Journal article

Proactive breast cancer risk assessment in primary care: a review based on the principles of screening

JA Usher-Smith, S Hindmarch, DP French, M Tischkowitz, S Moorthie, FM Walter, RA Dennison, F Stutzin Donoso, S Archer, L Taylor, J Emery, S Morris, DF Easton, AC Antoniou

British Journal of Cancer | SPRINGERNATURE | Published : 2023

Abstract

In the UK, the National Institute for Health and Care Excellence (NICE) recommends that women at moderate or high risk of breast cancer be offered risk-reducing medication and enhanced breast screening/surveillance. In June 2022, NICE withdrew a statement recommending assessment of risk in primary care only when women present with concerns. This shift to the proactive assessment of risk substantially changes the role of primary care, in effect paving the way for a primary care-based screening programme to identify those at moderate or high risk of breast cancer. In this article, we review the literature surrounding proactive breast cancer risk assessment within primary care against the conso..

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University of Melbourne Researchers

Grants

Awarded by Cancer Research UK Manchester Centre


Funding Acknowledgements

JAU-S and RAD are funded by an Advanced Fellowship from the National Institute for Health and Social Care Research (NIHR300861). SH is funded by a Manchester Cancer Research Centre PhD studentship. DPF is supported by the NIHR Manchester Biomedical Research Centre (IS-BRC-1215-20007). MT was supported by the NIHR Cambridge Biomedical Research Centre (BRC-1215-20014). FMW is Director and JE is the Associate Director of the multi-institutional CanTest Collaborative, which is funded by Cancer Research UK (C8640/A23385). SA and FS are funded by a Cancer Research UK programme grant (PPRPGM-Nov20\100002).). JE is supported by an NHMRC Investigator grant (APP1195302). The University of Cambridge has received salary support for DFE from the NHS in the East of England through the Clinical Academic Reserve. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR, NHS or the UK Department of Health and Social Care.