Handling missing values in healthcare data: A systematic review of deep learning-based imputation techniques
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Abstract (arXiv)
Objective: The proper handling of missing values is critical to delivering reliable estimates and decisions, especially in high-stakes fields such as clinical research. The increasing diversity and complexity of data have led many researchers to develop deep learning (DL)-based imputation techniques. We conducted a systematic review to evaluate the use of these techniques, with a particular focus on data types, aiming to assist healthcare researchers from various disciplines in dealing with missing values. Methods: We searched five databases (MEDLINE, Web of Science, Embase, CINAHL, and Scopus) for articles published prior to August 2021 that applied DL-based models to imputation. We assessed selected publications from four perspectives: health data types, model backbone (i.e., main architecture), imputation strategies, and comparison with non-DL-based methods. Based on data types, we created an evidence map to illustrate the adoption of DL models. Results: We included 64 articles, of which tabular static (26.6%, 17/64) and temporal data (37.5%, 24/64) were the most frequently investigated. We found that model backbone(s) differed among data types as well as the imputation strategy. The "integrated" strategy, that is, the imputation task being solved concurrently with downstream tasks, was popular for tabular temporal (50%, 12/24) and multi-modal data (71.4%, 5/7), but limited for other data types. Moreover, DL-based imputation methods yielded better imputation accuracy in most studies, compared with non-DL-based methods. Conclusion: DL-based imputation models can be customized based on data type, addressing the corresponding missing patterns, and its associated "integrated" strategy can enhance the efficacy of imputation, especially in scenarios where data is complex. Future research may focus on the portability and fairness of DL-based models for healthcare data imputation.
Key facts. Cited by 25 papers in the map (data through 14 Oct 2026). Builds on 24 of its 146 references that are in the map. First posted on arXiv 15 Oct 2022.
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24 of 146 references.
References · 24
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12 more
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- 2020Establishing strong imputation performance of a denoising autoencoder in a wide range of missing data problemscited by 6
- 2020Simultaneous imputation and disease classification in incomplete medical datasets using Multigraph Geometric Matrix Completion (MGMC)cited by 6
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Citing papers per year: 2023: 4; 2024: 9; 2025: 10; 2026: 2.
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- 2024Generative AI for Synthetic Data Generation: Methods, Challenges and the Futurecited by 33
- 2024Not Another Imputation Method: A Transformer-based Model for Missing Values in Tabular Datasetscited by 10
- 2023PRISM: Mitigating EHR Data Sparsity via Learning from Missing Feature Calibrated Prototype Patient Representationscited by 9
- 2024Beyond Random Missingness: Clinically Rethinking for Healthcare Time Series Imputationcited by 6
- 2024How Deep is your Guess? A Fresh Perspective on Deep Learning for Medical Time-Series Imputationcited by 5
- 2025Timely Clinical Diagnosis through Active Test Selectioncited by 4
- 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentationcited by 3
- 2025A Design Framework for operationalizing Trustworthy Artificial Intelligence in Healthcare: Requirements, Tradeoffs and Challenges for its Clinical Adoptioncited by 3
- 2025LLM-Aided Customizable Profiling of Code Data Based On Programming Language Conceptscited by 2
- 2024Clinical Domain Knowledge-Derived Template Improves Post Hoc AI Explanations in Pneumothorax Classificationcited by 1
- 2024Still More Shades of Null: An Evaluation Suite for Responsible Missing Value Imputationcited by 1
- 2024Enhancing Glucose Level Prediction of ICU Patients through Hierarchical Modeling of Irregular Time-Seriescited by 1
13 more
- 2025MissMecha: An All-in-One Python Package for Studying Missing Data Mechanismscited by 1
- 2023Machine Learning Based Missing Values Imputation in Categorical Datasetscited by 0
- 2023Enhancing Mortality Prediction in Heart Failure Patients: Exploring Preprocessing Methods for Imbalanced Clinical Datasetscited by 0
- 2024METRIK: Measurement-Efficient Randomized Controlled Trials using Transformers with Input Maskingcited by 0
- 2024Modular Deep Learning for Multivariate Time-Series: Decoupling Imputation and Downstream Taskscited by 0
- 2025Evaluation of the impact of expert knowledge: How decision support scores impact the effectiveness of automatic knowledge-driven feature engineering (aKDFE)cited by 0
- 2025IMAGIC-500: IMputation benchmark on A Generative Imaginary Country (500k samples)cited by 0
- 2025Data-driven Insights for Informed Decision-Making: Applying LSTM Networks for Robust Electricity Forecasting in Libyacited by 0
- 2025TCDiff: Triplex Cascaded Diffusion for High-fidelity Multimodal EHRs Generation with Incomplete Clinical Datacited by 0
- 2025A Systematic Review on the Generative AI Applications in Human Medical Genomicscited by 0
- 2025An Interdisciplinary and Cross-Task Review on Missing Data Imputationcited by 0
- 2026Temporal Fusion Nexus: A task-agnostic multi-modal embedding model for clinical narratives and irregular time series in post-kidney transplant carecited by 0
