Volume 10, Issue 12
Article

Application of the McNemar test to non‐independent matched pair data

Michael Eliasziw

Channing Laboratory, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, U.S.A.

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Allan Donner

Department of Epidemiology and Biostatistics, The University of Western Ontario, London, Ontario, Canada N6A 5C1

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First published: December 1991
Citations: 84

Abstract

McNemar's one degree of freedom chi‐square test for the equality of proportions appears frequently in the analysis of pairs of matched, binary outcome data (Y1i, Y2i). An assumption underlying this test is that the responses from pair to pair are mutually independent. In certain applications, however, the pairs may represent repeated measurements on the same experimental unit, and hence this assumption is violated. In this paper we suggest an adjustment to the McNemar test to account for the repeated measures clustering effect and we report on a Monte Carlo simulation that evaluates the effectiveness of this approach.

Number of times cited according to CrossRef: 84

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