Addressing missing participant data in systematic reviews. Part 1: dichotomous outcomes

Article type
Authors
Akl E1, Ebrahim S2, Kahale L3, Alonso P4, Guyatt G5, Johnston B6, Briel M7
1American University of Beirut
2McMaster University & Stanford University
3Cochrane Gynaecological and Orphan Cancer Group
4Iberoamerican Cochrane Center
5McMaster University
6The Hospital for Sick Children Research Institute, Toronto, Canada
7University Hospital Basel, Switzerland
Abstract
Objectives:
To describe how to use an innovative approach to addressing missing participant data for dichotomous outcomes in systematic reviews of randomized trials.

Description:
The workshop will consist of the following:
1. A didactic presentation of methods being used by Cochrane and non-Cochrane systematic reviews for dealing with and judging risk of bias associated with missing participant data (5 min).
2. An interactive presentation of the proposed approach: for the primary analysis, we propose either a complete-case study or making plausible assumptions about the outcomes of participants with missing data. The sensitivity analyses may use relatively extreme assumptions about the plausibility and outcomes of participants with missing data. More plausible assumptions draw on the outcome event rates within the trial or in all trials included in a meta-analysis. We will also discuss how to judge risk of bias associated with missing participant data using this approach (25 min).
3. A hands-on exercise will cover conducting primary and sensitivity analyses (using an Excel sheet), and judging the risk of bias. Participants may bring their own data or use data provided by facilitators (40 min).
4. An open discussion of the advantages and limitations of the proposed approach (20 min).

Note: This workshop will not be held in a computer lab. Participants may bring laptops to allow hands-on participation.