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Assessing absolute changes in breast cancer risk due to modifiable risk factors
Assessing absolute changes in breast cancer risk due to modifiable risk factors
- Source :
- Breast cancer research and treatment. 152(1)
- Publication Year :
- 2015
-
Abstract
- Clinical risk assessment involves absolute risk measures, but information on modifying risk and preventing cancer is often communicated in relative terms. To illustrate the potential impact of risk factor modification in model-based risk assessment, we evaluated the performance of the IBIS Breast Cancer Risk Evaluation Tool, with and without current body mass index (BMI), for predicting future breast cancer occurrence in a prospective cohort of 665 postmenopausal women. Overall, IBIS’s accuracy (overall agreement between observed and assigned risks) and discrimination (AUC concordance between assigned risks and outcomes) were similar with and without the BMI information. However, in women with BMI > 25 kg/m2, adding BMI information improved discrimination (AUC = 63.9 % and 61.4 % with and without BMI, P < 0.001). The model-assigned 10-year risk difference for a woman with high (27 kg/m2) versus low (21 kg/m2) BMI was only 0.3 % for a woman with neither affected first-degree relatives nor BRCA1 mutation, compared to 4.5 % for a mutation carrier with three such relatives. This contrast illustrates the value of using information on modifiable risk factors in risk assessment and in sharing information with patients of their absolute risks with and without modifiable risk factors.
- Subjects :
- Risk
Cancer Research
medicine.medical_specialty
Concordance
New York
Breast Neoplasms
Risk Assessment
Article
Breast cancer
Risk Factors
Medicine
Humans
Registries
Risk factor
Prospective cohort study
Gynecology
business.industry
Obstetrics
Absolute risk reduction
Cancer
Reproducibility of Results
Models, Theoretical
medicine.disease
Oncology
ROC Curve
Female
business
Risk assessment
Body mass index
Subjects
Details
- ISSN :
- 15737217
- Volume :
- 152
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Breast cancer research and treatment
- Accession number :
- edsair.doi.dedup.....be11746316ea05a44af71c5f7a3ecc5b