Ordinal data provides non-dichotomous and multi-levelled outcome. It is widely used in medical scoring systems. However, being "ordinal" means that author can't just simplify outcome result by "average/mean", because the very same ordinal number may have different interpretation between individuals who carried the value.

And I feel this become a problem when calculating sample size.

The standard, widely used "compare two proportion" sample size formula is out of question because it means I have to re-categorize the ordinal results into dichotomous categorical outcome.

And the "compare two means" formula, n = (Zα/2 + Zβ)2 *2*σ2 / (μ2-μ1)2 , while intuitive, requires the input of μ, which is simply not really ordinal.

So, can someone kindly share how to actually calculate sample size for ordinal data "in the correct way?"

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