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Current Oncology
Volume 23
Issue 6
10.3747/co.23.2961
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Guidelines

Recommendations on Breast Cancer Screening and Prevention in the Context of Implementing Risk Stratification: Impending Changes to Current Policies

by
J. Gagnon
1,
E. Lévesque
1,*,
F. Borduas
2,
J. Chiquette
3,4,5,
C. Diorio
6,
N. Duchesne
3,7,
M. Dumais
8,
L. Eloy
5,9,10,
W. Foulkes
11,
N. Gervais
12,
L. Lalonde
13,
B. L’Espérance
14,
S. Meterissian
15,
L. Provencher
3,16,
J. Richard
17,
C. Savard
18,
I. Trop
13,
N. Wong
19,
The Clinical Advisory Committee on Breast Cancer Screening and Prevention
†,
B.M. Knoppers
1 and
J. Simard
20add Show full author list remove Hide full author list
1
Centre of Genomics and Policy, Department of Human Genetics, McGill University, Montreal, QC, Canada
2
Public Health Branch, Capitale-Nationale, Quebec City, QC, Canada
3
Centre hospitalier universitaire (CHU) de Québec–Université Laval, Quebec City, QC, Canada
4
Centre de coordination des services régionaux, Capitale-Nationale, Quebec City, QC, Canada
5
Quebec Breast Cancer Screening Program, Quebec City, QC, Canada
6
CHU de Québec–Université Laval Research Center and Department of Social and Preventive Medicine, Université Laval, Quebec City, QC, Canada
7
CHU de Québec–Université Laval, Quebec City, QC, Canada
8
Quebec Breast Cancer Foundation, Montreal, QC, Canada
9
Cancer Branch, Ministry of Health and Social Services, Quebec City, QC, Canada
10
Centre hospitalier régional de Lanaudière, Joliette, QC, Canada
11
Sir Mortimer B. Davis Jewish General Hospital and McGill University Health Centre, Montreal, QC, Canada
12
Centre hospitalier du Grand-Portage, Rivièredu- Loup, QC, Canada
13
Breast Imaging Centre, Centre hospitalier de l’Université de Montréal, Montreal, QC, Canada
14
Hôpital du Sacré-Coeur de Montréal and Groupe d’Étude en Oncologie du Québec, Montreal, QC, Canada
15
Royal Victoria Hospital and Cedars Breast Clinic of the McGill University Health Centre, Montreal, QC, Canada
16
Deschênes-Fabia Breast Diseases Center, Quebec City, QC, Canada
17
Centre Intégré en traitement, recherche et enseignement en Cancer du Sein, Centre hospitalier de l’Université de Montréal, Montreal, QC, Canada
18
Centre de santé et de services sociaux de Portneuf, St-Raymond, QC, Canada
19
Sir Mortimer B. Davis Jewish General Hospital and McGill University, Montreal, QC, Canada
20
Canada Research Chair in Oncogenetics, CHU de Québec–Université Laval Research Centre, and Department of Molecular Medicine, Université Laval, Quebec City, QC, Canada
 
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*
Author to whom correspondence should be addressed.
†
Committee members are listed in alphabetical order. Supplemental material cited in this article is available at http://www.current-oncology.com
Curr. Oncol. 2016, 23(6), 615-625; https://doi.org/10.3747/co.23.2961
Submission received: 12 September 2016 / Revised: 13 October 2016 / Accepted: 11 November 2016 / Published: 1 December 2016

Abstract

In recent years, risk stratification has sparked interest as an innovative approach to disease screening and prevention. The approach effectively personalizes individual risk, opening the way to screening and prevention interventions that are adapted to subpopulations. The international PERSPECTIVE project, which is developing risk stratification for breast cancer, aims to support the integration of its screening approach into clinical practice through comprehensive tool-building. Policies and guidelines for risk stratification—unlike those for population screening programs, which are currently well regulated—are still under development. Indeed, the development of guidelines for risk stratification reflects the translational aspects of PERSPECTIVE. Here, we describe the risk stratification process that was devised in the context of PERSPECTIVE, and we then explain the consensus-based method used to develop recommendations for breast cancer screening and prevention in a risk-stratification approach. Lastly, we discuss how the recommendations might affect current screening policies.
Keywords: Breast cancer; screening; prevention; recommendations; clinical practice Breast cancer; screening; prevention; recommendations; clinical practice

Share and Cite

MDPI and ACS Style

Gagnon, J.; Lévesque, E.; Borduas, F.; Chiquette, J.; Diorio, C.; Duchesne, N.; Dumais, M.; Eloy, L.; Foulkes, W.; Gervais, N.; et al. Recommendations on Breast Cancer Screening and Prevention in the Context of Implementing Risk Stratification: Impending Changes to Current Policies. Curr. Oncol. 2016, 23, 615-625. https://doi.org/10.3747/co.23.2961

AMA Style

Gagnon J, Lévesque E, Borduas F, Chiquette J, Diorio C, Duchesne N, Dumais M, Eloy L, Foulkes W, Gervais N, et al. Recommendations on Breast Cancer Screening and Prevention in the Context of Implementing Risk Stratification: Impending Changes to Current Policies. Current Oncology. 2016; 23(6):615-625. https://doi.org/10.3747/co.23.2961

Chicago/Turabian Style

Gagnon, J., E. Lévesque, F. Borduas, J. Chiquette, C. Diorio, N. Duchesne, M. Dumais, L. Eloy, W. Foulkes, N. Gervais, and et al. 2016. "Recommendations on Breast Cancer Screening and Prevention in the Context of Implementing Risk Stratification: Impending Changes to Current Policies" Current Oncology 23, no. 6: 615-625. https://doi.org/10.3747/co.23.2961

APA Style

Gagnon, J., Lévesque, E., Borduas, F., Chiquette, J., Diorio, C., Duchesne, N., Dumais, M., Eloy, L., Foulkes, W., Gervais, N., Lalonde, L., L’Espérance, B., Meterissian, S., Provencher, L., Richard, J., Savard, C., Trop, I., Wong, N., The Clinical Advisory Committee on Breast Cancer Screening and Prevention, ... Simard, J. (2016). Recommendations on Breast Cancer Screening and Prevention in the Context of Implementing Risk Stratification: Impending Changes to Current Policies. Current Oncology, 23(6), 615-625. https://doi.org/10.3747/co.23.2961

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