Valerii Fedorov1, Frank Mannino, Rongmei Zhang
1Research Statistics Unit, Biomedical Data Sciences, GlaxoSmithKline Pharmaceuticals, Collegeville, PA 19426, USA.
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Transforming continuous data to binary outcomes (dichotomization) significantly reduces statistical information, at least by 36% for normal data. This loss impacts hypothesis testing and requires larger sample sizes, making dichotomization generally inadvisable.
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