What are Box and Whisker PlotsThe Basics:

The box-and-whisker plots are very effective and easy to read. They summarize data much better than just a simple ‘average’, and provide a deeper insight into the distributional characteristics of a group of scores.

Here’s how they work:

To begin with, scores are sorted. Then four equal sized groups are made from the ordered scores. That is, 25% of all scores are placed in each group. The lines dividing the groups are called quartiles. The ‘inter-quartile range, aka the ‘middle box’, represents the middle 50% of scores for the group. Now for the whiskers- the upper and lower whiskers represent scores outside the middle 50%. Whiskers often (but not always) stretch over a wider range of scores than the middle quartile groups do.
Whisker Quartile Range Graph

Interpreting the Plots: Real Life Example

Here at CODE, we provide our clients with Box and Whisker plots on a regular basis. Below are several examples of Box and Whisker plots that display the Overall HOOS Scores for hip replacement patients. The HOOS score ranges from 0, which represents the greatest level of disability, to 100, which is the best possible score.

Individual Provider Example1Example 1: this example displays the overall HOOS score for an individual provider’s patients Total Hip Replacement patients. The red plot represents the patients’ pre-op scores, and the green 3-month post-op scores. The number of patients in each section of the graph is displayed across the top. So in this case, the pre-op plot represents 250 patients, and the post-op plot 200. The Y-axis is the PRO score- and HOOS is like basketball- the more points, the better- so 0 represents greatest disability, and 100 is a perfect score.

Provider Practice Example2Example 2: In addition to the provider scores, it displays the data for all the THA patients within the practice. The providers’ data is the first plot, and the organization is the second. Rather than just using a simple line graph that shows the average score, which would pretty much be an overlapping line, this plot gives much more information about the distribution of the patients’ scores.

Example 3: This plot shows the pre and post op scores for all of the providers within an organization.
Provider Practice Example3
In Summary: Box and Whiskers plots are much more valuable than using simple ‘averages’ or line graphs. They serve as a powerful tool for both individual providers and group practices.

About the Author

CODE Technology

We’re research nerds, and we believe Patient-Reported Outcomes are going to transform healthcare for the better - and we’re not alone. That is why we’re helping organizations collect and interpret as much data as possible, as efficiently as possible. Let us help you help the world.