Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2001-2-22
pubmed:abstractText
Wacholder et al. [1998: Am J Epidemiol 148:623-629] and Struewing et al. [1997: N Engl J Med 336:1401-1408] have recently proposed a design called the kin-cohort design to estimate the probability of developing disease (penetrance) associated with an autosomal dominant gene. In this design, volunteers (probands) agree to be genotyped and one also determines the disease history (phenotype) of first-degree relatives of the proband. They used this design to estimate that the chance of developing breast cancer by age 70 in Ashkenazi Jewish women who carried mutations of the genes BRCA1 or BRCA2 was 0.56, a figure that was lower than previously estimated from highly affected families. The method that they used to estimate the cumulative risk of breast cancer, while asymptotically correct, does not necessarily produce monotone estimates in small samples. To obtain monotone, weakly parametric estimates, we consider separate piecewise exponential models for carriers and non-carriers. As the number of intervals on which constant hazards are assumed increases, however, the maximum likelihood score equations become unstable and difficult to solve. We, therefore, developed alternative pseudo-likelihood procedures that are readily solvable for piecewise exponential models with many intervals. We study these techniques through simulations and a re-analysis of a portion of the data used by Struewing et al. [1997] and discuss possible extensions.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0741-0395
pubmed:author
pubmed:copyrightInfo
Copyright 2001 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
210-27
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11180447-Adolescent, pubmed-meshheading:11180447-Age of Onset, pubmed-meshheading:11180447-Aged, pubmed-meshheading:11180447-Aged, 80 and over, pubmed-meshheading:11180447-Breast Neoplasms, pubmed-meshheading:11180447-Child, pubmed-meshheading:11180447-Child, Preschool, pubmed-meshheading:11180447-Cohort Studies, pubmed-meshheading:11180447-Computer Simulation, pubmed-meshheading:11180447-Disease, pubmed-meshheading:11180447-Family, pubmed-meshheading:11180447-Female, pubmed-meshheading:11180447-Genes, Dominant, pubmed-meshheading:11180447-Humans, pubmed-meshheading:11180447-Infant, pubmed-meshheading:11180447-Infant, Newborn, pubmed-meshheading:11180447-Likelihood Functions, pubmed-meshheading:11180447-Middle Aged, pubmed-meshheading:11180447-Mutation, pubmed-meshheading:11180447-Penetrance, pubmed-meshheading:11180447-Probability, pubmed-meshheading:11180447-Risk, pubmed-meshheading:11180447-Survival
pubmed:year
2001
pubmed:articleTitle
Pseudo-likelihood estimates of the cumulative risk of an autosomal dominant disease from a kin-cohort study.
pubmed:affiliation
Department of Statistics, Temple University, Philadelphia, Pennsylvania 19122, USA. dirk@sbm.temple.edu
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't