Table 1.
Component | Description |
---|---|
Breast cancer molecular subtype | portrayal of four distinct molecular subtypes based on estrogen receptor (ER) and human epidermal growth factor-2 receptor (HER2) status, each with its own underlying natural history (survival, sojourn times, screen detectability, and impact of therapeutic advances on survival) |
Incidence | incidence of breast cancer to reflect the current trends in underlying risk and by molecular subtype |
Non-breast cancer mortality | non-breast cancer mortality inputs to reflect changes in medical care and competing causes of death |
Screening dissemination | the use and dissemination of digital mammography |
Accuracy of mammography | sensitivity and specificity of film and digital mammography with recent data reflecting the improvements in the accuracy of mammography over time |
Treatment dissemination | dissemination of the most current therapies including anthracyclines, taxanes, and herceptin |
Treatment effectiveness | treatment effectiveness using data from more recent trials |
Risk factors | risk factors such as breast density, postmenopausal hormone use and body mass index are added to some models |
Ductal carcinoma in situ (DCIS) | DCIS representations in the models have been improved |
Comorbidities | Some models have been updated to account for comorbidities |
CISNET, Cancer Intervention and Surveillance Modeling Network.
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