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Science Technology

Consumer Genetic Tests May Have a Lot of False Positives (theverge.com) 99

A new study, published in the journal Genetics in Medicine, found that consumer genetic tests bring up a lot of false positives. "In this case, 40 percent of the results from the consumer tests were false positives," reports The Verge, noting that the findings "cover a very small sample size and don't show that consumer tests always have a 40 percent false positive rate." From the report: The research was done by scientists at Ambry Genetics, a medical laboratory in California. By looking through their own database, they found that 49 people had been referred to them because of some worrying results from their consumer genetic tests. Still, scientists at Ambry were able to confirm only 60 percent of the results when they compared the raw data from consumer tests with more thorough genetic tests done by themselves and other clinical laboratories. So, 40 percent of variants in a variety of genes reported in DTC raw data were false positives, meaning that they said a genetic variant was there when it wasn't. (Most of these turned out to be variants linked to cancer.) Additionally, the authors write, some variants classified as "increased risk" were not only classified as "benign" by clinical laboratories, but they were actually common variants.
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Consumer Genetic Tests May Have a Lot of False Positives

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  • Commerce in health (Score:5, Interesting)

    by jareth-0205 ( 525594 ) on Thursday March 29, 2018 @05:49AM (#56345817) Homepage

    There's a massive incentive to *find something* if you're paying to have a check done... if you get nothing reported then the value of the test seems to be nothing. If you are told to be "at risk" for some condition then you can go to your friends and tell them that you had no idea and that it was so worth it and that now you can take steps... and that perhaps they should get tested too. The best part is that if you're just reported to be "at risk", rather than an actual diagnosis, there's almost no need for accuracy. If you never develop the condition it will be far in the future, and/or you got 'lucky'.

    • by tomhath ( 637240 )

      and/or you got 'lucky'.

      This is slashdot, people who live in their mom's basement don't get lucky you insensitive clod.

    • by Anonymous Coward

      Do you know what you're talking about? What companies like 23andme are paid for is the sequencing. The amount of interpretation they include is very limited, partly due to regulations. The great thing is that you get your raw data and can share it on OpenHumans, or upload it to sites like Promethease and get it annotated, for free or almost free. What you get there is very transparent, with links to the studies it's based on. They don't even tell you "You are at risk", only that statistically for bearers of

    • eventually these tests will be ordered by doctors. And insurance companies have a nasty habit of not paying your doctor if the test comes up clean. After all, if the test was going to come up clean anyway why order it in the first place? It sucks, because it makes doctors hesitant to order tests (since they might not get paid).
      • You're talking out your ass here, because this would be illegal as hell, and if an insurance company made a habit out o fit, they'd be out of business. Lab results are PHI, which means they are only provided to your doctor (or you if you request them.) Your insurance company can't deny based on something it doesn't know anything about. If the lab gave your results to your insurance company without your permission, they'd have committed a HIPAA violation. The same is true if your doctor gave them your result

    • There's a massive incentive to *find something* if you're paying to have a check done... if you get nothing reported then the value of the test seems to be nothing. If you are told to be "at risk" for some condition then you can go to your friends and tell them that you had no idea and that it was so worth it and that now you can take steps... and that perhaps they should get tested too. The best part is that if you're just reported to be "at risk", rather than an actual diagnosis, there's almost no need for accuracy. If you never develop the condition it will be far in the future, and/or you got 'lucky'.

      Yep, just what I was thinking while I read the article. Additionally, high false positive rates, if not detected, eventually result in high intervention and prevention rates making the service look more effective than it actually is.

  • Understand that the only useful ancestral data are the YDNA and mtdna haplogroups, and that health data is 90% for the researchers.

  • by Anonymous Coward

    Most "serious" genetic indicators are either quite rare, or their effect has already become apparent to consumer through other means. Common consumer genotyping tests test hundreds of thousands of SNPs. The rate of errors being at least 0.1-0.6% for these methods, there are bound to be hundreds of errors in a typical test result. People are not interested of benign errors, but are very interested on errors which would indicate a health-threatening condition, and this small fraction of test results gets lots

  • by Anonymous Coward

    By looking at people with worrying results, they are strongly filtering for people will results that are already likely to be false positives.

    So that '40% false positive' number is nonsense.

    • Agreed. The original article is a massive statistics fail. You have to understand sensitivity vs. specificity. Without knowing the number of tests performed overall, you don't know anything. If they performed 10,000 tests, and those 46 people were the only ones with positives, and the result was incorrect on 40% of those (meaning 18 of them were actually negative despite the positive result) then the rate of false positives is 18/10000 = .18% which is great!

      However, that's all pure speculation and BS th

  • Comment removed based on user account deletion
    • It's not shit on this too much. Anyone who's had to work in any science related field, you're as good as your model and training data. To even make ancillary matches that maybe cause a bit of a 'concern' but later turn out to be benign or a false positive, um, sign me the fuck up? Especially if you're not in the health and welfare camp of "You don't know what you don't want to know". Time is on our side in improvement; of course we will, but I hope it's better for my children and not an ultimate target-on-the-back for pre-healthcare screening (which is already really is) and any future healthcare you plan to get. If accuracy is improved for the right reasons, absolutely, but humanity and greed tell me otherwise.

