Statistics from Altmetric.com
Many statistical analyses in ophthalmic and other clinical fields are concerned with describing relationships between one or more ‘predictors’ (explanatory or independent variables) and usually one outcome measure (response or dependent variable). Our earlier statistical notes make reference to the fact that statistical techniques often make assumptions about data.1 ,2 Assumptions may relate to the outcome variable, to the predictor variable or indeed both; common assumptions are that data follow normal (Gaussian) distributions and that observations are independent. It is, of course, entirely possible to ignore such assumptions, but doing so is not good statistical practice and in medicine; poor statistical practice can impact negatively upon patients and the public.3
One approach when assumptions are not adhered to is to use alternative tests which place fewer restrictions on the data – non-parametric or so-called distribution free methods.2 A more powerful alternative, however, is to transform your data. While your ‘raw’ (untransformed) data may not satisfy the assumptions needed for a particular test, it is possible that a mathematical function or transformation of the data will. Analyses may then be conducted on the transformed data rather than the raw data.
Scenario 1: A study to evaluate the accuracy of intraocular lens power estimation in eyes having phacovitrectomy for rhegmatogenous retinal detachment4 measured the axial length (in mm) of 71 eyes. The raw data (figure 1A) exhibited a fairly strong positive skew (rather than being symmetric there is an extended tail in the histogram to the right); the same data with a logarithmic transformation applied (figure 1B) …