Selection bias

Selection bias is a statistical bias in which there is an error in choosing the individuals or groups to take part in a scientific study.^[1] It is sometimes referred to as the selection effect. The term "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 any conclusions drawn may be wrong.

Types

There are many types of possible selection bias, including:

Sampling bias

Sampling bias is systematic error due to a non-random sample of a population^[2], 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.^[3]

It is mostly classified as a subtype of selection bias^[4], sometimes specifically termed sample selection bias^[5][6], but some classify it as a separate type of bias^[7].

A distinction, albeit not universally accepted, of sampling bias 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 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.

Time interval

• Selecting end-points of a series. For example, to maximize a claimed trend, you could start the time series at an unusually low year, and end on a high one.
• Early termination of a trial at a time when its results support a desired conclusion.
• A trial may be terminated early at an extreme value (often for ethical reasons), but the extreme value is likely to be reached by the variable with the largest variance, even if all variables have a similar mean. As a result of that early termination, therefore, the means of variables with larger variances are overestimated.
• Analyzing the lengths of intervals by selecting intervals that occupy randomly chosen points in time or space, a process that favors longer intervals. This is known as length time bias.

Exposure

• Susceptibility bias
  • Clinical susceptibility bias, when one disease predisposes for a second disease, and the treatment for the first disease erroneously appear to predispose to the second disease. For example, postmenopausal syndrome gives a higher likelihood of also developing endometrial cancer, so estrogens given for the postmenopausal syndrome may receive a higher than actual blame for causing endometrial cancer.^[8]
  • Protopathic bias, when a treatment for the first symptoms of a disease or other outcome appear to cause the outcome. It is a potential bias when there is a lag time from the first symptoms and start of treatment before actual diagnosis. ^[8] It can be mitigated by lagging, that is, exclusion of exposures that occurred in a certain time period before diagnosis.^[9]
  • Indication bias, a potential mix up between cause and effect when exposure is dependent on indication. E.g. a treatment is given to people in high risk of acquiring a disease, potentially causing a preponderance of treated people among those acquiring the disease. This may erroneously cause an erroneous appearance of the treatment being a cause of the disease.^[10]

Data

• Partitioning data with knowledge of the contents of the partitions, and then analyzing them with tests designed for blindly chosen partitions.
• Rejection of "bad" data on arbitrary grounds, instead of according to previously stated or generally agreed criteria.
• Rejection of "outliers" on statistical grounds that fail to take into account important information that could be derived from "wild" observations ^[11]

Studies

• Selection of which studies to include in a meta-analysis (see also combinatorial meta-analysis)
• Performing repeated experiments and reporting only the most favourable results, perhaps relabelling lab records of other experiments as "calibration tests", "instrumentation errors" or "preliminary surveys".
• Presenting the most significant result of a data dredge as if it were a single experiment (which is logically the same as the previous item, but is seen as much less dishonest).

Attrition

Attrition bias is a kind of selection bias caused by attrition (loss of participants),^[12] discounting trial subjects/tests that did not run to completion. 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.^[12]

Avoidance

In the general case, selection biases cannot be overcome with statistical analysis of existing data alone, though Heckman correction may be used in special cases. An informal assessment of the degree of selection bias can be made by examining correlations between (exogenous) background variables and a treatment indicator. However, in regression models, it is correlation between unobserved determinants of the outcome and unobserved determinants of selection into the sample which bias estimates, and this correlation between unobservables cannot be directly assessed by the observed determinants of treatment.^[13]

Related issues

Selection bias is closely related to:

• publication bias or reporting bias, the distortion produced in community perception or meta-analyses by not publishing uninteresting (usually negative) results, or results which go against the experimenter's prejudices, a sponsor's interests, or community expectations.
• confirmation bias, the distortion produced by experiments that are designed to seek confirmatory evidence instead of trying to disprove the hypothesis.
• exclusion bias, results from applying different criteria to cases and controls in regards to participation eligibility for a study/different variables serving as basis for exclusion.

See also

• Biased sample
• Berkson's paradox
• Self-fulfilling prophecy
• Black Swan theory
• List of cognitive biases

Notes