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Table 1 Example calculations of post-test probabilities

From: Likelihood ratios for genome medicine

Type of disease and associated variants

Pre-test probability of disease (%)

Likelihood ratio

Post-test probability of disease (%)

Common disease, weakly associated variant

15.0

1.1

16.256

Common disease, several weakly associated variants

15.0

1.1 × 1.1 × 1.1 × 1.1 = 1.46

20.486

Rare disease, weakly associated variant

0.01

1.1

0.011

Rare disease, strongly associated variant

0.01

5

0.050

Rare disease, several weakly associated variants

0.01

1.1 × 1.1 × 1.1 × 1.1 = 1.46

0.015

Rare disease, several moderately associated variants

0.01

2 × 2 × 2 × 2 = 16

0.160

  1. Post-test probabilities may be calculated for common or rare diseases with weakly and strongly associated variants using example values for likelihood ratios and pre-test probabilities. The definition of strongly versus weakly associated is in the context of genetic associations, where likelihood ratios from large-scale studies rarely reach higher than 3. Many clinical laboratory tests have likelihood ratios of 10 or more.