Evidence map›Paper›PMID 38834743›Full record

ReviewBritish journal of cancer2024

Joint ABS-UKCGG-CanGene-CanVar consensus regarding the use of CanRisk in clinical practice.

Olga Tsoulaki, Marc Tischkowitz, Antonis C Antoniou, Hannah Musgrave, Gillian Rea, Ashu Gandhi, Karina Cox, Tracey Irvine, Sue Holcombe, Diana Eccles and 5 more

Registry-linked trialAbstract readReviewConsensus Statement
In one paragraph

Review in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06922708 (Implementing Polygenic Risk Scores for Breast Cancer Prevention), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06922708 narecruitingnot on this mapstarted 2025, after this paper: background citation

Implementing Polygenic Risk Scores for Breast Cancer Prevention: Protocol for a Feasibility Study in a Real-world Clinical Setting

TypeinterventionalSponsorCatholic University of the Sacred HeartRan2025 to 2026Enrolled100ConditionsBreast CancerArmsClinical pathway for breast cancer prevention based on PRS-integrated CanRisk assessment
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  3. Review
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  10. Environment, lifestyle, and cancer in women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  11. Article
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  15. Review
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

15 authors.

Olga TsoulakiSt George's University of London, London, UK.
Marc TischkowitzDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-7880-0628
Antonis C AntoniouCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Hannah MusgraveYorkshire Regional Genetics Service, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Gillian ReaNorthern Ireland Regional Genetics Service, Belfast City Hospital, Belfast, UK.
Ashu GandhiManchester University Hospitals; Manchester Breast Centre, Division of Cancer Sciences, Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.ORCID 0000-0002-7264-6201
Karina CoxMaidstone and Tunbridge Wells NHS Trust, Maidstone, UK.
Tracey IrvineRoyal Surrey NHS Foundation Trust, Guildford, UK.
Sue HolcombeAssociation of Breast Surgery, London, UK.
Diana EcclesDepartment of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Clare TurnbullTranslational Genetics Team, Division of Genetics and Epidemiology, Institute of Cancer Research, London, UK.ORCID 0000-0002-1734-5772
Ramsey CutressUniversity of Southampton and University Hospital Southampton, Somers Research Building, Tremona Road, Southampton, UK.
Meeting Attendees
Stephanie Archer *Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Helen Hanson *Translational Genetics Team, Division of Genetics and Epidemiology, Institute of Cancer Research, London, UK. H.Hanson@exeter.ac.uk.ORCID 0000-0002-3303-8713

Funding

Cancer Research UK (CRUK) C61296/A27223Cancer Research UK (CRUK) PPRPGM-Nov20\100002Medical Research Council MR/X502844/1
6 · The paper itself

Abstract

backgroundThe CanRisk tool, which operationalises the Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm (BOADICEA) is used by Clinical Geneticists, Genetic Counsellors, Breast Oncologists, Surgeons and Family History Nurses for breast cancer risk assessments both nationally and internationally. There are currently no guidelines with respect to the day-to-day clinical application of CanRisk and differing inputs to the model can result in different recommendations for practice.

methodsTo address this gap, the UK Cancer Genetics Group in collaboration with the Association of Breast Surgery and the CanGene-CanVar programme held a workshop on 16

resultsUsing a pre-workshop survey followed by structured discussion and in-meeting polling, we achieved consensus for UK best practice in use of CanRisk in making recommendations for breast cancer surveillance, eligibility for genetic testing and the input of available information to undertake an individualised risk assessment.

conclusionsWhilst consensus recommendations were achieved, the meeting highlighted some of the barriers limiting the use of CanRisk in clinical practice and identified areas that require further work and collaboration with relevant national bodies and policy makers to incorporate wider use of CanRisk into routine breast cancer risk assessments.

Indexed as

Breast NeoplasmsGenetic TestingAlgorithmsFemaleGenetic CounselingGenetic Predisposition to DiseaseHumansPractice Guidelines as TopicRisk AssessmentUnited Kingdom

Identifiers

PMID38834743
PMCPMC11183136

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Registered trials

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.