(Ivanhoe Newswire) -- A model looking at fewer risk factors predicts
breast cancer risk the same as a more complicated, widely used model,
according to new research. The study focused on predicting estrogen
receptor-positive breast cancer risk in postmenopausal women.
Many women are screened using the Gail model to determine their breast
cancer risk and if they would benefit from taking a chemoprevention drug.
Rowan Chlebowski, M.D. from Harbor-UCLA Medical Center and colleagues
conducted a study looking at several risk prediction models.
Researchers used data from the Women’s Health Initiative. They found the
Gail model underestimated 5-year breast cancer incidence by 20 percent. They
found a simpler model that used only three factors for calculating risk had
the same accuracy rate. The simpler model looked at age, family history and
previous breast biopsy. Study authors write the simpler model “would be
accessible for routine and rapid prescreening in the prevention or routine
care setting.”
In an accompanying editorial, Mitchell Gail, M.D. of the National Cancer
Institute, and whom the Gail model is named after, says many of Chlebowski’s
results were consistent with other research. However, it is also pointed out
that breast cancer incidence in this study was higher than in the general
U.S. population. But they add that this research shows useful and important
results that show the difficulty and promise of estimating absolute risk for
breast cancer.
SOURCE: Journal of the National Cancer Institute, published online Nov.
13, 2007