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Delta Adjustment and Its Assumptions · Tutorial 328 of 499

Deriving the Marginal Mean Under Additive Delta Adjustment

Learn to derive, calculate, and interpret the marginal outcome mean when missing-pattern means receive additive delta shifts.

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What You'll Learn

  • Define pattern-specific reference means, proportions, and additive delta shifts.
  • Derive the marginal mean by conditioning on the missingness pattern.
  • Calculate the marginal mean from pattern counts and reference predictions.
  • Show how missing-pattern proportions determine sensitivity to delta.
  • Distinguish the delta-adjusted mean from the observed-case mean.
  • Identify assumptions and common weighting and interpretation errors.

Why Pattern Proportions Matter

An additive delta describes a shift in the assumed mean outcome for a missing-data pattern relative to a reference model. But a shift in one pattern does not, by itself, determine the shift in the population mean. Its marginal effect also depends on how common that pattern is. A large delta for a rare pattern can have less impact on the overall mean than a modest delta for a common pattern.

The calculation follows a basic principle: partition the target population into its missingness patterns, find the adjusted mean within each pattern, and average those means using the patterns’ proportions in the target population. The weights must include people whose outcome is missing; using only observed outcomes changes the target quantity.

Definition and Marginal-Mean Formula

Definition: Let \(Y\) be an outcome in a target population, and let \(R\) identify a person’s missingness pattern. The patterns \(r=1,\ldots,K\) are mutually exclusive and exhaustive, with population proportions \(\pi_r=P(R=r)\). Let \(\mu_r^{\mathrm{ref}}\) be the pattern-specific mean under the reference model. For a pattern in which \(Y\) is missing, an additive delta \(\delta_r\) shifts that reference mean to \(\mu_r^{\mathrm{ref}}+\delta_r\). For a pattern in which \(Y\) is observed, set \(\delta_r=0\). The marginal mean under the delta-adjusted model is $$ \mu_{\Delta}=\sum_{r=1}^{K}\pi_r\bigl(\mu_r^{\mathrm{ref}}+\delta_r\bigr). $$

The delta is measured in the same units as \(Y\). For example, if \(Y\) is a score in points, a delta of \(2\) points means that the assumed mean among people with missing outcomes is 2 points higher than the reference-model mean for that pattern. A negative delta represents a lower assumed mean. In either case, \(\delta_r\) is a sensitivity parameter, not something identified by the observed outcomes alone.

For clarity, the formula treats \(\delta_r\) as a constant shift for the outcome mean within pattern \(r\). If the outcome is observed in a pattern, that pattern contributes its actual mean and receives no shift. If the outcome is missing, \(\mu_r^{\mathrm{ref}}\) is the mean predicted for that pattern under the reference model, and the adjusted mean is \(\mu_r^{\mathrm{ref}}+\delta_r\). Thus the formula does not replace observed outcomes with model predictions.

In a sample of \(n\) people, let \(n_r\) be the number in pattern \(r\), so that the sample pattern proportion is \(\hat{\pi}_r=n_r/n\). Replacing population quantities with estimates gives the plug-in marginal mean:

$$ \hat{\mu}_{\Delta}=\sum_{r=1}^{K}\hat{\pi}_r \bigl(\hat{\mu}_r^{\mathrm{ref}}+\delta_r\bigr). $$

Here \(\hat{\mu}_r^{\mathrm{ref}}\) is the observed pattern mean when the outcome is observed, or the reference-model predicted mean when it is missing. The proportions must sum to one. If the target population is defined by a study cohort, use pattern counts from that cohort, not proportions calculated only among people with observed outcomes.

Derivation and Sensitivity to Delta

The marginal mean is the expectation of \(Y\) over the entire target population. Partitioning that expectation according to the mutually exclusive patterns gives the law of total expectation:

$$ E_{\Delta}(Y) =\sum_{r=1}^{K}P(R=r)E_{\Delta}(Y\mid R=r). $$

Under the specified additive adjustment, the conditional mean within pattern \(r\) is \(\mu_r^{\mathrm{ref}}+\delta_r\). Substituting this into the partitioned expectation yields

$$ E_{\Delta}(Y) =\sum_{r=1}^{K}\pi_r \bigl(\mu_r^{\mathrm{ref}}+\delta_r\bigr) =\mu_{\Delta}. $$

This derivation requires no special weighting result beyond averaging conditional means over a complete partition. The substantive assumption is the pattern-specific mean specification: the reference mean is appropriate as a starting point, and the chosen delta represents the intended departure from it for that pattern.

