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The McNemar test is a test on a 2x2 classification table when you want to test the difference between paired
proportions, e.g. in studies in which patients serve as their own control, or in studies with "before and after"
design.
In the McNemar test dialog box, two discrete dichotomous variables with the classification data must be
identified. Classification data may either be numeric or alphanumeric (string) values. If required, you can
convert a continuous variable into a dichotomous variable using the Create groups tools. The variables
together cannot contain more than 2 different classification values.
For example, in a study a test is performed before treatment and after treatment in 20 patients. The results
of the test are coded 0 and 1. Is there a significant change in the test result before and after treatment?
c
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The program gives the difference between the proportions (expressed as a percentage) with 95% confidence
interval.
When the (two-sided) P-value is less than the conventional 0.05, the conclusion is that there is a significant
difference between the two proportions.
In the example, the difference before and after treatment is 10% with 95% CI from -11.86% to 18.35%,
which is not significant (P=0.625, n =20).
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If the number of discordant pairs (3 + 1 in the example) is less than or equal to 25, then the two-sided P-
value is based on the cumulative binomial distribution. If the number of discordant pairs is more than 25
then a chi-square approximation with Yates' correction for continuity is used.
The 95% confidence interval is calculated according to Bland, 2000.
p Altman DG (1991) Practical statistics for medical research. London: Chapman and Hall.
p Bland M (2000) An introduction to medical statistics, 3rd ed. Oxford: Oxford University Press.
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