Table 2.
Risk factors included in some of the most recently developed and widely used models and currently available tools to support risk calculation.
| BCSC [33] | BOADICEA [21] | Gail [34] | Tyrer–Cuzick/IBIS [31] | iCARE [32] | QCancer10 [36] | |
|---|---|---|---|---|---|---|
| Genetic/familial risk factors | ||||||
| Family history | • | • | • | • | • | • |
| Rare pathogenic variants in moderate- and high-risk susceptibility genes | • | • | ||||
| Polygenic risk score | • | • | • | • | ||
| Demographic factors | ||||||
| Country of origin (country-specific cancer incidence) | • | |||||
| • | ||||||
| Birth cohort/decade of birth | • | |||||
| Ashkenazi Jewish ancestry | • | • | ||||
| Ethnicity (other than European/Ashkenazi Jewish) | • | • | ||||
| Lifestyle factors | ||||||
| Body mass index | • | • | • | |||
| Height | • | • | • | |||
| Alcohol use | • | • | • | |||
| Hormonal/reproductive factors | ||||||
| Age at menarche | • | • | • | • | ||
| Oral contraceptive use | • | • | • | |||
| Age at menopause | • | • | ||||
| Menopausal hormone therapy | • | • | • | • | ||
| Number of live births | • | • | • | |||
| Age at first live birth | • | • | • | • | ||
| Other factors | ||||||
| Mammographic density | • | • | • | |||
| History of hyperplasia/benign disease | • | • | • | • | ||
| History of lobular carcinoma in situ | • | |||||
| Previous breast biopsy | • | • | • | |||
| Manic depression or schizophrenia | • | |||||
| Prior lung, blood or ovarian cancer | • | |||||
| Tools to support risk calculation | ||||||
| Online tool | tools.bcsc-scc.org/AdvBC6yearRisk/#/ | canrisk.org/ | bcrisktool.cancer.gov/ | ibis-risk-calculator.magview.com/ | qcancer.org/10yr/female/ | |
| Software package for integration within electronic healthcare records | • |
BCSC Breast Cancer Surveillance Consortium, BOADICEA Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm, iCARE Individualised Coherent Absolute Risk Estimators.