A genealogical assessment of familial clustering of anorectal malformations.

Abstract:

:Familial recurrence of anorectal malformations (ARMs) has been reported in single institution case series and in two population-based studies. Here, we investigate the familial aggregation of ARMs using well-established, unbiased methods in a population genealogy of Utah. Study subjects included 255 ARM cases identified from among the two largest healthcare providers in Utah with linked genealogy data using International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes. The genealogical index of familiality (GIF) statistic, which compares the average pair-wise relatedness of cases to sets of matched controls, was used to test excess familial clustering. We also estimated relative risks (RRs) for ARM and associated phenotypes in relatives of cases adjusting for age-, sex-, and birthplace. Significant excess familial clustering was observed for all ARM subjects (GIF p < 1e-3). Significant RR estimates for ARM (RR = 15.6, p = 3.3e-6), and for almost all co-morbid birth defects previously associated with ARM, were observed among first-degree relatives of ARM case subjects. This genealogically-based population survey of familial aggregation of ARMs confirms the presence of a heritable component to ARMs and provides unbiased risk estimates to relatives of cases, which may have clinical utility.

journal_name

J Hum Genet

authors

Teerlink CC,Bernhisel R,Cannon-Albright LA,Rollins MD

doi

10.1038/s10038-018-0487-y

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1029-1034

issue

10

eissn

1434-5161

issn

1435-232X

pii

10.1038/s10038-018-0487-y

journal_volume

63

pub_type

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