- By FYH News Team
[ad_1]
. 2022 Mar 23;S0002-9297(22)00104-5.
doi: 10.1016/j.ajhg.2022.03.008.
Online ahead of print.
Affiliations
Affiliations
- 1 Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA. Electronic address: schaid@mayo.edu.
- 2 Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Item in Clipboard
Daniel J Schaid et al.
Am J Hum Genet.
.
Display options
Format
. 2022 Mar 23;S0002-9297(22)00104-5.
doi: 10.1016/j.ajhg.2022.03.008.
Online ahead of print.
Affiliations
- 1 Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA. Electronic address: schaid@mayo.edu.
- 2 Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Item in Clipboard
Display options
Format
Abstract
Polygenic risk scores (PRSs) for a variety of diseases have recently been shown to have relative risks that depend on age, and genetic relative risks decrease with increasing age. A refined understanding of the age dependency of PRSs for a disease is important for personalized risk predictions and risk stratification. To further evaluate how the PRS relative risk for prostate cancer depends on age, we refined analyses for a validated PRS for prostate cancer by using 64,274 prostate cancer cases and 46,432 controls of diverse ancestry (82.8% European, 9.8% African American, 3.8% Latino, 2.8% Asian, and 0.8% Ghanaian). Our strategy applied a novel weighted proportional hazards model to case-control data to fully utilize age to refine how the relative risk decreased with age. We found significantly greater relative risks for younger men (age 30-55 years) compared with older men (70-88 years) for both relative risk per standard deviation of the PRS and dichotomized according to the upper 90th percentile of the PRS distribution. For the largest European ancestral group that could provide reliable resolution, the log-relative risk decreased approximately linearly from age 50 to age 75. Despite strong evidence of age-dependent genetic relative risk, our results suggest that absolute risk predictions differed little from predictions that assumed a constant relative risk over ages, from short-term to long-term predictions, simplifying implementation of risk discussions into clinical practice.
Keywords:
absolute risk prediction; genetic relative risk; weighted Cox regression.
Copyright © 2022 American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.
Conflict of interest statement
Declaration of interests The authors declare no competing interests.
Cite
[ad_2]
Source link
Trending Topics
Features
- Drive Toolkit
Download and distribute powerful vaccination QI resources for your community.
- Health Champions
Sign up now to support health equity and sustainable health outcomes in your community.
- Cancer Early Detection
MCED tests use a simple blood draw to screen for many kinds of cancer at once.
- PR
FYHN is a bridge connecting health information providers to BIPOC communities in a trusted environment.
- Medicare
Discover an honest look at our Medicare system.
- Alliance for Representative Clinical Trials
ARC was launched to create a network of community clinicians to diversify and bring clinical trials to communities of color and other communities that have been underrepresented.
- Reducing Patient Risk
The single most important purpose of our healthcare system is to reduce patient risk for an acute event.
- Jessica Wilson
- Jessica Wilson
- Victor Mejia

