The formula also makes the role of pattern proportions explicit. If only \(\delta_s\) changes, then

$$ \frac{\partial \mu_{\Delta}}{\partial \delta_s}=\pi_s. $$

A one-unit increase in \(\delta_s\) therefore increases the marginal mean by \(\pi_s\) units, with the other inputs held fixed. If every missing-outcome pattern shares a common delta \(\delta\), while observed-outcome patterns have delta zero, the formula becomes

$$ \mu_{\Delta} =\sum_{r=1}^{K}\pi_r\mu_r^{\mathrm{ref}} +\delta\sum_{r\in\mathcal{M}}\pi_r, $$

where \(\mathcal{M}\) is the set of patterns in which the outcome is missing. The multiplier of the common delta is the proportion of the target population with a missing outcome. This result is a useful check: a common additive shift cannot change the population mean by more than the shift itself when the missing-outcome proportion is at most one.

Worked Example: One Observed and One Missing Pattern

Suppose a hypothetical cohort contains 200 people. The outcome is observed for 150, whose mean is 12.0 points. For the 50 people whose outcome is missing, the reference model predicts a mean of 10.8 points. Consider an additive delta of \(+2.4\) points for the missing pattern.

The pattern proportions are \(150/200=0.75\) observed and \(50/200=0.25\) missing. The missing-pattern adjusted mean is \(10.8+2.4=13.2\) points. The observed pattern has delta zero, so the marginal calculation is

$$ \hat{\mu}_{\Delta} =0.75(12.0)+0.25(10.8+2.4) =9.00+3.30 =12.30\text{ points}. $$

The estimate under this specified delta is 12.30 points. The observed-case mean is 12.0 points, but it averages only people with observed outcomes; it is not the delta-adjusted mean for the full cohort. The delta raises the full-cohort mean by \(0.25(2.4)=0.60\) points relative to the reference-model marginal mean.

Several Missingness Patterns

A single missing-versus-observed split can be too coarse when distinct patterns have different reference means or different delta assumptions. In that setting, retain each pattern as a separate term. Patterns should be defined so that every person belongs to exactly one, and the outcome’s missingness status in each pattern should be clear.

Worked Example: Combining Three Patterns

Consider a hypothetical sample of 100 people with an outcome measured in points. In pattern A, the outcome is observed for 60 people, with a mean of 8.0 points. In pattern B, it is missing for 25 people; the reference-model mean is 7.5 points and the specified delta is \(+1.0\) point. In pattern C, it is missing for 15 people; the reference-model mean is 6.8 points and the specified delta is \(-0.5\) point. Assume these patterns exhaust the sample.

The proportions are 0.60, 0.25, and 0.15. Pattern A receives no delta because its outcome is observed. The adjusted means for patterns B and C are \(7.5+1.0=8.5\) points and \(6.8-0.5=6.3\) points. Therefore,

$$ \hat{\mu}_{\Delta} =0.60(8.0)+0.25(8.5)+0.15(6.3) =4.80+2.125+0.945 =7.870\text{ points}. $$

The two missing patterns together make up 0.40 of the sample, but their adjustments do not reduce to one common delta: their deltas differ. Their total contribution from delta is \(0.25(1.0)+0.15(-0.5)=0.175\) points. The reference-model marginal mean is \(0.60(8.0)+0.25(7.5)+0.15(6.8)=7.695\) points, and adding 0.175 gives 7.870 points, matching the direct calculation.

Applying the Formula to a Contrast

The same calculation can be made separately in each treatment arm before forming a contrast. This matters because arms can have different pattern proportions. Even if the same delta is used in both arms, its contribution to each arm mean depends on that arm’s missing-outcome proportion.

Worked Example: Marginal Means in Two Arms

Suppose a hypothetical trial has an outcome measured in points. In arm A, 80% of outcomes are observed with mean 5.0 points; the remaining 20% have reference-model mean 4.4 points and delta \(+1.0\) point. In arm B, 65% are observed with mean 4.8 points; the remaining 35% have reference-model mean 4.1 points and delta \(+0.3\) points. Treat the pattern proportions and means as given estimates for each arm.