      TFA is making it sound like we have world of mega hypochondriacs --- which probably isn't entirely out of the question with today's social media platform of "Oh everybody, on my way to another dicey check-up, fingers crossed " --- but by any measure, if there are genetic health concerns that run in my blood line, why not entertain it, especially if you want to be proactive and curb or neutralize it, if it's in your immediate control to change it? At least you had some concrete information as opposed to none.

      We should shit on it more. "DTC companies" appear to be deliberately producing false results to sell more of their product. 40% is not a normal margin for error.

      • While I agree that DTC testing is dangerous and misleading, there is a bigger issue here... the numbers are all complete bunk because the way they selected these patients introduces a massive amount of bias. Given the way they described how they found the data, it is impossible to speak to true positives, true negatives, false positives, and false negatives. None of that can be known because they selected for patients who reported to their Dr. having a concerning previous result.

        It's also worth noting tha

      • by gnick ( 1211984 )

        40% is not a normal margin for error.

        Do you know that? I don't know details on this testing, but it sounds like 40% is exactly normal, as that's what we're seeing. If you're predicting the outcome of coin flips, a 40% error margin is pretty good. If you're determining whether a person is "at risk" for Alzheimer's, I can see the definition of "at risk" swaying the results dramatically.

        • 40% is not a normal margin for error.

          Do you know that? I don't know details on this testing, but it sounds like 40% is exactly normal, as that's what we're seeing. If you're predicting the outcome of coin flips, a 40% error margin is pretty good. If you're determining whether a person is "at risk" for Alzheimer's, I can see the definition of "at risk" swaying the results dramatically.

          Yes, it's in TFA. Scientists at Ambry Genetics did actual testing and discovered the error. That's what the story is about.

  • I remember an example from a book on probability: You have a test with a 1% false positive rate and a 1% false negative rate. It tests for a condition present in 1% of the population. 10000 people take your test. 100 of them actually have the condition, so you get 99 true positives from that; the 9900 people without the condition produce 99 false positives. By the criteria in the summary, in your population of people who sought further testing, 50% were false positives, but that doesn't make it a bad test.

    • I wish I could give you mod points, but I've already commented on this thread... you are exactly right though... without knowing how many tests were performed you know nothing, and can't make a judgement about sensitivity and specificity.

    • by AmiMoJo ( 196126 )

      I depends how the result of the test is used. If it jacks up insurance premiums then 50% false positives could be really bad. If it leads to a lifetime of worry it could be pretty terrible. But if all that happens is someone gets a more expensive, reliable test (cost amoritized over everyone who took the unreliable test) then it's probably not so bad.

  • Not sure why the original article even mentions Family Tree DNA (FTDNA) who do testing only for genealogical purposes. Their name appears only in the Introduction. None of their tests is recommended or (I believe) can be used for medical or health-related purposes. On the other hand, 23AndMe is a big DTC marketer of medical DNA testing and I would bet that most of the tests evaluated in this article were by 23AndMe.

    Disclaimer - I have been testing my own and the DNA of others since 2007 with Family T
    • by EvilSS ( 557649 )
      You can download the raw data from a lot of these test and feed it into sites like Promethease, which will filter it against their database of snips and associated research. It's interesting to do, but the vast majority of people don't have the background to be able to interpret the results and start to freak out that they have every condition under the sun.
      • by ve3oat ( 884827 )
        At FTDNA, you have to be either the testee or their project administrator to download anyone's SNPs, except for those identified as their "terminal SNP" for genealogy. And I believe the vast majority of SNPs used for genealogy have no medical significance at all. Which company(ies) have you tested with?
  • Three years ago, I had my DNA analyzed by 23andme. According to my raw SNP data, there's no evidence of the genes for delayed sleep phase disorder... but I unquestionably have it, and have since childhood (& probably before). I found seemingly blatant discrepancies in a few other reported SNPs that appear to diverge quite a bit from observed reality.

    I can think of a few possibilities:

    * Promethase incorrectly interpreted my raw data & reported SNPs with incorrect values.

    * The lab didn't actually sequ

    • by Anonymous Coward

      * Your disorder isn't genetic

      Most things aren't switches turned on or off by one gene.

  • by Tablizer ( 95088 ) on Thursday March 29, 2018 @10:30AM (#56346847) Journal

    All these political pundits keep pushing Elizabeth Warren to get a genetic test to "prove" she has Native American ancestry. They reference web-pages by these DNA testing co's in their claims that its possible to test. First, the vendors' own pages often state that the tests are imperfect, and that they often cannot rule out ethnic links. They are better able to say one is "probably" related to a given group, but poor at ruling out a relationship to a group. They look for specific markers or patterns, but currently not the entire genome.

    Besides, Elizabeth going through with such tests is feeding the trolls. According her, her relatives told her when she was young that the family has at least one Native American in their background, and there's no reason to question one's older relatives about that. It's rude to the family, in my opinion, to publicly question their word. I hope she doesn't give in to the trolls the way Obama gave into T about the long-form birth certificate.

    I see no reason to make a big deal about it. It's just partisan tiddly wings (which both sides do, by the way). Don't even get me started about T's rude "Pocahontas" jokes in front of a Native American event. Very tacky.

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