Sarah Urbut

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Sarah Urbut

Sarah Urbut

@tigerstatdoc

Cardiologist and scientist @MGHHearthealth @harvardmed fascinated by statistics, genomics @broadinstitute, and exploring the world on two wheels.

Boston, MA Katılım Ağustos 2013
415 Takip Edilen718 Takipçiler
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Pradeep Natarajan
Pradeep Natarajan@pnatarajanmd·
Delighted to share our study led by @tigerstatdoc demonstrating the genetic generalizability of LDL-cholesterol's association with coronary artery disease across 1M individuals globally evidence.nejm.org/doi/full/10.10… @NEJMEvidence While clinical trials of LDL-C-lowering medicines have shown improvement in CAD risk, they generally don't reflect the breadth of patients we evaluate for such medicines. Subgroup analyses in trials to assess for differences are generally very underpowered as they are not the main intention of trials. The world's human genetic data is (1) larger and covers many more communities and geographies than clinical trials, and (2) can enable causal inference methodologies across these groups. We assembled data across the US, Europe, Middle East, and South Asia to examine this relationship across individuals of African, admixed American, East Asian, European, Middle Eastern, and South Asian ancestry. Adjusting for variability in allele frequencies and performance, harmonized the same LDL-C effect, we observed (1) a significant positive association with CAD and (2) heterogeneity in this association. While this is not a substitute for clinical trials reflecting the breadth of patients we see, the results (1) provide reassurance regarding current clinical practice extrapolating existing trials of LDL-C-lowering therapies, (2) the relationship between LDL-C and CAD appears generally robust across communities & solidifies this as a core pathway for CAD risk reduction, and (3) indicates that investment in adequately powered LDL-C-lowering therapy trials in other communities is likely to yield favorable returns. Many thanks to the team! @skoyamamd @HornsbyWhitney @gina_peloso @aklfahed @wallacemwang & others
Pradeep Natarajan tweet mediaPradeep Natarajan tweet mediaPradeep Natarajan tweet mediaPradeep Natarajan tweet media
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Sarah Urbut
Sarah Urbut@tigerstatdoc·
Announcing our much-awaited updated aladynoulli, a fully interpretable Bayesian model that considers predictive and explanatory disease trajectories across the life course for individuals, anchored on underlying PGS. medrxiv.org/content/10.110…
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Sarah Urbut
Sarah Urbut@tigerstatdoc·
@teapoow thanks - as described in the prePrint, the GitHub repo is private to collaborators only now, but please see an example of visualizing model at work at aladynoulli.hms.harvard.edu
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Furkan Büyükgöl
Furkan Büyükgöl@teapoow·
@tigerstatdoc Amazing work, congratulations! I can't wait to dive deep into it & use it on my own work! One small thing is that I wasn't able to find the github repo & the one mentioned in the paper (github.com/surbut/aladyno…) doesn't seem to be working. Just a heads up.
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Sarah Urbut retweetledi