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Planning for Participant Attrition: Correct Inflation and Missing-Data Strategy

Incorporate attrition using the correct formula, timing, causes and analysis strategy rather than adding a percentage mechanically.

Admin
June 20, 2026
8 min read

Attrition inflation is not simple addition

If n completers are required and attrition is d, recruit n/(1-d). Multiplying by 1.20 for 20% attrition is not exact.

Practical framework

  • Use comparable follow-up evidence.

  • Consider differential attrition.

  • Separate dropout from intermittent missingness.

  • Plan appropriate sensitivity analyses.

Reporting

Report expected rate, evidence, formula, rounding and final target.

Common mistakes

  • Adding the percentage directly.

  • Using an unsupported rate.

  • Assuming ITT automatically solves missingness.

References

Accessed 20 June 2026. General methodological information.