Table 6.
5-year Breast cancer risk (threshold ≥ 3%)a,b | 10-year Non-breast cancer death risk (threshold ≥ 50%)a,b | NHS development cohort | NHS validation cohort | BWHS | |
---|---|---|---|---|---|
55–64 years | High | Low | 8.1% (939) | 7.9% (454) | 7.0% (600) |
Low | Low | 91.8% (10,586) | 92.1% (5317) | 93.0% (8031) | |
Low | High | 0.1% (9) | 0.1% (3) | 0.1% (5) | |
High | High | 0.0% (0) | 0.0% (0) | 0.0% (0) | |
65–74 years | High | Low | 8.3% (1408) | 8.2% (694) | 5.9% (211) |
Low | Low | 90.0% (15,262) | 90.1% (7651) | 91.6% (3278) | |
Low | High | 1.5% (257) | 1.5% (129) | 2.4% (85) | |
High | High | 0.2% (27) | 0.2% (16) | 0.2% (6) | |
75+ years | High | Low | 6.6% (603) | 6.1% (287) | 5.6% (58) |
Low | Low | 71.7% (6552) | 72.7% (3426) | 62.0% (639) | |
Low | High | 19.8% (1812) | 19.5% (920) | 30.5% (314) | |
High | High | 1.9% (173) | 1.8% (83) | 1.9% (20) |
NHS = Nurses’ Health Study, BWHS = Black Women’s Health Study
aGuidelines: The American Cancer Society recommends biennial screening for women ≥ 55 at average risk and stopping screening when life expectancy is < 10 years. The American College of Physicians recommends not screening any women ≥ 75 at low or average breast cancer risk or any women with < 10 year life expectancy. The United States Preventive Services Task Force recommends biennial screening for women 50–74 years and states the evidence is insufficient to recommend screening to women ≥ 75 but recommends consideration of women’s breast cancer risk and health [7, 8, 11]
bBased on guidelines, we defined breast cancer risk as high when 5-year risk ≥ 3%; otherwise, we defined breast cancer risk as low. We defined mortality risk as high when 10-year mortality risk was ≥ 50%; otherwise, we defined mortality risk as low [36–39]