For arm A, the adjusted missing-pattern mean is \(4.4+1.0=5.4\) points, giving

$$ \hat{\mu}_{\Delta,A} =0.80(5.0)+0.20(5.4) =4.00+1.08 =5.08\text{ points}. $$

For arm B, the adjusted missing-pattern mean is \(4.1+0.3=4.4\) points, giving

$$ \hat{\mu}_{\Delta,B} =0.65(4.8)+0.35(4.4) =3.12+1.54 =4.66\text{ points}. $$

The arm A minus arm B contrast is \(5.08-4.66=0.42\) points under these assumptions. This is a model-based, delta-dependent contrast, not a contrast determined solely by observed outcomes. The different missing proportions matter: the delta contribution is \(0.20(1.0)=0.20\) points in arm A and \(0.35(0.3)=0.105\) points in arm B.

Assumptions, Checks, and Failure Modes

The arithmetic is simple, but its interpretation depends on the setup being coherent. Before using the formula, check the following:

  • The patterns form a partition. They must be mutually exclusive and exhaustive for the target population. Their proportions are nonnegative and sum to one.
  • The target population is explicit. Pattern proportions must refer to the population whose mean is sought. Excluding people with missing outcomes and then renormalizing the remaining weights targets a different group.
  • Each reference mean is defined for its pattern. Observed-pattern means can be calculated from observed outcomes. Missing-pattern reference means require a reference model that supplies predictions for those outcomes.
  • The delta matches the outcome scale and pattern. A delta in points cannot be added to an outcome measured in a different unit. A delta intended for one pattern should not be applied to all patterns without stating that assumption.
  • The mean exists and the proposed adjustment is meaningful. For a bounded outcome, a constant shift might imply impossible values or an infeasible mean. The mean formula alone does not guarantee that the adjusted outcome distribution is scientifically plausible.

A practical arithmetic check is to calculate the reference-model marginal mean first, then add each pattern’s weighted delta contribution. The result should agree with direct weighting of the adjusted pattern means. If not, likely causes include omitting a pattern, using percentages that do not sum to one, applying a shift to an observed pattern, or multiplying a delta by the wrong proportion.

One common mistake is to say, “The missing-pattern delta is 2 points, so the overall mean increases by 2 points.” That is wrong unless every person belongs to an adjusted pattern. With a common delta, the population-mean change is the delta multiplied by the missing-outcome proportion. For example, if 30% of outcomes are missing and the common delta is 2 points, the marginal mean changes by \(0.30(2)=0.60\) points, not 2 points.

How This Calculation Differs From Alternatives

The observed-case mean averages only people whose outcomes are observed. It can be a useful descriptive summary of those people, but it does not incorporate the missing-pattern means and generally is not the target-population mean. The delta-adjusted marginal mean instead gives every pattern its target-population weight.

The reference-model marginal mean is the same weighted calculation with all deltas set to zero. It represents the reference assumptions for missing outcomes. A delta-adjusted mean departs from that reference by the sum of the pattern proportions times their respective deltas. Thus the formula makes the sensitivity assumption’s effect visible rather than concealing it in a single overall result.

These comparisons do not establish which delta is correct. Observed data can inform pattern proportions and observed means, and the reference model supplies its predictions, but the delta represents an assumption about outcomes that are not observed. The resulting marginal mean should therefore be reported with the delta values and pattern weights that produced it. A point calculation also does not, by itself, account for uncertainty in estimated pattern proportions or reference means.

Key takeaway: The marginal mean is the sum of pattern-specific adjusted means, each multiplied by its proportion in the target population. Under a constant additive delta for missing outcomes, the marginal shift is the delta times the proportion with missing outcomes.

Check Your Understanding

Answer each question, then compare your reasoning with the solutions.

  1. A cohort is 70% observed, with observed mean 10 points. The missing-pattern reference mean is 8 points and delta is \(+3\) points. What is the adjusted marginal mean?
  2. Two missing patterns have proportions 0.20 and 0.10, with deltas \(+2\) and \(-1\) points. What is their combined contribution from delta to the marginal mean?
  3. Why is it incorrect to weight two pattern means by proportions calculated only among people with observed outcomes when the target is the full cohort?
  4. If every missing-outcome pattern receives the same delta, what quantity multiplies that delta in the marginal mean formula?

Solutions. (1) The adjusted missing mean is \(8+3=11\) points, so the marginal mean is \(0.70(10)+0.30(11)=7.0+3.3=10.3\) points. (2) The weighted delta contribution is \(0.20(2)+0.10(-1)=0.40-0.10=0.30\) points. (3) Those renormalized proportions describe the distribution among observed cases, not the full cohort; they omit the missing-outcome pattern’s share of the target population. (4) The multiplier is the total proportion with missing outcomes, \(\sum_{r\in\mathcal{M}}\pi_r\).

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