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Systematic comparison of phenome-wide association study of electronic medical record data and genome-wide association study data

Open access
Denny, Joshua C, Bastarache, Lisa, Ritchie, Marylyn D, Carroll, Robert J, Zink, Raquel, Mosley, Jonathan D, Field, Julie R, Pulley, Jill M, Ramirez, Andrea H, Bowton, Erica, Basford, Melissa A, Carrell, David S, Peissig, Peggy L, Kho, Abel N, Pacheco, Jennifer A, Rasmussen, Luke V, Crosslin, David R, Crane, Paul K, Pathak, Jyotishman, Bielinski, Suzette J, Pendergrass, Sarah A, Xu, Hua, Hindorff, Lucia A, Li, Rongling, Manolio, Teri A, Chute, Christopher G, Chisholm, Rex L, Larson, Eric B, Jarvik, Gail P, Brilliant, Murray H, McCarty, Catherine A, Kullo, Iftikhar J, Haines, Jonathan L, Crawford, Dana C, Masys, Daniel R, Roden, Dan M·2013·Nature Biotechnology

Abstract

Candidate gene and genome-wide association studies (GWAS) have identified genetic variants that modulate risk for human disease; many of these associations require further study to replicate the results. Here we report the first large-scale application of the phenome-wide association study (PheWAS) paradigm within electronic medical records (EMRs), an unbiased approach to replication and discovery that interrogates relationships between targeted genotypes and multiple phenotypes. We scanned for associations between 3,144 single-nucleotide polymorphisms (previously implicated by GWAS as mediators of human traits) and 1,358 EMR-derived phenotypes in 13,835 individuals of European ancestry. This PheWAS replicated 66% (51/77) of sufficiently powered prior GWAS associations and revealed 63 potentially pleiotropic associations with P < 4.6 × 10−6 (false discovery rate < 0.1); the strongest of these novel associations were replicated in an independent cohort (n = 7,406). These findings validate PheWAS as a tool to allow unbiased interrogation across multiple phenotypes in EMR-based cohorts and to enhance analysis of the genomic basis of human disease.

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Authors
Denny, J. C., Bastarache, L., Ritchie, M. D., Carroll, R. J., Zink, R., Mosley, J. D., Field, J. R., Pulley, J. M., Ramirez, A. H., Bowton, E., Basford, M. A., Carrell, D. S., Peissig, P. L., Kho, A. N., Pacheco, J. A., Rasmussen, L. V., Crosslin, D. R., Crane, P. K., Pathak, J., Bielinski, S. J., Pendergrass, S. A., Xu, H., Hindorff, L. A., Li, R., Manolio, T. A., Chute, C. G., Chisholm, R. L., Larson, E. B., Jarvik, G. P., Brilliant, M. H., McCarty, C. A., Kullo, I. J., Haines, J. L., Crawford, D. C., Masys, D. R., & Roden, D. M.
Venue
Nature Biotechnology
Published
2013-12
Volume
31
Issue
12
Pages
1102-1111
ISSN
  • 0733-222X (ISSN-L)
  • 1087-0156
  • 1546-1696
OpenAlex
W1969208427
Cited by
1,013
References
48
FWCI
35.81
Type
journal article
Language
en
Open access
bronze
Licence

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CoChat. (2026). Citation check: Systematic comparison of phenome-wide association study of electronic medical record data and genome-wide association study data. https://app.cochat.ai/papers/10.1038/nbt.2749
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Denny, J. C., Bastarache, L., Ritchie, M. D., Carroll, R. J., Zink, R., Mosley, J. D., Field, J. R., Pulley, J. M., Ramirez, A. H., Bowton, E., Basford, M. A., Carrell, D. S., Peissig, P. L., Kho, A. N., Pacheco, J. A., Rasmussen, L. V., Crosslin, D. R., Crane, P. K., Pathak, J., . . . Roden, D. M. (2013). Systematic comparison of phenome-wide association study of electronic medical record data and genome-wide association study data. Nature Biotechnology. https://doi.org/10.1038/nbt.2749

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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