Table 3 Model Calibration, Discriminative Capacity and Reclassification for Incident CHD among GERA minority subjects.

From: Weighted Multi-marker Genetic Risk Scores for Incident Coronary Heart Disease among Individuals of African, Latino and East-Asian Ancestry

 

GRS_12

GRS_51

African-Americans (n = 2,089)

Harrell C Statistic

  Model with FRS

0.687

0.687

  Model with FRS + GRS

0.691

0.690

  P value for difference

0.57

0.45

Hosmer-Lemeshow Chi-Square

  Model with FRS

9.7 (9); 0.38

7.8 (9); 0.55

  Model with FRS + GRS

11.3 (9); 0.26

6.2 (9); 0.72

  P value for difference

  

Integrated Discrimination Improvement (IDI)

  

  All Cohort

0.18 (0.00–0.97)

0.06 (−0.03–0.63)

  Intermediate Risk Subset

0.31 (−0.07–1.53)

0.18 (−0.09–1.68)

Category-based Net Reclassification Index (NRI) in the Full Cohort

  Subjects with CHD events

0.11 (0.00–0.22)

0.02 (−0.05–0.10)

  Subjects without CHD events

−0.01 (−0.02–0.01)

−0.01 (−0.02–0.00)

  All subjects

0.10 (−0.01–0.21)

0.02 (−0.06–0.09)

Bias-corrected Category-based Net Reclassification Index (NRI) in the Intermediate Risk Subset

  Subjects with CHD events

0.15 (0.02–0.28)

0.03 (−0.07–0.12)

  Subjects without CHD events

−0.02 (−0.07–0.03)

−0.02 (−0.06–0.01)

  All subjects

0.13 (−0.01–0.27)

0.00 (−0.09–0.10)

 

Latinos (n = 4,349)

Harrell C Statistic

  Model with FRS

0.714

0.714

  Model with FRS + GRS

0.717

0.715

  P value for difference

0.54

0.86

Hosmer-Lemeshow Chi-Square

  Model with FRS

6.1 (9); 0.73

6.1 (9); 0.73

  Model with FRS + GRS

8.6 (9); 0.48

7.2 (9); 0.62

Integrated Discrimination Improvement (IDI)

  All Cohort

0.16 (0.01–0.69)

0.14 (−0.01–0.65)

  Intermediate Risk Subset

0.39 (−0.03–2.22)

1.31 (0.14–5.01)

Category-based Net Reclassification Index (NRI) in the Full Cohort

  Subjects with CHD events

0.07 (−0.01–0.16)

0.06 (−0.03–0.15)

  Subjects without CHD events

0.00 (−0.01–0.01)

−0.01 (−0.02–0.00)

  All subjects

0.07 (−0.01–0.16)

0.05 (−0.04–0.14)

Bias-corrected Category-based Net Reclassification Index (NRI) in the Intermediate Risk Subset

  Subjects with CHD events

0.12 (−0.04–0.29)

0.09 (−0.06–0.23)

  Subjects without CHD events

−0.03 (−0.06–0.01)

−0.04 (−0.07 – −0.00)

  All subjects

0.10 (−0.06–0.26)

0.05 (−0.10–0.20)

 

Asians (n = 4,804)

Harrell’s C Statistic

  Model with FRS

0.745

0.745

  Model with FRS + GRS

0.747

0.750

  P value for difference

0.25

0.11

Hosmer-Lemeshow Chi-Square

  Model with FRS

4.4 (9); 0.88

4.4 (9); 0.89

  Model with FRS + GRS

6.2 (9); 0.72

8.6 (9); 0.47

Integrated Discrimination Improvement (IDI)

  All Cohort

−0.01 (−0.06–0.18)

−0.01 (−0.11–0.19)

  Intermediate Risk Subset

0.04 (−0.14–0.88)

−0.01 (−0.07–0.69)

Category-based Net Reclassification Index (NRI) in the Full Cohort

  Subjects with CHD events

0.08 (0.02–0.13)

0.06 (−0.02–0.13)

  Subjects without CHD events

0.00 (−0.01–0.01)

0.00 (−0.01–0.01)

  All subjects

0.07 (0.02–0.13)

0.06 (−0.02–0.13)

Bias-corrected Category-based Net Reclassification Index (NRI) in the Intermediate Risk Subset

  Subjects with CHD events

0.12 (0.02–0.21)

0.09 (−0.02–0.19)

  Subjects without CHD events

0.01 (−0.02–0.03)

0.00 (−0.03–0.03)

  All subjects

0.13 (0.03–0.22)

0.09 (−0.02–0.20)

 

All Minority Groups Combined (n = 11,242)

Harrell C Statistic

  Model with FRS

0.723

0.723

  Model with FRS + GRS

0.725

0.723

  P value for difference

0.25

0.76

Hosmer-Lemeshow Chi-Square

  Model with FRS

16.0 (9); 0.07

16.0 (9); 0.07

  Model with FRS + GRS

7.8 (9); 0.56

9.6 (9); 0.38

Integrated Discrimination Improvement (IDI)

  All Cohort

0.07 (0.00–0.25)

0.01 (−0.01–0.13)

  Intermediate Risk Subset

0.16 (−0.00–0.58)

0.06 (−0.01–0.59)

Category-based Net Reclassification Index (NRI) in the Full Cohort

  Subjects with CHD events

0.07 (0.02–0.11)

0.03 (−0.00–0.06)

  Subjects without CHD events

0.00 (−0.01–0.00)

0.00 (−0.00–0.00)

  All subjects

0.06 (0.02–0.11)

0.03 (−0.00–0.06)

Bias-corrected Category-based Net Reclassification Index (NRI) in the Intermediate Risk Subset

  Subjects with CHD events

0.10 (0.04–0.16)

0.04 (−0.01–0.09)

  Subjects without CHD events

−0.01 (−0.03–0.01)

0.00 (−0.01–0.01)

  All subjects

0.09 (0.03–0.16)

0.04 (−0.01–0.09)

  1. CHD denotes coronary heart disease; FRS denotes Framingham Risk Score; GRS denotes genetic risk score.