- 2026Imputation of Unknown Missingness in Sparse Electronic Health Recordscited by 0
- 2026Imputation of Unknown Missingness in Sparse Electronic Health Records24 Feb 2026
- 2026Temporal Fusion Nexus: A task-agnostic multi-modal embedding model for clinical narratives and irregular time series in post-kidney transplant care13 Jan 2026
- 2025An Interdisciplinary and Cross-Task Review on Missing Data Imputation3 Nov 2025
- 2025Timely Clinical Diagnosis through Active Test Selection21 Oct 2025
- 2025A Systematic Review on the Generative AI Applications in Human Medical Genomics27 Aug 2025
- 2025MissMecha: An All-in-One Python Package for Studying Missing Data Mechanisms6 Aug 2025
- 2025TCDiff: Triplex Cascaded Diffusion for High-fidelity Multimodal EHRs Generation with Incomplete Clinical Data3 Aug 2025
- 2025Data-driven Insights for Informed Decision-Making: Applying LSTM Networks for Robust Electricity Forecasting in Libya20 Jun 2025
- 2025IMAGIC-500: IMputation benchmark on A Generative Imaginary Country (500k samples)10 Jun 2025
- 2025A Design Framework for operationalizing Trustworthy Artificial Intelligence in Healthcare: Requirements, Tradeoffs and Challenges for its Clinical Adoption27 Apr 2025
- 2025Evaluation of the impact of expert knowledge: How decision support scores impact the effectiveness of automatic knowledge-driven feature engineering (aKDFE)8 Apr 2025
- 2025LLM-Aided Customizable Profiling of Code Data Based On Programming Language Concepts19 Mar 2025
13 more
- 2024Modular Deep Learning for Multivariate Time-Series: Decoupling Imputation and Downstream Tasks6 Nov 2024
- 2024Enhancing Glucose Level Prediction of ICU Patients through Hierarchical Modeling of Irregular Time-Series3 Nov 2024
- 2024Still More Shades of Null: An Evaluation Suite for Responsible Missing Value Imputation11 Sep 2024
- 2024Not Another Imputation Method: A Transformer-based Model for Missing Values in Tabular Datasets16 Jul 2024
- 2024How Deep is your Guess? A Fresh Perspective on Deep Learning for Medical Time-Series Imputation11 Jul 2024
- 2024METRIK: Measurement-Efficient Randomized Controlled Trials using Transformers with Input Masking24 Jun 2024
- 2024Beyond Random Missingness: Clinically Rethinking for Healthcare Time Series Imputation26 May 2024
- 2024Clinical Domain Knowledge-Derived Template Improves Post Hoc AI Explanations in Pneumothorax Classification26 Mar 2024
- 2024Generative AI for Synthetic Data Generation: Methods, Challenges and the Future7 Mar 2024
- 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentation26 Nov 2023
- 2023Enhancing Mortality Prediction in Heart Failure Patients: Exploring Preprocessing Methods for Imbalanced Clinical Datasets30 Sep 2023
- 2023PRISM: Mitigating EHR Data Sparsity via Learning from Missing Feature Calibrated Prototype Patient Representations8 Sep 2023
- 2023Machine Learning Based Missing Values Imputation in Categorical Datasets10 Jun 2023
- 2024Not Another Imputation Method: A Transformer-based Model for Missing Values in Tabular Datasetscited by 10
- 2023PRISM: Mitigating EHR Data Sparsity via Learning from Missing Feature Calibrated Prototype Patient Representationscited by 9
- 2024Beyond Random Missingness: Clinically Rethinking for Healthcare Time Series Imputationcited by 6
- 2024How Deep is your Guess? A Fresh Perspective on Deep Learning for Medical Time-Series Imputationcited by 5
- 2025Timely Clinical Diagnosis through Active Test Selectioncited by 4
- 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentationcited by 3
- 2025A Design Framework for operationalizing Trustworthy Artificial Intelligence in Healthcare: Requirements, Tradeoffs and Challenges for its Clinical Adoptioncited by 3
- 2025LLM-Aided Customizable Profiling of Code Data Based On Programming Language Conceptscited by 2
- 2024Clinical Domain Knowledge-Derived Template Improves Post Hoc AI Explanations in Pneumothorax Classificationcited by 1
- 2024Still More Shades of Null: An Evaluation Suite for Responsible Missing Value Imputationcited by 1
- 2024Enhancing Glucose Level Prediction of ICU Patients through Hierarchical Modeling of Irregular Time-Seriescited by 1
- 2025MissMecha: An All-in-One Python Package for Studying Missing Data Mechanismscited by 1
12 most cited of 24 All 24 (JSON)
- 2026Imputation of Unknown Missingness in Sparse Electronic Health Records24 Feb 2026
- 2026Temporal Fusion Nexus: A task-agnostic multi-modal embedding model for clinical narratives and irregular time series in post-kidney transplant care13 Jan 2026
- 2025An Interdisciplinary and Cross-Task Review on Missing Data Imputation3 Nov 2025
- 2025Timely Clinical Diagnosis through Active Test Selection21 Oct 2025
- 2025A Systematic Review on the Generative AI Applications in Human Medical Genomics27 Aug 2025
- 2025MissMecha: An All-in-One Python Package for Studying Missing Data Mechanisms6 Aug 2025
- 2025TCDiff: Triplex Cascaded Diffusion for High-fidelity Multimodal EHRs Generation with Incomplete Clinical Data3 Aug 2025
- 2025Data-driven Insights for Informed Decision-Making: Applying LSTM Networks for Robust Electricity Forecasting in Libya20 Jun 2025
- 2025IMAGIC-500: IMputation benchmark on A Generative Imaginary Country (500k samples)10 Jun 2025
- 2025A Design Framework for operationalizing Trustworthy Artificial Intelligence in Healthcare: Requirements, Tradeoffs and Challenges for its Clinical Adoption27 Apr 2025
- 2025Evaluation of the impact of expert knowledge: How decision support scores impact the effectiveness of automatic knowledge-driven feature engineering (aKDFE)8 Apr 2025
- 2025LLM-Aided Customizable Profiling of Code Data Based On Programming Language Concepts19 Mar 2025
12 newest of 24 All 24 (JSON)