48 PART 1 Getting Started with Biostatistics

Chapter 24). Because the classic distribution functions are all written as mathe-

matical expressions involving parameters (like means and standard deviation),

they’re called parametric distribution functions.

Parametric tests assume that your data conforms to a parametric distribution func-

tion. Because the normal distribution is the most common statistical distribution,

the term parametric test is often used to mean a test that assumes normally dis-

tributed data. But sometimes your data don’t follow a parametric distribution. For

example, it may be very noticeably skewed, as shown in Figure 3-5a.

Sometimes, you may be able to perform a mathematical transformation of your

data to make it more normally distributed. For example, many variables that have

a skewed distribution can be turned into normally distributed numbers by taking

logarithms, as shown in Figure 3-5b. If, by trial and error, you can find some kind

of transformation that normalizes your data, you can run the classical tests on the

transformed data, as described in Chapter 9.

If you transform your data to get it to assume a normal distribution, any analyses

done on it will need to be “untransformed” to be interpreted. For example, if you

have a data set of patients with different lengths of stay in a hospital, you will

likely have skewed data. If you log-transform these data so that they are normally

distributed, then generate statistics (like calculate a mean), you will need to do an

inverse log transformation on the result before you interpret it.

But sometimes your data are not normally distributed, and for whatever reason,

you give up on trying to do a parametric test. Maybe you can’t find a good trans-

formation for your data, or maybe you don’t want to have to undo the transfor-

mation in order to do your interpretation, or maybe you simply have too small of

FIGURE 3-5:

Skewed data (a)

can sometimes

be turned into

normally

distributed data

(b) by taking

logarithms.

© John Wiley & Sons, Inc.