Alternative approaches for analysing repeated measures data that are missing not at random

Abstract

We consider studies where multiple measures on an outcome variable are collected over time, but some subjects drop out before the end of follow up. Analyses of such data often proceed under either a 'last observation carried forward' or 'missing at random' assumption. We consider two alternative strategies for identification; the first is closely related to the difference-in-differences methodology in the causal inference literature. The second enables correction for violations of the parallel trend assumption, so long as one has access to a valid 'bespoke instrumental variable'. These are compared with existing approaches, first conceptually and then in an analysis of data from the Framingham Heart Study.