Home > Publications database > Prospective evaluation of a breast-cancer risk model integrating classical risk factors and polygenic risk in 15 cohorts from six countries. > print |
001 | 168129 | ||
005 | 20240229133558.0 | ||
024 | 7 | _ | |a 10.1093/ije/dyab036 |2 doi |
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024 | 7 | _ | |a 0300-5771 |2 ISSN |
024 | 7 | _ | |a 1464-3685 |2 ISSN |
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037 | _ | _ | |a DKFZ-2021-00697 |
041 | _ | _ | |a English |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Hurson, Amber N |b 0 |
245 | _ | _ | |a Prospective evaluation of a breast-cancer risk model integrating classical risk factors and polygenic risk in 15 cohorts from six countries. |
260 | _ | _ | |a Oxford |c 2021 |b Oxford Univ. Press |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1642519336_16197 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
500 | _ | _ | |a Volume 50, Issue 6, December 2021, Pages 1897–1911 |
520 | _ | _ | |a Rigorous evaluation of the calibration and discrimination of breast-cancer risk-prediction models in prospective cohorts is critical for applications under clinical guidelines. We comprehensively evaluated an integrated model incorporating classical risk factors and a 313-variant polygenic risk score (PRS) to predict breast-cancer risk.Fifteen prospective cohorts from six countries with 239 340 women (7646 incident breast-cancer cases) of European ancestry aged 19-75 years were included. Calibration of 5-year risk was assessed by comparing expected and observed proportions of cases overall and within risk categories. Risk stratification for women of European ancestry aged 50-70 years in those countries was evaluated by the proportion of women and future cases crossing clinically relevant risk thresholds.Among women <50 years old, the median (range) expected-to-observed ratio for the integrated model across 15 cohorts was 0.9 (0.7-1.0) overall and 0.9 (0.7-1.4) at the highest-risk decile; among women ≥50 years old, these were 1.0 (0.7-1.3) and 1.2 (0.7-1.6), respectively. The proportion of women identified above a 3% 5-year risk threshold (used for recommending risk-reducing medications in the USA) ranged from 7.0% in Germany (∼841 000 of 12 million) to 17.7% in the USA (∼5.3 of 30 million). At this threshold, 14.7% of US women were reclassified by adding the PRS to classical risk factors, with identification of 12.2% of additional future cases.Integrating a 313-variant PRS with classical risk factors can improve the identification of European-ancestry women at elevated risk who could benefit from targeted risk-reducing strategies under current clinical guidelines. |
536 | _ | _ | |a 313 - Krebsrisikofaktoren und Prävention (POF4-313) |0 G:(DE-HGF)POF4-313 |c POF4-313 |f POF IV |x 0 |
588 | _ | _ | |a Dataset connected to CrossRef, PubMed, |
650 | _ | 7 | |a Breast cancer |2 Other |
650 | _ | 7 | |a iCARE |2 Other |
650 | _ | 7 | |a model validation |2 Other |
650 | _ | 7 | |a polygenic risk score |2 Other |
650 | _ | 7 | |a risk prediction |2 Other |
650 | _ | 7 | |a risk stratification |2 Other |
700 | 1 | _ | |a Pal Choudhury, Parichoy |b 1 |
700 | 1 | _ | |a Gao, Chi |b 2 |
700 | 1 | _ | |a Hüsing, Anika |0 P:(DE-He78)6519c85d61a3def7974665471b8a4f74 |b 3 |
700 | 1 | _ | |a Eriksson, Mikael |b 4 |
700 | 1 | _ | |a Shi, Min |b 5 |
700 | 1 | _ | |a Jones, Michael E |b 6 |
700 | 1 | _ | |a Evans, D Gareth R |b 7 |
700 | 1 | _ | |a Milne, Roger L |b 8 |
700 | 1 | _ | |a Gaudet, Mia M |b 9 |
700 | 1 | _ | |a Vachon, Celine M |b 10 |
700 | 1 | _ | |a Chasman, Daniel I |b 11 |
700 | 1 | _ | |a Easton, Douglas F |b 12 |
700 | 1 | _ | |a Schmidt, Marjanka K |b 13 |
700 | 1 | _ | |a Kraft, Peter |b 14 |
700 | 1 | _ | |a Garcia-Closas, Montserrat |b 15 |
700 | 1 | _ | |a Chatterjee, Nilanjan |b 16 |
700 | 1 | _ | |a Group, B-CAST Risk Modelling |b 17 |e Collaboration Author |
773 | _ | _ | |a 10.1093/ije/dyab036 |g p. dyab036 |0 PERI:(DE-600)1494592-7 |n 6 |p 1897–1911 |t International journal of epidemiology |v 50 |y 2021 |x 1464-3685 |
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