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Carrier risk as a function of the proportion of detectable mutations

Carrier risk as a function of the proportion of detectable mutations
Proportion of cystic fibrosis cases in the population caused by detectable mutations Carrier risk for person with negative test
0 1 in 25.5
70 1 in 82.7
75 1 in 99
80 1 in 126
85 1 in 165
90 1 in 246
95 1 in 491
The degree to which the risk of being a carrier is reduced after a negative test is determined by the number of mutations screened and the proportion of cystic fibrosis (CF) attributable to those mutations. As an example, if a non-Hispanic White person of Northern European descent does not carry the F508del-CFTR mutation (which accounts for 75 percent of all CF cases in this population), their risk of being a CF carrier is reduced from 1 in 25 (the a priori risk based solely on ethnic origin) to 1 in 99. If they do not carry any of the most common mutations causing 90 percent of CF cases in their ethnic group, their risk is reduced to 1 in 246.
Reproduced with permission from: Elias S, Annas GJ, Simpson JL. Carrier screening for cystic fibrosis: Implications for obstetric and gynecologic practice. Am J Obstet Gynecol 1991; 164:1077. Copyright © 1991 Mosby, Inc.
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