Epidemiological studies of dementia often use two-stage designs because of the relatively low prevalence of the disease and the high cost of ascertaining a diagnosis. The ΓΏrst stage of a two-stage design assesses a large sample with a screening instrument. Then, the subjects are grouped according to
On the validity of the TDT test in the presence of comorbidity and ascertainment bias
β Scribed by James M. Robins; Jordan W. Smoller; Kathryn L. Lunetta
- Publisher
- John Wiley and Sons
- Year
- 2001
- Tongue
- English
- Weight
- 57 KB
- Volume
- 21
- Category
- Article
- ISSN
- 0741-0395
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β¦ Synopsis
Abstract
Comorbidity, the association of two disorders, occurs commonly with complex diseases. In this paper, we investigate the effects of both true (withinβfamily) comorbidity and spurious comorbidity due to ascertainment bias on the validity of both the parental and sibling control transmission/disequilibrium test. Specifically, we consider settings in which a candidate gene is unlinked to the target phenotype but is in linkage disequilibrium with a comorbid phenotype. We derive conditions under which the presence of true and/or spurious comorbidity will result in an artificial correlation between the target phenotype and the candidate gene. Genet. Epidemiol. 21:326β336, 2001. Β© 2001 WileyβLiss, Inc.
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