Recommendations on breast cancer screening and prevention in the context of implementing risk stratification: impending changes to current policies

Current oncology

C. Diorio¹  L. Lalonde²  N. Duchesne³  B.M. Knoppers⁵  N. Wong)⁶  L. Provencher⁶  J. Simard⁶  S. Meterissian⁷  the Clinical Advisory Committee on Breast Cancer Screening and Prevention (F. Borduas⁸  I. Trop⁹  J. Richard^1,10  J. Gagnon^1,11  E. Lévesque^1,11  W. Foulkes^1,12  C. Savard^1,13  B. L’Espérance^1,15  M. Dumais^1,16  J. Chiquette^1,17  N. Gervais^1,18  L. Eloy^1,18 

[1] Centre de coordination des services régionaux, Capitale-Nationale;Centre hospitalier régional de Lanaudière;Quebec Breast Cancer Screening Program;Université Laval;Centre de santé et de services sociaux de Portneuf;Centre hospitalier de l’Université de Montréal;Centre hospitalier du Grand-Portage;Centre hospitalier universitaire de Québec–Université Laval;Deschênes-Fabia Breast Diseases Center;Hôpital du Sacré-Coeur de Montréal and Groupe d’Étude en Oncologie du Québec;McGill University;Quebec Breast Cancer Foundation;Royal Victoria Hospital and Cedars Breast Clinic of the McGill University Health Centre;Sir Mortimer B. Davis Jewish General Hospital and McGill University;Sir Mortimer B. Davis Jewish General Hospital and McGill University Health Centre;Université Laval;Université Laval;chu de Québec–Université Laval;chu de Québec–Université Laval Research Centre

关键词: Breast cancer;    screening;    prevention;    recommendations;    clinical practice;   

DOI  :  10.3747/co.23.2961

学科分类：肿瘤学

来源: Multimed, Inc.

【 摘 要 】

In recent years, risk stratification has sparked interest as an innovative approach to disease screening and prevention. The approach effectively personalizes individual risk, opening the way to screening and prevention interventions that are adapted to subpopulations. The international perspective project, which is developing risk stratification for breast cancer, aims to support the integration of its screening approach into clinical practice through comprehensive tool-building. Policies and guidelines for risk stratification—unlike those for population screening programs, which are currently well regulated—are still under development. Indeed, the development of guidelines for risk stratification reflects the translational aspects of perspective.Here, we describe the risk stratification process that was devised in the context of perspective, and we then explain the consensus-based method used to develop recommendations for breast cancer screening and prevention in a risk-stratification approach. Lastly, we discuss how the recommendations might affect current screening policies.

【 授权许可】

Unknown