Table 1.
Company, country | Report(s) reviewed | Initiating stakeholder | Report medium | Eligibility criteria | Numeric risk estimate | Risk description | Colors used | Recommendations and resources† | Score type, No. SNPs‡ | Sample report‡ Score/product development |
---|---|---|---|---|---|---|---|---|---|---|
Clinical | ||||||||||
Ambry Genetics, USA | Breast cancer | Clinician | PDF supplement to clinical report |
1. Female biological sex 2. 18–84 years old 3. Non-Ashkenazi Jewish, Northern European ancestry 4. No personal history of cancer (excluding non-melanoma skin cancer) 5. No personal history of atypical hyperplasia or lobular carcinoma in situ (LCIS) 6. No personal or family history of a mutation in a breast cancer susceptibility gene§ |
Absolute lifetime risk (percentage) | Average/increased risk | Pink/grey | Y |
LD adjustments + threshold# 100 SNPs |
22, 25 |
Ambry Genetics, USA | Prostate cancer—unaffected | Clinician | PDF supplement to clinical report |
1. Male biological sex 2. 18–84 years old 3. Northern European ancestry 4. No personal or family history of a mutation in a prostate cancer susceptibility geneΔ |
Absolute lifetime risk (percentage) | Average/increased risk | Blue/grey | Y |
LD adjustments + threshold# 72 SNPs |
23, 26 |
Ambry Genetics, USA | Prostate cancer—affected | Clinician | PDF supplement to clinical report |
1. Male biological sex 2. 18–84 years old 3. Northern European ancestry 4. No personal or family history of a mutation in a prostate cancer susceptibility geneΔ |
Odds ratio | Average/increased risk | Blue/grey | Y |
Pruning + Thresholding 72 SNPs |
24, 26 |
Myriad Genetics, USA | Breast cancer | Clinician | PDF supplement to clinical report |
1. Woman under age 85 2. European and Ashkenazi Jewish ancestry 3. No personal history of breast cancer, LCIS, hyperplasia, atypical hyperplasia, or a breast biopsy with unknown results 4. The woman does not have a mutation in a breast cancer gene (excluding monoallelic CHEK2) 5. The woman’s relatives have not been found to have a mutation in a high-penetrance breast cancer risk gene◊ |
Absolute lifetime risk (percentage) | Average/above average risk | Pink/grey/orange | Y |
LD adjustments + threshold# 86 SNPs |
21, 27, 28 |
Research | ||||||||||
Scripps, USA | Coronary artery disease | Consumer | Direct to consumer smartphone application | None | Percentile | Low/intermediate/high genetic risk | Blue/red | Y |
LD adjustments + threshold# 57 SNPs |
29 |
Color Health, USA | Coronary artery disease * | Consumer or clinician | Online consumer portal (data saved) | None | Percentile | Less/more genetic risk | Blue | Y |
LD-Pred 6,630,150 SNPs |
30–32 |
Gene Plaza, Belgium | Many (selected: diabetes diagnosed by a doctor) | Consumer | Website | None | None | Highly below average/below average/average/above average/highly above average | Green | N | Not publicly reported | 33 |
Impute.me, Denmark | Many (selected: coronary artery disease) | Consumer | Website | None | Z-score | Varied e.g. “This is a lower score than the average person” | Purple | N |
"Top SNP" 75,028 SNPs |
34, 35 |
23andMe, USA | Many (selected: coronary artery disease) | Consumer | Online consumer portal (data saved) | None➢ | Absolute risk (%) until age 80 | Typical likelihood/increased likelihood | Multi | Y |
LD adjustments + threshold# > 2400 SNPs |
36, 37 |
†Recommendations & Resources: ‘Y’ if the report included at least one statement describing medical recommendations or resources
‡Sample report is the most current version (March 2021) which may not be identical to the report reviewed during the study
#LD adjustments + threshold included both pruning and clumping LD adjustment approaches
§ATM, BARD1 (if tested), BLM (if tested), BRCA1, BRCA2, BRIP1, CDH1, CHEK2, FANCC (if tested), NBN, NF1, PALB2, PTEN, RAD51C, RAD51D, STK11 (if tested), TP53
ΔATM, BRCA1, BRCA2, CHEK2, EPCAM, HOXB13, MLH1, MSH2, MSH6, NBN, PALB2, PMS2, RAD51D, TP53
◊High-penetrance breast cancer risk genes: BRCA1, BRCA2, CDH1, PALB2, PTEN, STK11, TP53, ATM c.7271 T > G., and bi-allelic CHEK2
*Color CAD report was available through a research study, which has now closed
➢ ‘Relevant ethnicities’ are described. However, reports are not restricted to individuals of these ancestries
¥Now available to women of all ancestries