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Objective: First, to provide information about best practices in handling missing data so that readers can judge the quality of research studies. Second, to provide more detailed information about missing data analysis techniques and software on the Journal's Web site at www.jaacap.com.
Method: We focus our review of techniques on those that are based on the "Missing at Random" assumption and are either extremely popular because of their convenience or that are harder to employ but yield more precise inferences.
Results: The literature regarding missing data indicates that deletion of observations with missing data can yield biased findings. Other popular methods for handling missing data, notably replacing missing values with means, can lead to confidence intervals that are too narrow as well as false identifications of significant differences (type I statistical errors). Methods such as multiple imputation and direct maximum likelihood estimation are often superior to deleting observations and other popular methods for handling missing data problems.
Conclusions: Psychiatric and developmental researchers should consider using multiple imputation and direct maximum likelihood estimation rather than deleting observations with missing values.
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http://dx.doi.org/10.1097/01.chi.0000181044.06337.6f | DOI Listing |
Am J Emerg Med
September 2025
University of Toronto, Rotman School of Management, Canada.
Study Objective: Accurately predicting which Emergency Department (ED) patients are at high risk of leaving without being seen (LWBS) could enable targeted interventions aimed at reducing LWBS rates. Machine Learning (ML) models that dynamically update these risk predictions as patients experience more time waiting were developed and validated, in order to improve the prediction accuracy and correctly identify more patients who LWBS.
Methods: The study was deemed quality improvement by the institutional review board, and collected all patient visits to the ED of a large academic medical campus over 24 months.
Menopause
September 2025
Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA.
Objective: To evaluate depression in postmenopausal women and to explore the relationship between age at menopause, hormone therapy, and depression, while also identifying potential mediators that may explain these associations.
Methods: This cross-sectional study analyzed data from National Health and Nutrition Examination Survey (NHANES) (2005-2020) for women older than 60 years who completed the Patient Health Questionnaire 9 (PHQ-9) depression questionnaire (n=7,027). Exposures included age at menopause and self-reported hormone therapy; the outcome was depression severity (PHQ-9 ≥10).
Clin Transplant
September 2025
Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Background: Liver transplantation is the definitive treatment for end-stage liver disease and some cancers. The use of livers from donors following pre-donation cardiac arrest (PDCA), especially with prolonged downtime duration, has been limited outside of the US due to fears over inferior outcomes from ischemic injury. However, PDCA may induce ischemic preconditioning, paradoxically improving post-transplant outcomes.
View Article and Find Full Text PDFIEEE Trans Neural Netw Learn Syst
September 2025
Accurate imputation of missing data is crucial in the Industrial Internet-of-Things (IIoT), where operations are often compromised by noisy samples from harsh environments. Traditional imputation methods struggle with such noise due to their black-box nature or lack of adaptability. To address this issue, we recast data imputation as a distribution alignment challenge, utilizing the flexibility of optimal transport (OT) to handle noisy samples.
View Article and Find Full Text PDFClin J Am Soc Nephrol
September 2025
University College London Great Ormond Street Hospital for Children and Institute of Child Health, London, UK.
Background: Experience with icodextrin use in children on long-term peritoneal dialysis is limited. We describe international icodextrin prescription practices and their impact on clinical outcomes: ultrafiltration, blood pressure control, residual kidney function (RKF), technique and patient survival.
Methods: We included patients under 21 years enrolled in the International Pediatric Peritoneal Dialysis Network (IPPN) between 2007 and 2024, on automated PD with a daytime dwell.