Concept Architecture
Concept
Theoretically, Kendall Tau is a non-parametric measure of rank correlation that quantifies the strength and direction of association between two ranked variables. It is based on the comparison of concordant and discordant pairs of observations and provides an estimate of the degree to which two rankings are consistent. Kendall Tau is grounded in ordinal statistics and probability theory and is particularly appropriate when data do not satisfy the assumptions required for parametric correlation coefficients.
Mathematically, Kendall Tau is represented as the difference between the number of concordant and discordant observation pairs divided by the total number of comparable pairs, with adjustments available for tied observations. The statistic ranges from ?1 to +1, where +1 indicates perfect agreement between rankings, ?1 indicates perfect disagreement, and 0 indicates no monotonic association. Variants including Kendall's �-a, �-b and �-c accommodate different data structures and the presence of ties.
In practice, Kendall Tau is estimated by ranking paired observations, identifying concordant and discordant pairs, and computing the appropriate coefficient. In health economics it is used to evaluate agreement between preference rankings, compare health technology prioritisation methods, assess consistency between expert judgements, validate patient-reported outcome rankings, and examine ordinal relationships when assumptions for Pearson correlation are not met.
Purpose
Used to quantify the strength and direction of monotonic association between two ranked variables, evaluate agreement between rankings, validate ordinal measures, and assess consistency in health economic analyses involving ranked or ordered data.
Mathematical Formulae
Primary Formula
� = (C ? D) / [n(n ? 1) / 2]
where:
- C = number of concordant pairs
- D = number of discordant pairs
- n = number of observations
For data containing ties, the commonly used estimator is Kendall's �-b:
�? = (C ? D) / �[(C + D + T?)(C + D + T?)]
where:
- T? = number of tied pairs in variable X
- T? = number of tied pairs in variable Y
Supporting Formulae
Total pairs:
N = n(n ? 1) / 2
Concordant and discordant relationship:
N = C + D + ties
Related Mathematical Methods
- Kendall's �-b
- Kendall's �-c
- Spearman Rank Correlation
- Pearson Correlation Coefficient
- Mann?Kendall Trend Test
- Rank Correlation Analysis
Example
A health economist compares the priority rankings assigned to ten new medicines by a reimbursement committee and an external panel of clinical experts.
The analysis identifies:
- Concordant pairs (C) = 33
- Discordant pairs (D) = 12
- Number of technologies (n) = 10
Total possible pairs:
N = 10 ? 9 / 2 = 45
Kendall Tau:
� = (33 ? 12) / 45
� = 21 / 45
� = 0.467
The positive coefficient indicates moderate agreement between the two ranking systems, suggesting that both groups prioritise technologies in broadly similar order.
Excel Implementation
| Function | Example Formula | Health Economics Application |
|---|---|---|
| RANK.AVG | =RANK.AVG(A2,$A$2:$A$11) | Create ranked health outcome or cost values. |
| COMBIN | =COMBIN(COUNT(A2:A11),2) | Calculate the total number of observation pairs. |
| IF | =IF(B2>B3,1,0) | Identify concordant or discordant comparisons. |
| SUM | =SUM(D2:D46) | Count concordant and discordant pairs. |
| SQRT | =SQRT((C+D+Tx)*(C+D+Ty)) | Calculate the denominator for Kendall's �-b. |
VBA (Optional)
A VBA routine can automate pairwise comparison of ranked observations and calculate Kendall's � or �-b for multiple datasets within a health economic validation workbook.
Sources
- Kendall MG. A New Measure of Rank Correlation. Biometrika. 1938;30:81?93.
- Kendall MG, Gibbons JD. Rank Correlation Methods. 5th ed. Oxford University Press.
- Agresti A. An Introduction to Categorical Data Analysis. Wiley.
- Conover WJ. Practical Nonparametric Statistics. Wiley.
- Briggs A, Claxton K, Sculpher M. Decision Modelling for Health Economic Evaluation. Oxford University Press.
- ISPOR Good Practice Task Force Reports.
Related Concepts (2)
Frequently Asked Questions (6)
What is Kendall's tau?
A non-parametric measure of association between two ranked variables, based on the number of concordant and discordant pairs of observations.
Source: Kendall 1938
What does Kendall's tau measure between two ranked variables?
Kendall's tau measures the association between two ranked variables by comparing every pair of observations and counting how many are concordant, ordered the same way on both variables, against how many are discordant. The balance of concordant and discordant pairs gives a coefficient between negative one and positive one, capturing whether the two tend to rise together. As a non-parametric measure it makes no assumption about the shape of the data, relying only on rank order. Comparing the ordering of pairs is its method. Kirkwood and Sterne (2003) describe this measure.
Source: Kirkwood & Sterne 2003
How is Kendall's tau calculated?
Kendall's tau is calculated by examining all pairs of observations and counting how many are concordant, ordered the same way by both variables, and how many are discordant, ordered oppositely, then taking the difference between these counts and dividing by the total number of pairs, with adjustments for ties in some versions. So Kendall's tau is calculated from the balance of concordant and discordant pairs relative to all pairs, giving a value between negative one and positive one, where a preponderance of concordant pairs yields a positive tau and of discordant pairs a negative one, reflecting the direction and strength of the monotonic association between the ranks.
Source: Kendall 1938
How does Kendall's tau differ from Spearman's correlation?
Kendall's tau and Spearman's correlation are both rank-based measures of monotonic association, but they are computed differently: Kendall's tau is based on the counts of concordant and discordant pairs, while Spearman's is essentially the Pearson correlation of the ranks. They usually agree in direction but differ in magnitude, with Kendall's tau typically smaller. So the two differ in their construction and scale, with Kendall's tau interpretable in terms of pair concordance and Spearman's as a rank correlation, and although they generally give similar conclusions about association, Kendall's tau is often preferred for its interpretation and its behaviour with small samples and ties.
Source: Pearson 1896
When is Kendall's tau used?
Kendall's tau is used to measure association between two ordinal variables or when a rank-based, non-parametric measure is wanted that does not assume a linear relationship or a particular distribution, and it is robust to outliers. It is suitable for ordinal data and small samples. So Kendall's tau is used when the relationship between two variables is to be assessed through their ranks rather than their values, which is appropriate for ordinal data, non-linear monotonic relationships, or data with outliers, providing a measure of association that, like Spearman's, does not rely on the assumptions of Pearson's correlation.
Source: Kendall 1938
How is Kendall's tau interpreted?
Kendall's tau is interpreted by its sign and magnitude: a positive value indicates that the variables tend to rank observations in the same order, a negative value in opposite orders, and a value near zero little monotonic association, with values near one or negative one indicating strong association. It can be read as relating to the probability of concordance versus discordance. So Kendall's tau is interpreted as the strength and direction of monotonic association based on pair concordance, with larger absolute values indicating more consistent ordering, providing an interpretable rank-based measure, though, like all measures of association, it does not imply causation.
Source: Kendall 1938
Trust Record
Verified by Dr Darrin Baines
British health economist
Professional identity: darrinbaines.org
Verification date: 17 Dec 2025
Content version: 1.0.0
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- Persistent URI
- https://healtheconomics.wiki/concept/kendall-tau
- Term code
- HE-ES-SA-092
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