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Correlation

High YieldApplied Basic SciencesthinKbox SBA

Definition

Correlation describes the strength and direction of association between two variables.

Positive and negative correlation

Correlation coefficient

The correlation coefficient ranges from -1 to +1.

  • +1: perfect positive correlation
  • 0: no linear correlation
  • -1: perfect negative correlation

The closer the magnitude is to 1, the stronger the association.

Pearson correlation

Pearson's correlation coefficient is used for the linear association between two continuous variables when its assumptions are reasonably satisfied.

Spearman correlation

Spearman's rank correlation is a non-parametric measure based on ranks. It is useful for ordinal data or when the relationship is monotonic but the assumptions for Pearson correlation are not met.

Correlation does not imply causation

A strong correlation does not prove that one variable causes the other. Confounding, reverse causation and coincidence must be considered.

Regression

Regression describes the relationship between an outcome and one or more predictor variables and can be used for estimation or prediction.

In simple linear regression:

y = a + bx

where b is the slope and a is the intercept.

R-squared

R² is the proportion of variability in the outcome explained by the fitted regression model. A higher R² indicates that more of the observed variation is explained by the model, but it does not establish causation or model validity.

Statistical significance

The p-value assesses compatibility of the observed data with the null hypothesis. It does not measure the strength or clinical importance of an association.

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026