Table 3

 Results of simulation

Equation used to calculate estimate (E)G1 (80 families)*G2 (106 families)*G3 (101 families)*
OEpOEpOEp
*Some families could not be included because of unreliable data on ages.
On average, there were six observed affected individuals in generation 1 (G1) from every 10 families, 15 from G2, and five from G3. Two classes of risk were estimated (low and high) based on age and probability of being a carrier (Pr). This was used to estimate the number of affected individuals in each generation (E) E was compared with the observed number of affected individuals per family (O). Two sided p values of less than 0.01 were taken to indicate that the estimated values were not consistent with observed values. A risk calculation giving expected cases equivalent with observed values in G2 would overestimate expected values in G1 and underestimate in G3. Clearly, a still greater risk could be assumed that would give a better estimate of G3 cancer incidence. This implies that age related risk increased with each generation.
Low risk0.650.3741.520.82<10−60.50.09<10−6
    E = ∑Pr (1−((age×0.03)−1.2)
    (for age = 55–90) + ∑Pr (for over 90)
High risk0.631.140.0031.521.320.4170.50.130.028
    E =  ∑Pr (1–eln (age)×5.35–23)
    (for age = 40–75) + ∑Pr (for over 75)