Skip to main content

Handling Missing Data in Observational Clinical Studies Concerning Cardiovascular Risk: An Insight into Critical Aspects

  • Conference paper
  • First Online:

Abstract

In observational clinical studies, subjects’ health status is empirically assessed according to research protocols that prescribe aspects to investigate and methods for investigation. Commonly to many fields of research, these studies are frequently affected by incompleteness of information, a problem that, if not duly handled, may seriously invalidate conclusions drawn from investigations. Regarding cardiovascular risk assessment, coronary risk factors (e.g. high blood pressure) and proxies of neurovegetative domain (e.g. heart rate variability) are individually evaluated through direct measurements taken in laboratory. A major cause of missingness can be ascribed to the fact that overall sets of collected data typically derive from aggregation of a multitude of sub-studies, undertaken at different times and under slightly different protocols that might not involve the same variables. Data on certain variables can thus be missing if such variables were not included in all protocols. This issue is addressed by referring to a clinical case study concerning the role of Autonomic Nervous System in the evaluation of subjects’ health status.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Bowman, A.W., Azzalini, A.: R package ‘sm’: nonparametric smoothing methods (2014). Version 2.2-5.4 http://www.stats.gla.ac.uk/~adrian/sm

  2. Dempster, A.P., Laird, N.M., Rubin, D.B.: Maximum likelihood estimation from incomplete data via the EM algorithm. J. Roy. Stat. Soc. B 39, 1–38 (1977)

    MATH  Google Scholar 

  3. D’Orazio, M.: StatMatch: statistical matching (2015). R package version 1.2.3 http://CRAN.R-project.org/package=StatMatch

  4. D’Orazio, M., Di Zio, M., Scanu, M.: Statistical Matching Theory and Practice. Wiley, New York (2006)

    Book  MATH  Google Scholar 

  5. González, I., Déjean, S.: CCA: canonical correlation analysis (2012). R package version 1.2. http://CRAN.R-project.org/package=CCA

  6. Honaker, J., King, G.: What to do about missing values in time-series cross-section data. Am. J. Polit. Sci. 54, 561–581 (2010)

    Article  Google Scholar 

  7. Honaker, J., King, G., Blackwell, M.: Amelia II: A program for missing data. J. Stat. Softw. 45, 1–47 (2011). http://www.jstatsoft.org/v45/i07/

    Article  Google Scholar 

  8. Hothorn, T., Hornik, K., van de Wiel, M.A., Zeileis, A.: Implementing a class of permutation tests: the coin package. J. Stat. Softw. 28, 1–23 (2008). http://www.jstatsoft.org/v28/i08/

    Article  Google Scholar 

  9. Husson, F., Josse, J.: missMDA: handling missing values with/in multivariate data analysis (principal component methods) (2015). R package version 1.8.2. http://CRAN.R-project.org/package=missMDA

  10. Istat.it: Noi Italia – 100 statistiche per capire il Paese in cui viviamo. 2016 edition: http://noi-italia.istat.it/. 2015 edition: http://noi-italia2015.istat.it/

  11. Josse, J., Pagès, J., Husson, F.: Multiple imputation in principal component analysis. Adv. Data Anal. Classif. 5, 231–246 (2011)

    Article  MathSciNet  MATH  Google Scholar 

  12. Little, R.J.A., Rubin, D.B.: Statistical Analysis with Missing Data, 2nd edn. Wiley, New York (2002)

    MATH  Google Scholar 

  13. Lucini, D., Solaro, N., Pagani, M.: May autonomic indices from cardiovascular variability help identify hypertension? J. Hypertens. 32, 363–373 (2014)

    Article  Google Scholar 

  14. Molenberghs, G., Kenward, M.G.: Missing Data in Clinical Studies. Wiley, Chichester (2007)

    Book  Google Scholar 

  15. R Core Team: R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna (2016). http://www.R-project.org

  16. Saporta, G.: Data fusion and data grafting. Comput. Stat. Data An. 38, 465–473 (2002)

    Article  MathSciNet  MATH  Google Scholar 

  17. Solaro, N., Barbiero, A., Manzi, G., Ferrari, P.A.: GenForImp: a sequential distance-based approach for imputing missing data (2015). R package version 1.0.0. http://CRAN.R-project.org/package=GenForImp

  18. Solaro, N., Barbiero, A., Manzi, G., Ferrari, P.A.: A sequential distance-based approach for imputing missing data: forward imputation. Adv. Data Anal. Classif. 1–20 (2016) doi:10.1007/s11634-016-0243-0

    Google Scholar 

  19. Townsend, N., Nichols, M., Scarborough, P., Rayner, M.: Cardiovascular disease in Europe – epidemiological update 2015. Eur. Heart J. 36, 2696–2705 (2015)

    Article  Google Scholar 

  20. Venkatraman, E.S.: clinfun: Clinical trial design and data analysis functions (2015). R package version 1.0.10. http://CRAN.R-project.org/package=clinfun

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nadia Solaro .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Cite this paper

Solaro, N., Lucini, D., Pagani, M. (2017). Handling Missing Data in Observational Clinical Studies Concerning Cardiovascular Risk: An Insight into Critical Aspects. In: Palumbo, F., Montanari, A., Vichi, M. (eds) Data Science . Studies in Classification, Data Analysis, and Knowledge Organization. Springer, Cham. https://doi.org/10.1007/978-3-319-55723-6_14

Download citation

Publish with us

Policies and ethics