A comparison of case-control and family-based association methods: the example of sickle-cell and malaria.

There has been much debate about the relative merits of population- and family-based strategies for testing genetic association, yet there is little empirical data that directly compare the two approaches. Here we compare case-control and transmission/disequilibrium test (TDT) study designs using a...

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Main Authors: Ackerman, H, Usen, S, Jallow, M, Sisay-Joof, F, Pinder, M, Kwiatkowski, D
Format: Journal article
Language:English
Published: 2005
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author Ackerman, H
Usen, S
Jallow, M
Sisay-Joof, F
Pinder, M
Kwiatkowski, D
author_facet Ackerman, H
Usen, S
Jallow, M
Sisay-Joof, F
Pinder, M
Kwiatkowski, D
author_sort Ackerman, H
collection OXFORD
description There has been much debate about the relative merits of population- and family-based strategies for testing genetic association, yet there is little empirical data that directly compare the two approaches. Here we compare case-control and transmission/disequilibrium test (TDT) study designs using a well-established genetic association, the protective effect of the sickle-cell trait against severe malaria. We find that the two methods give similar estimates of the level of protection (case-control odds ratio = 0.10, 95% confidence interval 0.03-0.23; family-based estimate of the odds ratio = 0.11, 95% confidence interval 0.04-0.25) and similar statistical significance of the result (case-control: chi2= 41.26, p= 10(-10), TDT: chi2= 39.06, p= 10(-10)) when 315 TDT cases are compared to 583 controls. We propose a family plus population control study design, which allows both case-control and TDT analysis of the cases. This combination is robust against the respective weaknesses of the case-control and TDT study designs, namely population structure and segregation distortion. The combined study design is especially cost-effective when cases are difficult to ascertain and, when the case-control and TDT results agree, offers greater confidence in the result.
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spelling oxford-uuid:d2a58550-e638-4e3a-8c69-0103c2d4f82a2022-03-27T08:05:33ZA comparison of case-control and family-based association methods: the example of sickle-cell and malaria.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d2a58550-e638-4e3a-8c69-0103c2d4f82aEnglishSymplectic Elements at Oxford2005Ackerman, HUsen, SJallow, MSisay-Joof, FPinder, MKwiatkowski, DThere has been much debate about the relative merits of population- and family-based strategies for testing genetic association, yet there is little empirical data that directly compare the two approaches. Here we compare case-control and transmission/disequilibrium test (TDT) study designs using a well-established genetic association, the protective effect of the sickle-cell trait against severe malaria. We find that the two methods give similar estimates of the level of protection (case-control odds ratio = 0.10, 95% confidence interval 0.03-0.23; family-based estimate of the odds ratio = 0.11, 95% confidence interval 0.04-0.25) and similar statistical significance of the result (case-control: chi2= 41.26, p= 10(-10), TDT: chi2= 39.06, p= 10(-10)) when 315 TDT cases are compared to 583 controls. We propose a family plus population control study design, which allows both case-control and TDT analysis of the cases. This combination is robust against the respective weaknesses of the case-control and TDT study designs, namely population structure and segregation distortion. The combined study design is especially cost-effective when cases are difficult to ascertain and, when the case-control and TDT results agree, offers greater confidence in the result.
spellingShingle Ackerman, H
Usen, S
Jallow, M
Sisay-Joof, F
Pinder, M
Kwiatkowski, D
A comparison of case-control and family-based association methods: the example of sickle-cell and malaria.
title A comparison of case-control and family-based association methods: the example of sickle-cell and malaria.
title_full A comparison of case-control and family-based association methods: the example of sickle-cell and malaria.
title_fullStr A comparison of case-control and family-based association methods: the example of sickle-cell and malaria.
title_full_unstemmed A comparison of case-control and family-based association methods: the example of sickle-cell and malaria.
title_short A comparison of case-control and family-based association methods: the example of sickle-cell and malaria.
title_sort comparison of case control and family based association methods the example of sickle cell and malaria
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