The genotype relative risk compares the penetrance for genotype with that of a chosen baseline . The common baseline factor cancels when computing conditional probabilities of transmitted genotypes given an affected offspring. It is a ratio of disease probabilities, unlike an odds ratio.
Let be the Mendelian segregation probability, and assume the child's disease status depends on the parental genotypes only through its own genotype, with penetrance proportional to . Bayes' theorem gives the displayed conditional law. For a diallelic parent pair there are four equally likely labelled transmission outcomes. If an unordered genotype occurs in of them, , so its probability is . Dropping multiplicities would, for example, misweight a heterozygous child of two heterozygotes.

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