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Attrition bias


Selection bias is the bias introduced by the selection of individuals, groups or data for analysis in such a way that proper randomization is not achieved, thereby ensuring that the sample obtained is not representative of the population intended to be analyzed. It is sometimes referred to as the selection effect. The phrase "selection bias" most often refers to the distortion of a statistical analysis, resulting from the method of collecting samples. If the selection bias is not taken into account, then some conclusions of the study may not be accurate.

There are many types of possible selection bias, including:

Sampling bias is systematic error due to a non-random sample of a population, causing some members of the population to be less likely to be included than others, resulting in a biased sample, defined as a statistical sample of a population (or non-human factors) in which all participants are not equally balanced or objectively represented. It is mostly classified as a subtype of selection bias, sometimes specifically termed sample selection bias, but some classify it as a separate type of bias.

A distinction of sampling bias (albeit not a universally accepted one) is that it undermines the external validity of a test (the ability of its results to be generalized to the rest of the population), while selection bias mainly addresses internal validity for differences or similarities found in the sample at hand. In this sense, errors occurring in the process of gathering the sample or cohort cause sampling bias, while errors in any process thereafter cause selection bias.

Examples of sampling bias include self-selection, pre-screening of trial participants, discounting trial subjects/tests that did not run to completion and migration bias by excluding subjects who have recently moved into or out of the study area.

Attrition bias is a kind of selection bias caused by attrition (loss of participants), discounting trial subjects/tests that did not run to completion. It is closely related to the survivorship bias, where only the subjects that "survived" a process are included in the analysis. It includes dropout, nonresponse (lower response rate), withdrawal and protocol deviators. It gives biased results where it is unequal in regard to exposure and/or outcome. For example, in a test of a dieting program, the researcher may simply reject everyone who drops out of the trial, but most of those who drop out are those for whom it was not working. Different loss of subjects in intervention and comparison group may change the characteristics of these groups and outcomes irrespective of the studied intervention.


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