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A comparison of two methods of estimating propensity scores after multiple imputation

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<mark>Journal publication date</mark>1/02/2016
<mark>Journal</mark>Statistical Methods in Medical Research
Issue number1
Volume25
Number of pages17
Pages (from-to)188-204
Publication StatusPublished
Early online date11/06/12
<mark>Original language</mark>English

Abstract

In many observational studies, analysts estimate treatment effects using propensity scores, e.g. by matching or sub-classifying on the scores. When some values of the covariates are missing, analysts can use multiple imputation to fill in the missing data, estimate propensity scores based on the m completed datasets, and use the propensity scores to estimate treatment effects. We compare two approaches to implement this process. In the first, the analyst estimates the treatment effect using propensity score matching within each completed data set, and averages the m treatment effect estimates. In the second approach, the analyst averages the m propensity scores for each record across the completed datasets, and performs propensity score matching with these averaged scores to estimate the treatment effect. We compare properties of both methods via simulation studies using artificial and real data. The simulations suggest that the second method has greater potential to produce substantial bias reductions than the first, particularly when the missing values are predictive of treatment assignment.