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Cited by 358

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Fitting a naturally scaled point system to the ACMG/AMP variant classification guidelines

Open access
Tavtigian, Sean V., Harrison, Steven M., Boucher, Kenneth M., Biesecker, Leslie G.·2020·Human Mutation

Abstract

Recently, we demonstrated that the qualitative American College of Medical Genetics and Genomics/Association for Medical Pathology (ACMG/AMP) guidelines for evaluation of Mendelian disease gene variants are fundamentally compatible with a quantitative Bayesian formulation. Here, we show that the underlying ACMG/AMP "strength of evidence categories" can be abstracted into a point system. These points are proportional to Log(odds), are additive, and produce a system that recapitulates the Bayesian formulation of the ACMG/AMP guidelines. The strengths of this system are its simplicity and that the connection between point values and odds of pathogenicity allows empirical calibration of the strength of evidence for individual data types. Weaknesses include that a narrow range of prior probabilities is locked in and that the Bayesian nature of the system is inapparent. We conclude that a points-based system has the practical attribute of user-friendliness and can be useful so long as the underlying Bayesian principles are acknowledged.

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Metadata

Authors
Tavtigian, S. V., Harrison, S. M., Boucher, K. M., & Biesecker, L. G.
Venue
Human Mutation
Publisher
Wiley
Published
2020-08-30
Volume
41
Issue
10
Pages
1734-1737
ISSN
  • 1059-7794 (ISSN-L)
  • 1098-1004
OpenAlex
W3045929934
Cited by
358
References
3
FWCI
10.99
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Fitting a naturally scaled point system to the ACMG/AMP variant classification guidelines. https://app.cochat.ai/papers/10.1002/humu.24088
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Tavtigian, S. V., Harrison, S. M., Boucher, K. M., & Biesecker, L. G. (2020). Fitting a naturally scaled point system to the ACMG/AMP variant classification guidelines. Human Mutation. https://doi.org/10.1002/humu.24088

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