software packages are available. The aim of this study was to investigate by simulation if some of these methods consistently outperform others in performance measures of clinical prediction models.

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Cite This Study

Deforth et al. (2024) studied this question.

synapsesocial.com/papers/68e57799b6db6435875179b9https://doi.org/10.1016/j.jclinepi.2024.111539
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