Evidence map›Paper›PMID 21337591›Full record

ArticleStatistics in medicine2011

Personalized estimates of breast cancer risk in clinical practice and public health.

Mitchell H Gail

Abstract read
In one paragraph

Article in Statistics in medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
  2. Skeptical reactions to breast cancer screening benefits and harms: Antecedents, consequences, and implications for screening communication.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  3. Graphical displays and related statistical measures of health disparities between groups in complex sample surveys.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2025
    Article
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  9. Recalibrating Risk Prediction Models by Synthesizing Data Sources: Adapting the Lung Cancer PLCO Model for Taiwan.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
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  16. Estimation of lifetime risks of Alzheimer's disease dementia using biomarkers for preclinical disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Mitchell H GailBiostatistics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethedsa, MD, USA. gailm@mail.nih.gov
National Cancer Institute · US

Funding

Methods for Epidemiology StudiesZIACP010181 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALBERT, PAUL · 2009 to 2025
$34.8M
Risk prediction methodsZIACP010188 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALBERT, PAUL · 2010 to 2025
$8.9M
Risk prediction methodsZ01CP010188 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI GAIL, MITCHELL H · 2005 to 2008
$166k
Intramural NIH HHS Z01 CP010188Intramural NIH HHS ZIA CP010181
6 · The paper itself

Abstract

This paper defines absolute risk and some of its properties, and presents applications in breast cancer counseling and prevention. For counseling, estimates of absolute risk give useful perspective and can be used in management decisions that require weighing risks and benefits, such as whether or not to take tamoxifen to prevent breast cancer. Absolute risk models are also useful in designing intervention trials to prevent breast cancer and in assessing the potential reductions in absolute risk of disease that might result from reducing exposures that are associated with breast cancer. In these applications, it is important that the risk model be well calibrated, namely that it accurately predicts the numbers of women who will develop breast cancer in various subsets of the population. Absolute risk models are also needed to implement a 'high risk' prevention strategy that identifies a high-risk subset of the population and focuses intervention efforts on that subset. The limitations of the high-risk strategy are discussed, including the need for risk models with high discriminatory accuracy, and the need for less toxic interventions that can reduce the threshold of risk above which the intervention provides a net benefit. I also discuss the potential use of risk models in allocating prevention resources under cost constraints. High discriminatory accuracy of the risk model, in addition to good calibration, is desirable in this application, and the risk assessment should not be expensive in comparison with the intervention.

Indexed as

Models, StatisticalBreast NeoplasmsFemaleHumansMiddle AgedPublic HealthRisk AssessmentUnited States

Identifiers

PMID21337591
PMCPMC3079423
OpenAlexW2146753368

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.