Table 1 |
||||||
|
Known risk factors and their incorporation into existing risk models |
||||||
| Relative risk at extremes |
Gail model |
Claus model |
BRCAPRO model |
Cuzick–Tyrer model |
BOADICEA model |
|
|
|
||||||
| Prediction |
||||||
| Amir and colleagues' [27] validation study ratioa |
0.48 |
0.56 |
0.49 |
0.81 |
Not assessed |
|
| 95% confidence interval [27] |
0.54–0.90 |
0.59–0.99 |
0.52–0.80 |
0.85–1.41 |
Not assessed |
|
| Personal information |
||||||
| Age (20–70 years) |
30 |
Yes |
Yes |
Yes |
Yes |
Yes |
| Body mass index |
2 |
No |
No |
No |
Yes |
No |
| Alcohol intake (0–4 units) daily |
1.24 |
No |
No |
No |
No |
No |
| Hormonal/reproductive factors |
||||||
| Age at menarche |
2 |
Yes |
No |
No |
Yes |
No |
| Age at first live birth |
3 |
Yes |
No |
No |
Yes |
No |
| Age at menopause |
4 |
No |
No |
No |
Yes |
No |
| Hormone replacement therapy use |
2 |
No |
No |
No |
Yes |
No |
| Oral contraceptive pill use |
1.24 |
No |
No |
No |
No |
No |
| Breast feeding |
0.8 |
No |
No |
No |
No |
No |
| Plasma oestrogen |
5 |
No |
No |
No |
No |
No |
| Personal breast disease |
||||||
| Breast biopsies |
2 |
Yes |
No |
No |
Yes |
No |
| Atypical ductal hyperplasia |
3 |
Yes |
No |
No |
Yes |
No |
| Lobular carcinoma in situ |
4 |
No |
No |
No |
Yes |
No |
| Breast density |
6 |
No |
No |
No |
No |
No |
| Family history |
||||||
| First-degree relatives |
3 |
Yes |
Yes |
Yes |
Yes |
Yes |
| Second-degree relatives |
1.5 |
No |
Yes |
Yes |
Yes |
Yes |
| Third-degree relatives |
No |
No |
No |
No |
Yes |
|
| Age of onset of breast cancer |
3 |
No |
Yes |
Yes |
Yes |
Yes |
| Bilateral breast cancer |
3 |
No |
No |
Yes |
Yes |
Yes |
| Ovarian cancer |
1.5 |
No |
No |
Yes |
Yes |
Yes |
| Male breast cancer |
3–5 |
No |
No |
Yes |
No |
Yes |
|
|
||||||
|
BOADICEA = Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm. aExpected over observed cancer ratio (all models assessed underestimated cancer occurrence). |
||||||
|
Evans and Howell Breast Cancer Research 2007 9:213 doi:10.1186/bcr1750 |
||||||