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2015 ; 10
(9
): e0139210
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Effects of Different Missing Data Imputation Techniques on the Performance of
Undiagnosed Diabetes Risk Prediction Models in a Mixed-Ancestry Population of
South Africa
#MMPMID26406594
Masconi KL
; Matsha TE
; Erasmus RT
; Kengne AP
PLoS One
2015[]; 10
(9
): e0139210
PMID26406594
show ga
BACKGROUND: Imputation techniques used to handle missing data are based on the
principle of replacement. It is widely advocated that multiple imputation is
superior to other imputation methods, however studies have suggested that simple
methods for filling missing data can be just as accurate as complex methods. The
objective of this study was to implement a number of simple and more complex
imputation methods, and assess the effect of these techniques on the performance
of undiagnosed diabetes risk prediction models during external validation.
METHODS: Data from the Cape Town Bellville-South cohort served as the basis for
this study. Imputation methods and models were identified via recent systematic
reviews. Models' discrimination was assessed and compared using C-statistic and
non-parametric methods, before and after recalibration through simple intercept
adjustment. RESULTS: The study sample consisted of 1256 individuals, of whom 173
were excluded due to previously diagnosed diabetes. Of the final 1083
individuals, 329 (30.4%) had missing data. Family history had the highest
proportion of missing data (25%). Imputation of the outcome, undiagnosed
diabetes, was highest in stochastic regression imputation (163 individuals).
Overall, deletion resulted in the lowest model performances while simple
imputation yielded the highest C-statistic for the Cambridge Diabetes Risk model,
Kuwaiti Risk model, Omani Diabetes Risk model and Rotterdam Predictive model.
Multiple imputation only yielded the highest C-statistic for the Rotterdam
Predictive model, which were matched by simpler imputation methods. CONCLUSIONS:
Deletion was confirmed as a poor technique for handling missing data. However,
despite the emphasized disadvantages of simpler imputation methods, this study
showed that implementing these methods results in similar predictive utility for
undiagnosed diabetes when compared to multiple imputation.