Family History

Inherited and shared-environment risk signalled by parental longevity and family history of cardiovascular disease or cancer.

Longevity in familyHereditary Cardiovascular diseaseHereditary Cancer
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3 results
Meta-analysis
First-degree relative with colorectal cancer associated with 1.87x risk of colorectal cancer (95% CI 1.68–2.09) in a pooled analysis of 46 studies
Causal status: Associational; shared genetics and environment both contribute
Reliability / bias notes: Colorectal-cancer-specific, not all cancer sites; this pooled estimate does not stratify by the relative's age at diagnosis (the under-60 cutoff used in our question could not be verified against a single landmark source)
Mehraban Far et al · World J Gastroenterol · 2019 · PMID 31435179
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Observational study
Danish cohort: premature family CVD death IRR ~1.72 for any CVD, ~2.21 for IHD; multiple affected relatives much higher
Causal status: Association/genetic + shared environment
Reliability / bias notes: Family-history accuracy; incomplete pedigree; mixed genetic and shared behavioural pathways
Ranthe et al · JACC · 2012 · PMID 22917005
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