Mc Nemar's Test - Example

Example

In the following example, a researcher attempts to determine if a drug has an effect on a particular disease. Counts of individuals are given in the table, with the diagnosis (disease: present or absent) before treatment given in the rows, and the diagnosis after treatment in the columns. The test requires the same subjects to be included in the before-and-after measurements (matched pairs).

After: present After: absent Row total
Before: present 101 121 222
Before: absent 59 33 92
Column total 160 154 314

In this example, the null hypothesis of "marginal homogeneity" would mean there was no effect of the treatment. From the above data, the McNemar test statistic with Yates's continuity correction is

has the value 21.01, which is extremely unlikely from the distribution implied by the null hypothesis. Thus the test provides strong evidence to reject the null hypothesis of no treatment effect.

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