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Common scale minimal sufficient balance: An improved method for covariate-adaptive randomization based on the Wilcoxon-Mann-Whitney odds ratio statistic.

ABSTRACT: Minimal sufficient balance (MSB) is a recently suggested method for adaptively controlling covariate imbalance in randomized controlled trials in a manner which reduces the impact on randomness of allocation over other approaches by only intervening when the imbalance is sufficiently significant. Despite its improvements, the approach is unable to consider the relative clinical importance or magnitude of imbalance in each covariate weight, and ignores any imbalance which is not statistically significant, even when these imbalances may collectively justify intervention. We propose the common scale MSB (CS-MSB) method which addresses these limitations, and present simulation studies comparing our proposed method to MSB. We demonstrate that CS-MSB requires less intervention than MSB to achieve the same level of covariate balance, and does not adversely impact either statistical power or Type-I error.

SUBMITTER: Johns H

PROVIDER: S-EPMC9303921 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

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Common scale minimal sufficient balance: An improved method for covariate-adaptive randomization based on the Wilcoxon-Mann-Whitney odds ratio statistic.

Johns Hannah H Italiano Dominic D Campbell Bruce B Churilov Leonid L

Statistics in medicine 20220217 10

Minimal sufficient balance (MSB) is a recently suggested method for adaptively controlling covariate imbalance in randomized controlled trials in a manner which reduces the impact on randomness of allocation over other approaches by only intervening when the imbalance is sufficiently significant. Despite its improvements, the approach is unable to consider the relative clinical importance or magnitude of imbalance in each covariate weight, and ignores any imbalance which is not statistically sig ...[more]

PMID: 35176811

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Project description:When the distributional assumptions for a t-test are not met, the default position of many analysts is to resort to a rank-based test, such as the Wilcoxon-Mann-Whitney Test to compare the difference in means between two samples. The Wilcoxon-Mann-Whitney Test presents no danger of tied observations when the observations in the data are continuous. However, in practice, observations are discretized due various logical reasons, or the data are ordinal in nature. When ranks are tied, most textbooks recommend using mid-ranks to replace the tied ranks, a practice that affects the distribution of the Wilcoxon-Mann-Whitney Test under the null hypothesis. Other methods for breaking ties have also been proposed. In this study, we examine four tie-breaking methods-average-scores, mid-ranks, jittering, and omission-for their effects on Type I and Type II error of the Wilcoxon-Mann-Whitney Test and the two-sample t-test for various combinations of sample sizes, underlying population distributions, and percentages of tied observations. We use the results to determine the maximum percentage of ties for which the power and size are seriously affected, and for which method of tie-breaking results in the best Type I and Type II error properties. Not surprisingly, the underlying population distribution of the data has less of an effect on the Wilcoxon-Mann-Whitney Test than on the t-test. Surprisingly, we find that the jittering and omission methods tend to hold Type I error at the nominal level, even for small sample sizes, with no substantial sacrifice in terms of Type II error. Furthermore, the t-test and the Wilcoxon-Mann-Whitney Test are equally effected by ties in terms of Type I and Type II error; therefore, we recommend omitting tied observations when they occur for both the two-sample t-test and the Wilcoxon-Mann-Whitney due to the bias in Type I error that is created when tied observations are left in the data, in the case of the t-test, or adjusted using mid-ranks or average-scores, in the case of the Wilcoxon-Mann-Whitney.

Dataset Information

Common scale minimal sufficient balance: An improved method for covariate-adaptive randomization based on the Wilcoxon-Mann-Whitney odds ratio statistic.

Publications

Common scale minimal sufficient balance: An improved method for covariate-adaptive randomization based on the Wilcoxon-Mann-Whitney odds ratio statistic.

Similar Datasets

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