The Misuse of Normality Tests as Gatekeepers for Research in Prehospital and Disaster Medicine

The Anderson-Darling test is a statistical method used to determine whether a data sample is likely drawn from a specific theoretical distribution. Unlike parametric tests, it does not require assumptions about specific parameters of the distribution. Instead, it compares the sample's empirical cumulative distribution function (ECDF) with the cumulative distribution function (CDF) of the hypothesized distribution. Critical values for the test are specific to the chosen distribution rather...

Statistical inference techniques, paramount in hypothesis testing, differentiate into two broad categories: parametric and nonparametric statistics.
Parametric statistics, as the name suggests, assumes that data follow a specific distribution, often a normal distribution. This assumption enables robust hypothesis testing and estimation. Parametric methods, like the Student's t-test or Goodness-of-fit test, are frequently employed in biostatistics due to their robustness. For instance,...

Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...

Nonparametric statistics offer a powerful alternative to traditional parametric methods, useful when assumptions about the population distribution cannot be made. Unlike parametric tests, which require data to follow a specific distribution with well-defined parameters (such as the mean and standard deviation), nonparametric tests do not require such constraints. This makes them particularly valuable when dealing with small sample sizes, skewed data, or ordinal and categorical variables.
One of...

When one or more data points appear far from the rest of the data, there is a need to determine whether they are outliers and whether they should be eliminated from the data set to ensure an accurate representation of the measured value. In many cases, outliers arise from gross errors (or human errors) and do not accurately reflect the underlying phenomenon. In some cases, however, these apparent outliers reflect true phenomenological differences. In these cases, we can use statistical methods...

In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
Sensitivity is the...