Japanese Journal of Clinical Oncology, Vol 29, Issue 10 490-493, Copyright © 1999 by Foundation for Promotion of Cancer Research
N Hamajima, H Yuasa, K Matsuo and Y Kurobe
BACKGROUND: The detection of gene-environment interaction can provide
important clues not only for resolving biological mechanisms underlying
diseases, but also for disease prevention. The newly introduced case-only
study was compared with traditional case-control study in terms of
statistical power to detect significant gene-environment interaction.
METHODS: Odds ratios for interaction were calculated in the framework of
case-control study and case-only study separately, by an unconditional
logistic model. Hypothetical data with 200 cases and 200 or 400 controls
and real published data derived from four cancer case-control studies of
genotype and smoking were used for the comparisons. RESULTS: Although odds
ratio estimates for interaction were the same, 95% confidence intervals
were narrower in case-only studies than in case-control studies. Similarly,
there were no substantial differences in point estimates for interaction in
four real cancer case-control studies between the two study designs, but
the confidence intervals were narrower with the case-only study.
CONCLUSIONS: Although the case-only study does not provide odds ratios for
exposure or genotype alone, it is very useful for the detection of
interaction, especially for screening purposes.
ORIGINAL ARTICLE
Detection of gene-environment interaction by case-only studies
Division of Epidemiology, Aichi Cancer Center Research Institute, Nagoya, Japan. nhamajim@aichi-cc.pref.aichi.jp
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