Correspondencia: Javier Llorca. Medicina Preventiva y Salud Pública. Facultad de Medicina. Avda. Cardenal Herrera Oria, s/n. 39011 Santander. Cantabria. España.
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[ "autoresLista" => "Javier Llorca, Dolores Prieto-Salceda, Onofre Combarros, Trinidad Dierssen-Sotos, José Berciano" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Javier" "apellidos" => "Llorca" "email" => array:1 [ 0 => "llorcaj@unican.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Dolores" "apellidos" => "Prieto-Salceda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Onofre" "apellidos" => "Combarros" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "Trinidad" "apellidos" => "Dierssen-Sotos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span 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Medicina Preventiva y Salud Pública. Facultad de Medicina. Avda. Cardenal Herrera Oria, s/n. 39011 Santander. Cantabria. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Competing risks of death and Hardy-Weinberg equilibrium in case-control studies of gene-disease association" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-11-24" "fechaAceptado" => "2005-03-04" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec16919" "palabras" => array:8 [ 0 => "Asociación gen-enfermedad" 1 => "Equilibrio de Hardy-Weinberg" 2 => "Estudios de casos y controles" 3 => "Genética" 4 => "Ley de Hardy-Weinberg" 5 => "Riesgos competitivos" 6 => "Sesgo" 7 => "Sesgo de selección" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec16918" "palabras" => array:8 [ 0 => "Gene-disease association" 1 => "Hardy-Weinberg equilibrium" 2 => "Case-control studies" 3 => "Genetics" 4 => "Hardy-Weinberg law" 5 => "Competing risks" 6 => "Bias" 7 => "Selection bias" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiar el impacto de los riesgos competitivos sobre el equilibrio de Hardy-Weinberg y sus consecuencias en los estudios de casos y controles sobre la relación genenfermedades de comienzo tardío.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">A partir de una población que, respecto de un determinado gen, se encuentre en equilibrio de Hardy-Weinberg al nacer, se deduce la composición genética cuando el gen está asociado con una enfermedad letal de aparición precoz, y sus consecuencias sobre una enfermedad de comienzo tardío. Cuando se realiza un estudio de casos y controles con muestreo por densidad se obtiene una estimación no sesgada de la <span class="elsevierStyleItalic">odds ratio</span>, a pesar de que los controles no estén en equilibrio de Hardy-Weinberg.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se presenta un ejemplo en el que el gen mutante se asocia con una mayor mortalidad precoz al romper el equilibrio de Hardy-Weinberg y da lugar a que en un estudio realizado en edades más avanzadas los controles se encuentren en desequilibrio, con una <span class="elsevierStyleItalic">odds ratio</span> de 1,61.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque las principales causas de desequilibrio de Hardy-Weinberg en los controles son un sesgo de selección o un error de genotipificación, un riesgo competitivo de muerte asociado con el gen mutante puede ocasionar que la muestra de controles esté en desequilibrio de Hardy-Weinberg.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To study the impact of competing risks on Hardy-Weinberg equilibrium and their consequences in case-control studies of gene-late onset disease association.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Based on a population born in Hardy-Weinberg equilibrium for a particular gene, the genetic composition when the gene is associated with a lethal early-onset disease and its consequences on a late-onset disease can be deduced. Odds ratios estimates are unbiased in case-control studies when controls are sampled by density, even if the controls are in Hardy-Weinberg disequilibrium.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">An example in which a mutant gene is associated with early mortality is presented, producing a departure from Hardy-Weinberg equilibrium; as a result, controls in later ages are in disequilibrium, producing an odds ratio equal to 1.61.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Although the main causes of Hardy-Weinberg disequilibrium in controls are selection bias or genotyping error, a competing risk of death associated with the mutant gene would also result in Hardy-Weinberg disequilibrium among controls.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Berciano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Epidemiol Commun Health" "fecha" => "2005" "volumen" => "59" "paginaInicial" => "83" "paginaFinal" => "85" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Interaction between interleukin-6 and intercellular adhesion molecule-1 genes and Alzheimer's disease risk" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "O. Combarros" 1 => "J. Infante" 2 => "J. Llorca" 3 => "N. Peña" 4 => "C. Fernández-Viadero" 5 => "J. 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Idioma original: Español
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