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

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Centre of Genomics and Policy, Department of Human Genetics, McGill University, Montreal, QC, Canada
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Public Health Branch, Capitale-Nationale, Quebec City, QC, Canada
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Centre hospitalier universitaire (CHU) de Québec–Université Laval, Quebec City, QC, Canada
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Centre de coordination des services régionaux, Capitale-Nationale, Quebec City, QC, Canada
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Quebec Breast Cancer Screening Program, Quebec City, QC, Canada
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CHU de Québec–Université Laval Research Center and Department of Social and Preventive Medicine, Université Laval, Quebec City, QC, Canada
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CHU de Québec–Université Laval, Quebec City, QC, Canada
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Quebec Breast Cancer Foundation, Montreal, QC, Canada
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Cancer Branch, Ministry of Health and Social Services, Quebec City, QC, Canada
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Centre hospitalier régional de Lanaudière, Joliette, QC, Canada
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Sir Mortimer B. Davis Jewish General Hospital and McGill University Health Centre, Montreal, QC, Canada
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Centre hospitalier du Grand-Portage, Rivièredu- Loup, QC, Canada
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Breast Imaging Centre, Centre hospitalier de l’Université de Montréal, Montreal, QC, Canada
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Hôpital du Sacré-Coeur de Montréal and Groupe d’Étude en Oncologie du Québec, Montreal, QC, Canada
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Royal Victoria Hospital and Cedars Breast Clinic of the McGill University Health Centre, Montreal, QC, Canada
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Deschênes-Fabia Breast Diseases Center, Quebec City, QC, Canada
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Centre Intégré en traitement, recherche et enseignement en Cancer du Sein, Centre hospitalier de l’Université de Montréal, Montreal, QC, Canada
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Centre de santé et de services sociaux de Portneuf, St-Raymond, QC, Canada
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Sir Mortimer B. Davis Jewish General Hospital and McGill University, Montreal, QC, Canada
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Canada Research Chair in Oncogenetics, CHU de Québec–Université Laval Research Centre, and Department of Molecular Medicine, Université Laval, Quebec City, QC, Canada
*
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
Received: 12 September 2016 / Revised: 13 October 2016 / Accepted: 11 November 2016 / Published: 1 December 2016
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
MDPI and ACS 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; Knoppers, B.M.; Simard, J. 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, 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, Knoppers BM, Simard J. 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, L. Lalonde, B. L’Espérance, S. Meterissian, L. Provencher, J. Richard, C. Savard, I. Trop, N. Wong, The Clinical Advisory Committee on Breast Cancer Screening and Prevention, B.M. Knoppers, and J. Simard 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

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