Key steps for effective breast cancer prevention.


Journal

Nature reviews. Cancer
ISSN: 1474-1768
Titre abrégé: Nat Rev Cancer
Pays: England
ID NLM: 101124168

Informations de publication

Date de publication:
08 2020
Historique:
accepted: 23 04 2020
pubmed: 13 6 2020
medline: 11 11 2020
entrez: 13 6 2020
Statut: ppublish

Résumé

Despite decades of laboratory, epidemiological and clinical research, breast cancer incidence continues to rise. Breast cancer remains the leading cancer-related cause of disease burden for women, affecting one in 20 globally and as many as one in eight in high-income countries. Reducing breast cancer incidence will likely require both a population-based approach of reducing exposure to modifiable risk factors and a precision-prevention approach of identifying women at increased risk and targeting them for specific interventions, such as risk-reducing medication. We already have the capacity to estimate an individual woman's breast cancer risk using validated risk assessment models, and the accuracy of these models is likely to continue to improve over time, particularly with inclusion of newer risk factors, such as polygenic risk and mammographic density. Evidence-based risk-reducing medications are cheap, widely available and recommended by professional health bodies; however, widespread implementation of these has proven challenging. The barriers to uptake of, and adherence to, current medications will need to be considered as we deepen our understanding of breast cancer initiation and begin developing and testing novel preventives.

Identifiants

pubmed: 32528185
doi: 10.1038/s41568-020-0266-x
pii: 10.1038/s41568-020-0266-x
doi:

Substances chimiques

Antineoplastic Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

417-436

Subventions

Organisme : Cancer Research UK
ID : 5032
Pays : United Kingdom

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Auteurs

Kara L Britt (KL)

Breast Cancer Risk and Prevention Laboratory, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia. Kara.britt@petermac.org.
The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC, Australia. Kara.britt@petermac.org.

Jack Cuzick (J)

Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.

Kelly-Anne Phillips (KA)

The Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC, Australia.
Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Centre for Epidemiology and Biostatistics, School of Population and Global Health, The University of Melbourne, Parkville, VIC, Australia.

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