Paired versus two-sample design for a clinical trial of treatments with dichotomous outcome: power considerations.

Abstract:

:For the same number of observations in a small-sample clinical trial with dichotomous outcome, the statistical power associated with a two-sample design, analyzed by Fisher's exact test, is slightly greater than that associated with a matched design, analyzed by McNemar's test, and hence of the matched design, is monotone increasing in the within-pair correlation between the treatment responses. Power curves are presented which demonstrate that positive within-pair correlation, even when quite small, can result in a superiority in power for the matched design. Conversely, in the rare situations where there is a negative within-pair correlation, choice of a two-sample design can result in a substantial gain in power.

journal_name

Biometrics

journal_title

Biometrics

authors

Wacholder S,Weinberg CR

subject

Has Abstract

pub_date

1982-09-01 00:00:00

pages

801-12

issue

3

eissn

0006-341X

issn

1541-0420

journal_volume

38

pub_type

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