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Table 1 Application of the skew-normal method to some common outcomes and comparison with the normal method applied to transformed data

From: Dichotomisation using a distributional approach when the outcome is skewed

a. Proportions of low birthweight babies

N

Mean (SD)

Difference

  

Non-smoker

Smoker

Non-smoker

Smoker

in means (SE)

95% conf. int.

p-value

983

494

3452g (435)

3267g (441)

184 (24)

[137, 232]

<0.001

Difference proportions

Risk ratio

 

Odds ratio

  

Normal distributional estimates (no transformation)

0.025 (0.004)

[0.017, 0.033]

2.68 (0.13)

[2.09, 3.43]

2.74 (0.13)

[2.13,3.54]

 

Skew-normal distributional estimates

0.024 (0.004)

[0.016,0.032]

2.87 (0.16)

[2.09,3.92]

2.94 (0.16)

[2.13,4.05]

 

b. Proportions of patients with high blood pressure

N

Mean (SD)

Difference

  

Non-whites

Whites

Non-whites

Whites

in means (SE)

95% conf. int.

p-value

661

1235

149.2 (25.7)

144.1 (24.8)

5.11 (1.21)

[2.74, 7.49]

<0.001

Difference proportions

Risk ratio

 

Odds ratio

  

Normal distributional estimates on the transformed scale

0.068 (0.016)

[0.036,0.100]

1.28 (0.06)

[1.14,1.43]

1.40 (0.08)

[1.19,1.64]

 

Skew-normal distributional estimates

0.061 (0.017)

[0.028,0.093]

1.25 (0.06)

[1.11,1.40]

1.36 (0.08)

[1.15,1.60]

 

c. Proportions of obesity

N

Mean (SD)

Difference

  

Primipari

Multipari

Primipari

Multipari

in means (SE)

95% conf. int.

p-value

891

890

22.96 (3.40)

23.84 (4.01)

0.88 (0.18)

[0.53,1.22]

<0.001

Difference proportions

Risk ratio

 

Odds ratio

  

Normal distributional estimates on the transformed scale

0.022 (0.005)

[0.013, 0.031]

1.66 (0.10)

[1.36, 2.02]

1.70 (0.11)

[1.38,2.09]

 

Skew-normal distributional estimates

0.020 (0.004)

[0.012,0.028]

1.40 (0.07)

[1.23,1.60]

1.44 (0.07)

[1.25,1.66]

 

d. Proportions of premature births

N

Mean (SD)

Difference

  

Primipari

Multipari

Primipari

Multipari

in means (SE)

95% conf. int.

p-value

856

874

39.40 (1.96)

39.52 (2.12)

0.12 (0.10)

[-0.08, 0.31]

0.23

Difference proportions

Risk ratio

 

Odds ratio

  

Normal distributional estimates on the transformed scale

-0.019 (0.009)

[-0.037,-0.003]

0.82 (0.08)

[0.70,0.98]

0.81 (0.09)

[0.67,0.97]

 

Skew-normal distributional estimates

-0.010 (0.007)

[-0.024,0.006]

0.99 (0.06)

[0.97,1.01]

0.92 (0.07)

[0.80,1.05]

 
  1. DCI: distributional confidence interval.