Thousands of Variants, One Imperfect Number: The Limits of Polygenic Risk Scores in Clinical Practice
Polygenic risk scores aggregate information from thousands of genetic variants to estimate disease susceptibility, but translating that statistical signal into meaningful clinical guidance remains an elusive challenge. Gaps in population diversity, environmental complexity, and model assumptions all conspire to limit real-world accuracy. Understanding what these scores can and cannot tell us is now an essential competency for clinicians and patients alike.