Evidence map›Paper›PMID 30653739›Full record

ArticleGenetic epidemiology2019

A fully adjusted two-stage procedure for rank-normalization in genetic association studies.

Tamar Sofer, Xiuwen Zheng, Stephanie M Gogarten, Cecelia A Laurie, Kelsey Grinde, John R Shaffer, Dmitry Shungin, Jeffrey R O'Connell, Ramon A Durazo-Arvizo, Laura Raffield and 8 more

Abstract read
In one paragraph

Article in Genetic epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. A stop-gain variant inHGG advances · 2023
    Pooled it
  3. Article
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  6. Cumulative genetic risk for asthma contributes to disease severity in children with asthma.The journal of allergy and clinical immunology. Global · 2026
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  14. Robust Mixed Model Association Test for Gene-Environment Interactions.medRxiv : the preprint server for health sciences · 2025
    Article
  15. Article
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  19. Annals of the American Thoracic Society · 2025
    Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

18 authors.

Tamar SoferDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8520-8860
Xiuwen ZhengDepartment of Biostatistics, University of Washington, Seattle, Washington.
Stephanie M GogartenDepartment of Biostatistics, University of Washington, Seattle, Washington.
Cecelia A LaurieDepartment of Biostatistics, University of Washington, Seattle, Washington.
Kelsey GrindeDepartment of Biostatistics, University of Washington, Seattle, Washington.
John R ShafferDepartment of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Dmitry ShunginBroad Institute of Harvard and MIT, Cambridge, Massachusetts.
Jeffrey R O'ConnellDepartment of Medicine, Division of Endocrinology, Diabetes, and Nutrition, University of Maryland School of Medicine, Baltimore, Maryland.
Ramon A Durazo-ArvizoDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois.
Laura RaffieldDepartment of Genetics, University of North Carolina, Chapel Hill, North Carolina.
Leslie LangeDepartment of Medicine, University of Colorado Denver, Anschutz Medical Campus, Aurora, Colorado.
Solomon MusaniDepartment of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
Ramachandran S VasanDepartment of Medicine, Boston University Schools of Medicine, Boston, Massachusetts.
L Adrienne CupplesDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.
Alexander P ReinerDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington.
NHLBI Trans-Omics for Precision Medicine (TOPMed) Consortium
Cathy C LaurieDepartment of Biostatistics, University of Washington, Seattle, Washington.
Kenneth M RiceDepartment of Biostatistics, University of Washington, Seattle, Washington.ORCID 0000-0002-3071-7278

