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The McNemar test is a non-parametric statistical test applied to paired contingency tables with dichotomous traits. The standard test statistic $\chi^2$ formula with Edwards' continuity correction is defined as:
For uncorrected McNemar test:
Where $n_{10}$ and $n_{01}$ represent the discordant pair frequencies, following a Chi-squared distribution with $df = 1$ under the null hypothesis.
McNemar’s test is an essential statistical tool used in categorical data analysis when dealing with paired samples or matched subjects. Unlike independent samples tests such as the Pearson chi-square test, McNemar's test specifically evaluates whether marginal proportions are equal in 2x2 contingency tables with dependent observations. This makes it invaluable in fields such as medicine, psychology, and market research for pre-test and post-test intervention comparisons or matched case-control studies.
The core mechanism of McNemar's test relies on discordant pairs ($n_{10}$ and $n_{01}$). Concordant pairs ($n_{00}$ and $n_{11}$) indicate subjects where both measurements yielded identical outcomes, providing no information regarding a shift in proportions. Only subjects who changed status between the first and second observation contribute statistical power to evaluate whether the intervention or condition created a measurable change.
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