The DOI matches its Crossref record; 62 of the 63 references it cites were found in a registry or an index.
To test or not to test: Preliminary assessment of normality when comparing two independent samples
Open accessAbstract
BACKGROUND: Student's two-sample t test is generally used for comparing the means of two independent samples, for example, two treatment arms. Under the null hypothesis, the t test assumes that the two samples arise from the same normally distributed population with unknown variance. Adequate control of the Type I error requires that the normality assumption holds, which is often examined by means of a preliminary Shapiro-Wilk test. The following two-stage procedure is widely accepted: If the preliminary test for normality is not significant, the t test is used; if the preliminary test rejects the null hypothesis of normality, a nonparametric test is applied in the main analysis. METHODS: Equally sized samples were drawn from exponential, uniform, and normal distributions. The two-sample t test was conducted if either both samples (Strategy I) or the collapsed set of residuals from both samples (Strategy II) had passed the preliminary Shapiro-Wilk test for normality; otherwise, Mann-Whitney's U test was conducted. By simulation, we separately estimated the conditional Type I error probabilities for the parametric and nonparametric part of the two-stage procedure. Finally, we assessed the overall Type I error rate and the power of the two-stage procedure as a whole. RESULTS: Preliminary testing for normality seriously altered the conditional Type I error rates of the subsequent main analysis for both parametric and nonparametric tests. We discuss possible explanations for the observed results, the most important one being the selection mechanism due to the preliminary test. Interestingly, the overall Type I error rate and power of the entire two-stage procedure remained within acceptable limits. CONCLUSION: The two-stage procedure might be considered incorrect from a formal perspective; nevertheless, in the investigated examples, this procedure seemed to satisfactorily maintain the nominal significance level and had acceptable power properties.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures


Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The sample of each group was large enough, and comparisons were not affected by the shape of the error distribution and no transformation was applied [27].”
From Effects of short-term breathing exercises on respiratory recovery in patients with COVID-19: a quasi-experimental study (2022) · cites this paper as [27]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
R: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,893
Practical Statistics for Medical Research.
Walter, S., & Altman, D. G. (1992) · Biometrics · doi:10.2307/2532320 · Cited by 11,666
Practical Statistics for Medical Research
Altman, D. G. (1990) · doi:10.1201/9780429258589 · Cited by 10,668
Moher, D., Schulz, K. F., & Altman, D. G. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04337-3 · Cited by 5,373
Practical Statistics for Medical Research.
Bartko, J. J., & Altman, D. G. (1992) · Journal of the American Statistical Association · doi:10.2307/2290246 · Cited by 4,834
Fundamentals of Biostatistics.
(1969) · Annals of Internal Medicine · doi:10.7326/0003-4819-70-4-873 · Cited by 4,573
Moher, D., Schulz, K. F., & Altman, D. G. (2001) · BMC Medical Research Methodology · doi:10.1186/1471-2288-1-2 · Cited by 2,755
Statistical Methods in Medical Research
Armitage, P., Berry, G., & Matthews, J. N. S. (2002) · Wiley eBooks · doi:10.1002/9780470773666 · Cited by 1,638
Fundamentals of Biostatistics.
Cornell, R. G., & ROSNER, B. A. (1987) · Journal of the American Statistical Association · doi:10.2307/2289416 · Cited by 1,613
The unicorn, the normal curve, and other improbable creatures.
Micceri, T. (1989) · Psychological Bulletin · doi:10.1037/0033-2909.105.1.156 · Cited by 1,487
Moher, D., Schulz, K. F., Altman, D. G., & for the CONSORT Group* (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-8-200104170-00011 · Cited by 1,426
NON-NORMALITY AND TESTS ON VARIANCES
BOX, G. E. P. (1953) · Biometrika · doi:10.1093/biomet/40.3-4.318 · Cited by 1,302
Fundamentals of Biostatistics.
