Evidence map›Paper›PMID 26909793›Full record

ArticleBreast cancer research and treatment2016

iPrevent®: a tailored, web-based, decision support tool for breast cancer risk assessment and management.

Ian M Collins, Adrian Bickerstaffe, Thilina Ranaweera, Sanjaya Maddumarachchi, Louise Keogh, Jon Emery, G Bruce Mann, Phyllis Butow, Prue Weideman, Emma Steel and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 42 citations in OpenAlex.

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  13. Decision Aids for Preventive Treatment Alternatives forGeburtshilfe und Frauenheilkunde · 2021
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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

16 authors at 5 institutions in 2 countries.

Ian M CollinsDivision of Cancer Medicine, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett St., Melbourne, VIC, Australia.
Adrian BickerstaffeCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Thilina RanaweeraCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Sanjaya MaddumarachchiCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Louise KeoghCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Jon EmeryDepartment of General Practice, The University of Melbourne, Melbourne, Australia.
G Bruce MannThe Breast Service, Royal Melbourne and Royal Women's Hospital, Melbourne, Australia.
Phyllis ButowCentre for Medical Psychology and Evidence-based Decision-Making (CeMPED) and The Psycho-Oncology Cooperative Research Group (PoCoG), The University of Sydney, Sydney, Australia.
Prue WeidemanDivision of Cancer Medicine, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett St., Melbourne, VIC, Australia.
Emma SteelDivision of Cancer Medicine, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett St., Melbourne, VIC, Australia.
Alison TrainerDivision of Cancer Medicine, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett St., Melbourne, VIC, Australia.
Mathias BresselDepartment of Biostatistics and Clinical Trials, Peter MacCallum Cancer Centre, Melbourne, Australia.
John L HopperCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Jack CuzickCentre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.
Antonis C AntoniouCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Kelly-Anne PhillipsDivision of Cancer Medicine, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett St., Melbourne, VIC, Australia. kelly.phillips@petermac.org.
University of Melbourne · AUPeter MacCallum Cancer Centre · AUQueen Mary University of London · GBUniversity of Cambridge · GBUniversity of Sydney · AU

Funding

Cancer Research UK 16891
6 · The paper itself

Abstract

We aimed to develop a user-centered, web-based, decision support tool for breast cancer risk assessment and personalized risk management. Using a novel model choice algorithm, iPrevent(®) selects one of two validated breast cancer risk estimation models (IBIS or BOADICEA), based on risk factor data entered by the user. Resulting risk estimates are presented in simple language and graphic formats for easy comprehension. iPrevent(®) then presents risk-adapted, evidence-based, guideline-endorsed management options. Development was an iterative process with regular feedback from multidisciplinary experts and consumers. To verify iPrevent(®), risk factor data for 127 cases derived from the Australian Breast Cancer Family Study were entered into iPrevent(®), IBIS (v7.02), and BOADICEA (v3.0). Consistency of the model chosen by iPrevent(®) (i.e., IBIS or BOADICEA) with the programmed iPrevent(®) model choice algorithm was assessed. Estimated breast cancer risks from iPrevent(®) were compared with those attained directly from the chosen risk assessment model (IBIS or BOADICEA). Risk management interventions displayed by iPrevent(®) were assessed for appropriateness. Risk estimation model choice was 100 % consistent with the programmed iPrevent(®) logic. Discrepant 10-year and residual lifetime risk estimates of >1 % were found for 1 and 4 cases, respectively, none was clinically significant (maximal variation 1.4 %). Risk management interventions suggested by iPrevent(®) were 100 % appropriate. iPrevent(®) successfully integrates the IBIS and BOADICEA risk assessment models into a decision support tool that provides evidence-based, risk-adapted risk management advice. This may help to facilitate precision breast cancer prevention discussions between women and their healthcare providers.

Indexed as

AlgorithmsAustraliaBreast NeoplasmsEvidence-Based MedicineFemaleHumansInternetModels, StatisticalPrecision MedicineRisk AssessmentRisk FactorsUser-Computer InterfaceBRCA1Breast cancerChemopreventionDecision supportRisk

Identifiers

PMID26909793
PMCPMC4788692
OpenAlexW2285718864

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.