Impact of violations and deviations in Hardy-Weinberg equilibrium on postulated gene-disease associations

dc.contributor.authorTrikalinos, T. A.en
dc.contributor.authorSalanti, G.en
dc.contributor.authorKhoury, M. J.en
dc.contributor.authorIoannidis, J. P.en
dc.date.accessioned2015-11-24T19:11:37Z
dc.date.available2015-11-24T19:11:37Z
dc.identifier.issn0002-9262-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20945
dc.rightsDefault Licence-
dc.subjectBias (Epidemiology)en
dc.subjectDatabases, Geneticen
dc.subject*Genetic Heterogeneityen
dc.subjectGenetic Markers/*geneticsen
dc.subjectGenetic Predisposition to Disease/epidemiology/*geneticsen
dc.subjectHumansen
dc.subject*Models, Statisticalen
dc.subjectPolymorphism, Genetic/*geneticsen
dc.subjectReproducibility of Resultsen
dc.titleImpact of violations and deviations in Hardy-Weinberg equilibrium on postulated gene-disease associationsen
heal.abstractThe authors evaluated whether statistically significant violations of Hardy-Weinberg equilibrium (HWE) or the magnitude of deviations from HWE may contribute to the problem of replicating postulated gene-disease associations across different studies. Forty-two gene-disease associations assessed in meta-analyses of 591 studies were examined. Studies with disease-free controls in which HWE was violated gave significantly different results from HWE-conforming studies in five instances. Exclusion of the former studies resulted in loss of statistical significance of the overall meta-analysis in three instances and more than a 10% change in the summary odds ratio in six. Exclusion of HWE-violating studies changed the formal significance of the estimated between-study heterogeneity in three instances. After adjustment for the magnitude of the deviation from HWE for the controls, formal significance was lost in another three instances. Studies adjusted for the magnitude of deviation from HWE tended to become more heterogeneous among themselves, and, for seven gene-disease associations, between-study heterogeneity became significant, while it was not so in the unadjusted analyses. Gene-disease association studies and meta-analyses thereof should routinely scrutinize the potential impact of HWE violations as well as nonsignificant deviations from the exact frequencies expected under HWE. Postulated genetic associations with modest-sized odds ratios and borderline statistical significance may not be robust in such sensitivity analyses.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1093/aje/kwj046-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16410351-
heal.identifier.secondaryhttp://aje.oxfordjournals.org/content/163/4/300.full.pdf-
heal.journalNameAm J Epidemiolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2006-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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