Barath, E., & ROSNER, B. A. (1992) · Biometrics · doi:10.2307/2532371 · Cited by 1,184
Permutation Methods: A Basis for Exact Inference
Ernst, M. (2004) · Statistical Science · doi:10.1214/088342304000000396 · Cited by 858
The effects of violations of assumptions underlying the t test.
Boneau, C. A. (1960) · Psychological Bulletin · doi:10.1037/h0041412 · Cited by 791
Statistical Problems in the Reporting of Clinical Trials
Pocock, S., Hughes, M. D., & Lee, R. J. (1987) · New England Journal of Medicine · doi:10.1056/nejm198708133170706 · Cited by 663
Statistical guidelines for contributors to medical journals.
Altman, D. G., Gore, S. M., Gardner, M. J., & Pocock, S. (1983) · BMJ · doi:10.1136/bmj.286.6376.1489 · Cited by 662
Statistical Principles for Clinical Trials
Kay, R. (1998) · Journal of International Medical Research · doi:10.1177/030006059802600201 · Cited by 573
(1997) · Technometrics · doi:10.1080/00401706.1997.10485461 · Cited by 456
Cavanaugh, J. (2006) · Journal of the American Statistical Association · doi:10.1198/jasa.2006.s94 · Cited by 440
On Biases in Estimation Due to the Use of Preliminary Tests of Significance
Bancroft, T. A. (1944) · The Annals of Mathematical Statistics · doi:10.1214/aoms/1177731284 · Cited by 432
Vickers, A. J. (2005) · BMC Medical Research Methodology · doi:10.1186/1471-2288-5-35 · Cited by 400
A note on preliminary tests of equality of variances
Zimmerman, D. W. (2004) · British Journal of Mathematical and Statistical Psychology · doi:10.1348/000711004849222 · Cited by 316
How many discoveries have been lost by ignoring modern statistical methods?
Wilcox, R. R. (1998) · American Psychologist · doi:10.1037/0003-066x.53.3.300 · Cited by 295
Biostatistics: how to detect, correct and prevent errors in the medical literature.
Glantz, S. A. (1980) · Circulation · doi:10.1161/01.cir.61.1.1 · Cited by 292
Holman, A. J., & Myers, R. R. (2005) · Arthritis & Rheumatism · doi:10.1002/art.21191 · Cited by 289
The two-sample t test: pre-testing its assumptions does not pay off
Rasch, D., Kubinger, K. D., & Moder, K. (2009) · Statistical Papers · doi:10.1007/s00362-009-0224-x · Cited by 271
Statistics in medical journals: developments in the 1980s.
Altman, D. (1991) · Statistics in Medicine · doi:10.1002/sim.4780101206 · Cited by 267
(2004) · Cited by 234
Statistics in medical journals
Altman, D. G. (1982) · Statistics in Medicine · doi:10.1002/sim.4780010109 · Cited by 227
Lawson, M. L., Kirk, S., Mitchell, T., Chen, M. K., Loux, T., Daniels, S. R., Harmon, C. M., Clements, R. H., Garcia, V. F., & Inge, T. H. (2006) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2005.10.017 · Cited by 225
Nonparametric Hypotheses and Rank Statistics for Unbalanced Factorial Designs
Akritas, M. G., Arnold, S. F., & Brunner, E. (1997) · Journal of the American Statistical Association · doi:10.1080/01621459.1997.10473623 · Cited by 220
Zimmerman, D. W. (1998) · The Journal of Experimental Education · doi:10.1080/00220979809598344 · Cited by 162
Review of the Use of Statistics in Infection andImmunity
Olsen, C. H. (2003) · Infection and Immunity · doi:10.1128/iai.71.12.6689-6692.2003 · Cited by 126
Who was student and why do we care so much about his t-test?1
Livingston, E. H. (2004) · Journal of Surgical Research · doi:10.1016/j.jss.2004.02.003 · Cited by 116
The Use of Statistics in Medical Research
Strasak, A. M., Zaman, Q., Marinell, G., Pfeiffer, K. P., & Ulmer, H. (2007) · The American Statistician · doi:10.1198/000313007x170242 · Cited by 104
