I have a dataset of people who had back-to-back procedures and I have the whether or not polyps (precancerous lesions) removed during each procedure.
Subject Pass.1 Pass.2 Overall 1 1 1 1 2 0 1 1 3 1 0 1 4 0 0 0 ...
(where 1 = a polyp was found)
I want to know if compared with the first procedure, there was an increased detection rate with back−to−back colonoscopy. McNemar's test seems like a possibility, but I don't think it would apply since the detection rate can only increase (i.e. the "No/Yes" cell in the contingency table will always be 0). This is the table I have for setting up the McNemar test:
After Both Procedures After First Procedure No Yes No 64 13 Yes 0 118
Would McNemar's test apply? If not, is it possible to do the analysis with a different test or at all?