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. 2024 Jul 9;74(746):e610–e618. doi: 10.3399/BJGP.2023.0327

Table 1b.

Cumulative risk of developing breast cancer from age 50.0–80.0 years, according to family history and MHT use for combined-continuous and combined-cyclical MHT

Family history MHT type Current age, years 51.0 52.0 53.0 54.0 55.0 60.0 65.0 70.0 75.0 80.0 Likelihood of developing breast cancer age 50–80. One in: Likelihood of developing breast cancer age 50–80 attributable to MHT. One in:
Average woman Population risk 0.3% 0.5% 0.8% 1.0% 1.3% 2.8% 4.4% 6.3% 8.1% 9.9% 10.1

None No MHT 0.2% 0.5% 0.7% 1.0% 1.2% 2.7% 4.3% 6.2% 8.0% 9.8% 10.2

Combined — continuous MHT used age 50.0–51.0 0.3% 0.5% 0.7% 1.1% 1.3% 2.9% 4.6% 6.6% 8.5% 10.3% 9.8 219
MHT used age 50.0–55.0 0.3% 0.8% 1.2% 1.7% 2.0% 3.8% 5.7% 8.0% 9.8% 11.5% 8.7 58
MHT used age 50.0–60.0 0.3% 0.8% 1.2% 1.7% 2.0% 5.2% 7.4% 10.0% 11.7% 13.4% 7.5 28

Combined — cyclical MHT used age 50.0–51.0 0.3% 0.5% 0.7% 1.0% 1.3% 2.8% 4.5% 6.5% 8.3% 10.1% 9.9 307
MHT used age 50.0–55.0 0.3% 0.7% 1.0% 1.5% 1.8% 3.5% 5.3% 7.5% 9.3% 11.0% 9.1 81
MHT used age 50.0–60.0 0.3% 0.7% 1.0% 1.5% 1.8% 4.5% 6.5% 8.9% 10.7% 12.4% 8.1 38

Modest family history (affected FDR age 60) None No MHT 0.4% 0.8% 1.2% 1.6% 2.0% 4.3% 6.7% 9.3% 11.7% 13.8% 7.2

Combined — continuous MHT used age 50.0–51.0 0.5% 0.9% 1.3% 1.7% 2.1% 4.6% 7.2% 9.9% 12.4% 14.5% 6.9 146
MHT used age 50.0–55.0 0.7% 1.4% 2.0% 2.7% 3.4% 6.1% 9.0% 12.0% 14.3% 16.4% 6.1 39
MHT used age 50.0–60.0 0.7% 1.4% 2.0% 2.7% 3.4% 8.1% 11.4% 14.9% 17.1% 19.1% 5.2 19

Combined — cyclical MHT used age 50.0–51.0 0.5% 0.8% 1.3% 1.7% 2.1% 4.5% 7.0% 9.7% 12.2% 14.3% 7.0 204
MHT used age 50.0–55.0 0.6% 1.2% 1.8% 2.4% 3.0% 5.6% 8.3% 11.2% 13.6% 15.7% 6.4 54
MHT used age 50.0–60.0 0.6% 1.2% 1.8% 2.4% 3.0% 7.0% 10.1% 13.3% 15.6% 17.6% 5.7 26

Intermediate family history (affected FDR age 40) None No MHT 0.5% 1.0% 1.5% 2.1% 2.6% 5.4% 8.4% 11.5% 14.1% 16.4% 6.1

Combined — continuous MHT used age 50.0–51.0 0.7% 1.1% 1.6% 2.2% 2.8% 5.8% 9.0% 12.3% 15.0% 17.2% 5.8 120
MHT used age 50.0–55.0 0.8% 1.7% 2.5% 3.5% 4.4% 7.7% 11.2% 14.8% 17.3% 19.6% 5.1 32
MHT used age 50.0–60.0 0.8% 1.7% 2.5% 3.5% 4.4% 10.1% 14.1% 18.2% 20.6% 22.8% 4.4 16

Combined — cyclical MHT used age 50.0–51.0 0.6% 1.0% 1.6% 2.2% 2.7% 5.7% 8.8% 12.0% 14.7% 17.0% 5.9 168
MHT used age 50.0–55.0 0.7% 1.5% 2.2% 3.1% 3.9% 7.0% 10.4% 13.9% 16.4% 18.7% 5.4 44
MHT used age 50.0–60.0 0.7% 1.5% 2.2% 3.1% 3.9% 8.8% 12.5% 16.4% 18.8% 21.0% 4.8 22

Strong family history (two affected FDR age 50) None No MHT 0.7% 1.3% 2.0% 2.7% 3.4% 7.0% 10.6% 14.2% 17.1% 19.6% 5.1

Combined — continuous MHT used age 50.0–51.0 1.0% 1.4% 2.1% 2.9% 3.6% 7.5% 11.3% 15.1% 18.2% 20.6% 4.8 98
MHT used age 50.0–55.0 1.2% 2.2% 3.4% 4.5% 5.7% 9.9% 14.1% 18.3% 21.1% 23.5% 4.3 26
MHT used age 50.0–60.0 1.2% 2.2% 3.4% 4.5% 5.7% 13.0% 17.7% 22.4% 25.0% 27.3% 3.7 13

Combined — cyclical MHT used age 50.0–51.0 0.9% 1.4% 2.1% 2.8% 3.6% 7.3% 11.1% 14.9% 17.9% 20.3% 4.9 137
MHT used age 50.0–55.0 1.0% 1.9% 3.0% 4.0% 5.1% 9.1% 13.1% 17.2% 20.0% 22.4% 4.5 36
MHT used age 50.0–60.0 1.0% 1.9% 3.0% 4.0% 5.1% 11.3% 15.8% 20.1% 22.8% 25.2% 4.0 18

FDR = first-degree relative. MHT = menopausal hormone therapy. Cumulative risks are presented: the proportion of individuals expected to develop breast cancer from age 50.0 years to the current age specified. Family history parameters include the number of first-degree relatives affected by breast cancer (one or two) and their age at diagnosis (40, 50, or 60 years). MHT use parameters include type of MHT used and age of use.