Sharp, S. J., & Thompson, S. G. (2000) · Statistics in Medicine · doi:10.1002/1097-0258(20001215)19:23 · Cited by 99
On a Preliminary Test for Pooling Mean Squares in the Analysis of Variance
Paull, A. E. (1950) · The Annals of Mathematical Statistics · doi:10.1214/aoms/1177729750 · Cited by 91
RELAXING ASSUMPTIONS IN THE ONE SAMPLE t‐TEST
Cressie, N. (1980) · Australian Journal of Statistics · doi:10.1111/j.1467-842x.1980.tb01161.x · Cited by 80
Fernandes-Taylor, S., Hyun, J. K., Reeder, R. N., & Harris, A. H. (2011) · BMC Research Notes · doi:10.1186/1756-0500-4-304 · Cited by 75
Robustness of the t Test Applied to Data Distorted from Normality by Floor Effects
SULLIVAN, L. M., & D’Agostino, R. B. (1992) · Journal of Dental Research · doi:10.1177/00220345920710121601 · Cited by 68
Preliminary Goodness-of-Fit Tests for Normality do not Validate the One-Sample Student t
Schucany, W. R., & Ng, H. K. T. (2006) · Communication in Statistics- Theory and Methods · doi:10.1080/03610920600853308 · Cited by 48
Dealing with assumptions underlying statistical tests
Wells, C. S., & Hintze, J. M. (2007) · Psychology in the Schools · doi:10.1002/pits.20241 · Cited by 44
Diagnostics for assumptions in moderate to large simple clinical trials: do they really help?
Shuster, J. J. (2005) · Statistics in Medicine · doi:10.1002/sim.2175 · Cited by 41
Preliminary testing for normality: some statistical aspects of a common concept
Schoder, V., Himmelmann, A., & Wilhelm, K. (2006) · Clinical and Experimental Dermatology · doi:10.1111/j.1365-2230.2006.02206.x · Cited by 40
Freidlin, B., Miao, W., & Gastwirth, J. L. (2003) · Biometrical Journal · doi:10.1002/bimj.200390056 · Cited by 38
Testing Equality of Means after a Preliminary test of Equality of Variances
Gurland, J., & McCullough, R. S. (1962) · Biometrika · doi:10.1093/biomet/49.3-4.403 · Cited by 35
Poor-Quality Medical Research: What Can Journals Do?
Altman, D. G. (2002) · JAMA · doi:10.1001/jama.287.21.2765 · Cited by 34
Neville, J. A., Lang, W., & Fleischer, A. B. (2006) · Archives of Dermatology · doi:10.1001/archderm.142.6.737 · Cited by 33
Kühnast, C., & Neuhäuser, M. (2008) · Europe PMC (PubMed Central) · Cited by 32
Rochon, J., & Kieser, M. (2010) · British Journal of Mathematical and Statistical Psychology · doi:10.1348/2044-8317.002003 · Cited by 31
Self-citationStudent t‐tests for potentially abnormal data
Shuster, J. J. (2009) · Statistics in Medicine · doi:10.1002/sim.3581 · Cited by 29
Some Properties of Preliminary Tests of Equality of Variances in the Two-Sample Location Problem
Zimmerman, D. W. (1996) · The Journal of General Psychology · doi:10.1080/00221309.1996.9921274 · Cited by 25
Zimmerman, D. W. (2010) · British Journal of Mathematical and Statistical Psychology · doi:10.1348/000711010x524739 · Cited by 25
Bogaty, P. M., Dumont, S., O’Hara, G. E., Boyer, L., Auclair, L., Jobin, J., & Boudreault, J.-R. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01131-7 · Cited by 24
Statistical methods in clinical trials
Gebski, V., & KEECH, A. C. (2003) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2003.tb05139.x · Cited by 23
Effect of Darbepoetin Alfa on Physical Function in Patients Undergoing Surgery for Colorectal Cancer
Nørager, C. B., Jensen, M. B., Madsen, M. R., Qvist, N., & Laurberg, S. (2006) · Oncology · doi:10.1159/000106071 · Cited by 19
The effect of preliminary normality goodness of fit tests on subsequent inference.
