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. Author manuscript; available in PMC: 2021 Oct 1.
Published in final edited form as: Hum Mutat. 2020 Aug 30;41(10):1734–1737. doi: 10.1002/humu.24088

Table 2.

Point values for ACMG/AMP strength of evidence categories

Evidence Point Scale
Strength Pathogenic Benign
Indeterminate 0 0 §
Supporting 1 −1
Moderate 2 −2
Strong 4 −4
Very Strong 8 −8
§

Note is made that Richards et al did not specifically recognize indeterminate evidence. Nonetheless, if one thinks of the odds in favor of pathogenicity as a continuous variable, there exists a range that falls between Supporting Benign and Supporting Pathogenic. This is Indeterminate.

Note is also made that Richards et al did not specify benign evidence at the moderate or very strong levels. Nevertheless, the point system would readily support the addition of such criteria.