The reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journals

Abstract Background Missing data are common in longitudinal studies, and more so, in studies of older adults, who are susceptible to health and functional decline that limit completion of assessments. We assessed the extent, current reporting, and handling of missing data in longitudinal studies of...

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Main Authors: Chinenye Okpara, Chidozie Edokwe, George Ioannidis, Alexandra Papaioannou, Jonathan D. Adachi, Lehana Thabane
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:https://doi.org/10.1186/s12874-022-01605-w
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author Chinenye Okpara
Chidozie Edokwe
George Ioannidis
Alexandra Papaioannou
Jonathan D. Adachi
Lehana Thabane
author_facet Chinenye Okpara
Chidozie Edokwe
George Ioannidis
Alexandra Papaioannou
Jonathan D. Adachi
Lehana Thabane
author_sort Chinenye Okpara
collection DOAJ
description Abstract Background Missing data are common in longitudinal studies, and more so, in studies of older adults, who are susceptible to health and functional decline that limit completion of assessments. We assessed the extent, current reporting, and handling of missing data in longitudinal studies of older adults. Methods Medline and Embase databases were searched from 2015 to 2019 for publications on longitudinal observational studies conducted among persons ≥55 years old. The search was restricted to 10 general geriatric journals published in English. Reporting and handling of missing data were assessed using questions developed from the recommended standards. Data were summarised descriptively as frequencies and proportions. Results A total of 165 studies were included in the review from 7032 identified records. In approximately half of the studies 97 (62.5%), there was either no comment on missing data or unclear descriptions. The percentage of missing data varied from 0.1 to 55%, with a 14% average among the studies that reported having missing data. Complete case analysis was the most common method for handling missing data with nearly 75% of the studies (n = 52) excluding individual observations due to missing data, at the initial phase of study inclusion or at the analysis stage. Of the 10 studies where multiple imputation was used, only 1 (10.0%) study followed the guideline for reporting the procedure fully using online supplementary documents. Conclusion The current reporting and handling of missing data in longitudinal observational studies of older adults are inadequate. Journal endorsement and implementation of guidelines may potentially improve the quality of missing data reporting. Further, authors should be encouraged to use online supplementary files to provide additional details on how missing data were addressed, to allow for more transparency and comprehensive appraisal of studies.
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spelling doaj.art-984a5a2806744ac3905446ba0aa495a92022-12-22T02:35:39ZengBMCBMC Medical Research Methodology1471-22882022-04-012211910.1186/s12874-022-01605-wThe reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journalsChinenye Okpara0Chidozie Edokwe1George Ioannidis2Alexandra Papaioannou3Jonathan D. Adachi4Lehana Thabane5Department of Health Research Methods, Evidence and Impact, McMaster UniversityRoche Products Ltd, IkejaDepartment of Health Research Methods, Evidence and Impact, McMaster UniversityDepartment of Health Research Methods, Evidence and Impact, McMaster UniversityGERAS Centre, Hamilton Health SciencesDepartment of Health Research Methods, Evidence and Impact, McMaster UniversityAbstract Background Missing data are common in longitudinal studies, and more so, in studies of older adults, who are susceptible to health and functional decline that limit completion of assessments. We assessed the extent, current reporting, and handling of missing data in longitudinal studies of older adults. Methods Medline and Embase databases were searched from 2015 to 2019 for publications on longitudinal observational studies conducted among persons ≥55 years old. The search was restricted to 10 general geriatric journals published in English. Reporting and handling of missing data were assessed using questions developed from the recommended standards. Data were summarised descriptively as frequencies and proportions. Results A total of 165 studies were included in the review from 7032 identified records. In approximately half of the studies 97 (62.5%), there was either no comment on missing data or unclear descriptions. The percentage of missing data varied from 0.1 to 55%, with a 14% average among the studies that reported having missing data. Complete case analysis was the most common method for handling missing data with nearly 75% of the studies (n = 52) excluding individual observations due to missing data, at the initial phase of study inclusion or at the analysis stage. Of the 10 studies where multiple imputation was used, only 1 (10.0%) study followed the guideline for reporting the procedure fully using online supplementary documents. Conclusion The current reporting and handling of missing data in longitudinal observational studies of older adults are inadequate. Journal endorsement and implementation of guidelines may potentially improve the quality of missing data reporting. Further, authors should be encouraged to use online supplementary files to provide additional details on how missing data were addressed, to allow for more transparency and comprehensive appraisal of studies.https://doi.org/10.1186/s12874-022-01605-wMissing dataLongitudinal studiesReviewMethodsOlder adults
spellingShingle Chinenye Okpara
Chidozie Edokwe
George Ioannidis
Alexandra Papaioannou
Jonathan D. Adachi
Lehana Thabane
The reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journals
BMC Medical Research Methodology
Missing data
Longitudinal studies
Review
Methods
Older adults
title The reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journals
title_full The reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journals
title_fullStr The reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journals
title_full_unstemmed The reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journals
title_short The reporting and handling of missing data in longitudinal studies of older adults is suboptimal: a methodological survey of geriatric journals
title_sort reporting and handling of missing data in longitudinal studies of older adults is suboptimal a methodological survey of geriatric journals
topic Missing data
Longitudinal studies
Review
Methods
Older adults
url https://doi.org/10.1186/s12874-022-01605-w
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