Easterling, R. G., & Anderson, H. E. (1978) · Journal of Statistical Computation and Simulation · doi:10.1080/00949657808810243 · Cited by 17
Zimmerman, D. W. (2004) · Communications in Statistics - Simulation and Computation · doi:10.1081/sac-120028434 · Cited by 17
Wiedermann, W., & Alexandrowicz, R. W. (2007) · Psychology science · Cited by 12
Meredith, W. M., Frederiksen, C. H., & McLaughlin, D. H. (1974) · Annual Review of Psychology · doi:10.1146/annurev.ps.25.020174.002321 · Cited by 12
Lee, A. F. (2005) · Encyclopedia of Biostatistics · doi:10.1002/0470011815.b2a15159 · Cited by 1
Research works printed but not linked: 3
- New England Journal of Medicine: Guidelines for manuscript submission. (Retrieved from http://www.nejm.org/page/author-center/manuscript-submission ); 2011
- Pappas PA, DePuy V: An overview of non-parametric tests in SAS: When, why and how. Proceeding of the. SouthEast SAS Users Group Conference (SESUG 2004): Paper TU04. 2004, Miami, FL, SouthEast SAS Users Group, 1-5.
- ICH E3: Structure and content of clinical study reports. 1995, International Conference on Harmonisation, London, UK
Cited by
Sorted by citations
Beyond Bar and Line Graphs: Time for a New Data Presentation Paradigm
Weissgerber, T. L., Milic, N. M., Winham, S. J., & Garovic, V. D. (2015) · PLoS Biology · doi:10.1371/journal.pbio.1002128 · Cited by 752
Annweiler, G., Corvaisier, M., Gautier, J., Dubée, V., Legrand, É., Sacco, G., & Annweiler, C. (2020) · Nutrients · doi:10.3390/nu12113377 · Cited by 257
Parametric or Non-parametric: Skewness to Test Normality for Mean Comparison
Orçan, F. (2020) · International Journal of Assessment Tools in Education · doi:10.21449/ijate.656077 · Cited by 232
Vitamin D and survival in COVID-19 patients: A quasi-experimental study
Annweiler, C., Hanotte, B., de l’Eprevier, C. G., Sabatier, J., Lafaie, L., & Célarier, T. (2020) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2020.105771 · Cited by 228
Simpson, J., Loh, Z., Ullah, M. A., Lynch, J. P., Werder, R. B., Collinson, N., Zhang, V., Dondelinger, Y., Bertrand, M. J. M., Everard, M. L., et al. (2020) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201906-1149oc · Cited by 124
Metadata
- Authors
- Rochon, J., Gondan, M., & Kieser, M.
- Affiliations
- Heidelberg University (DE)
- Corresponding author
- Rochon, Justine
- Venue
- BMC Medical Research Methodology
- Published
- 2012-06-19
- Volume
- 12
- Issue
- 1
- Pages
- 81-81
- ISSN
- 1471-2288 (ISSN-L)
- PMC
- PMC3444333
- OpenAlex
- W2162286641
- Cited by
- 296
- References
- 63
- Citations by year
- 2026: 28 · 2025: 44 · 2024: 35 · 2023: 25 · 2022: 33 · 2021: 37 · 2020: 24 · 2019: 15 · 2018: 13 · 2017: 10 · 2016: 9 · 2015: 13 · 2014: 6 · 2013: 3 · 2012: 1
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medical Research Methodology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Probability and Statistical Research
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Distribution Estimation and Applications
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Keywords
- two-sample t-test, normality testing, Shapiro-Wilk test, two-stage procedure, selection bias, Mann-Whitney test, nonparametric tests, statistical power, independent samples, exponential distribution, uniform distribution
- MeSH terms
- Computer Simulation, Data Interpretation, Statistical, Humans, Models, Statistical, Selection Bias, Normal Distribution, Statistics, Nonparametric
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review