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D · 2005 to 2019
$17.3M
Genome-wide Search for CVD Gene-Environment InteractionsU01HL072515 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2002 to 2008
$11.2M
Studies of Rare Genetic Variation in the Isolated Population of SardiniaR01HL117626 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ABECASIS, GONCALO · 2013 to 2016
$10.5M
Rare variants and NHLBI traits in deeply phenotyped cohortsR01HL120393 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M, RICE, KENNETH M. · 2014 to 2016
$8.9M
Phenotypic and Molecular Signatures for Sleep Apnea and Related MorbiditiesR35HL135818 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2017 to 2023
$7.2M
The Genetic Epidemiology of Heart, Lung, and Blood TraitsTraining Grant (GenHLB)T32HL129982 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Christy Leigh Avery, KAREN L. MOHLKE · 2016 to 2026
$3.8M
Thalassemia Clinical Research Network, CanadaU01HL065233 · NHLBI · UNIVERSITY HEALTH NETWORK · PI OLIVIERI, NANCY F · 2000 to 2009
$2.6M
Software for the analysis of large-scale genotyping and sequencing studiesR01HG005827 · NHGRI · MASSACHUSETTS GENERAL HOSPITAL · PI PURCELL, SHAUN M · 2010 to 2016
$2.1M
High-performance mixed model toolset for integrative omics analysis of big dataU01HL137181 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI O'CONNELL, JEFFREY R · 2017 to 2019
$1.8M
GENETIC ARCHITECTURE OF PLASMA T-PA AND PAI-1R01HL065234 · NHLBI · VANDERBILT UNIVERSITY · PI MOORE, JASON H. · 2000 to 2004
$1.7M
From gene regions to whole chromosomes: scaling up association-finding for disease and omics outcomes in TOPMedU01HL137162 · NHLBI · UNIVERSITY OF WASHINGTON · PI RICE, KENNETH M. · 2017 to 2019
$1.6M
NHGRI NIH HHS HHSN268201300003CNHGRI NIH HHS R01 HG005827NHGRI NIH HHS R01HG005827NHLBI NIH HHS 1R35HL135818, 3R01HL-117626-02S1, 3R01HL-120393-02S1, R01 HL092577-06S1, R01HL120393-03S1, T32 HL129982, U01 HL072515, U01 HL137181, U01 HL84756NHLBI NIH HHS HHSN268201100037CNHLBI NIH HHS HHSN268201300001CNHLBI NIH HHS HHSN268201300001I/N01-HC-65233NHLBI NIH HHS HHSN268201300002INHLBI NIH HHS HHSN268201300003INHLBI NIH HHS HHSN268201300004CNHLBI NIH HHS HHSN268201300004INHLBI NIH HHS HHSN268201300005CNHLBI NIH HHS HHSN268201300005INHLBI NIH HHS HHSN268201300046CNHLBI NIH HHS HHSN268201300047CNHLBI NIH HHS HHSN268201300048CNHLBI NIH HHS HHSN268201300049CNHLBI NIH HHS HHSN268201300050CNHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS HHSN268201500001INHLBI NIH HHS HHSN268201500014CNHLBI NIH HHS N01 HC025195NHLBI NIH HHS N01 HC065233NHLBI NIH HHS N01 HC065234NHLBI NIH HHS N01 HC065235NHLBI NIH HHS N01 HC065236NHLBI NIH HHS N01 HC065237NHLBI NIH HHS N01-HC-65234NHLBI NIH HHS N01-HC-65235NHLBI NIH HHS N01-HC-65236NHLBI NIH HHS N01-HC-65237NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL117626NHLBI NIH HHS R01 HL120393NHLBI NIH HHS R35 HL135818NHLBI NIH HHS T32 HL129982NHLBI NIH HHS U01 HL072515NHLBI NIH HHS U01 HL084756NHLBI NIH HHS U01 HL137162NHLBI NIH HHS U01 HL137181NHLBI NIH HHS U01 HL84756NIDDK NIH HHS P30 DK072488NIDDK NIH HHS P30 DK72488
6 · The paper itself

Abstract

When testing genotype-phenotype associations using linear regression, departure of the trait distribution from normality can impact both Type I error rate control and statistical power, with worse consequences for rarer variants. Because genotypes are expected to have small effects (if any) investigators now routinely use a two-stage method, in which they first regress the trait on covariates, obtain residuals, rank-normalize them, and then use the rank-normalized residuals in association analysis with the genotypes. Potential confounding signals are assumed to be removed at the first stage, so in practice, no further adjustment is done in the second stage. Here, we show that this widely used approach can lead to tests with undesirable statistical properties, due to both combination of a mis-specified mean-variance relationship and remaining covariate associations between the rank-normalized residuals and genotypes. We demonstrate these properties theoretically, and also in applications to genome-wide and whole-genome sequencing association studies. We further propose and evaluate an alternative fully adjusted two-stage approach that adjusts for covariates both when residuals are obtained and in the subsequent association test. This method can reduce excess Type I errors and improve statistical power.

Indexed as

Genetic Association StudiesModels, GeneticComputer SimulationGenome-Wide Association StudyGenotypeHemoglobinsHispanic or LatinoHumansLinear ModelsPhenotypeHemoglobinsrank-normalizationrare variantswhole-genome sequencing.

Identifiers

PMID30653739
PMCPMC6416071

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.