Titre :
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The kin-cohort study for estimating penetrance. (1998)
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Auteurs :
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S. WACHOLDER ;
L. BRODY ;
P. HARTGE ;
M. MCADAMS ;
D. PEE ;
J.P. STRUEWING ;
M. TUCKER ;
Division of Cancer Epidemiology and Genetics. National Cancer Institute. Bethesda. MD. USA
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Type de document :
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Article
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Dans :
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American journal of epidemiology (vol. 148, n° 7, 1998)
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Pagination :
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623-630
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Langues:
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Anglais
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Mots-clés :
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Cancer
;
Ovaire
;
Sein
;
Rectum
;
Méthodologie
;
Epidémiologie
;
Facteur risque
;
Génétique
;
Incidence
;
Homme
;
Etats Unis
;
Amérique
;
Glande mammaire [pathologie]
;
Intestin [pathologie]
;
Appareil digestif [pathologie]
;
Côlon
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST pLR0xGo9. Diffusion soumise à autorisation]. A cross-sectional study may be more feasible than a cohort or case-control study for examining the effect of a genetic mutation on cancer penetrance outside of cancer families. The kin-cohort design uses volunteer probands selected from a population with a relatively high frequency of the mutations of interest. : By considering the cancer risk in first-degree relatives of mutation-positive and - negative probands as a weighted average of the risk in carriers and noncarriers, with weights calculated assuming a known mode of inheritance, one can infer the penetrance of the mutations. The estimates of penetrance by age 70 years for three specific mutations in the BRCA 1 and BRCA2 genes common among Ashkenazi Jews for the first occurrence of breast or ovary cancer is 63%. The kin-cohort design can be a useful tool for quickly estimating penetrance from volunteers in a setting in which the mutation prevalence is relatively high.
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