This session will describe the risk-stratified approach that involves assessing the risk of breast cancer of each woman in the population, stratifying the population into several risk groups, assigning individuals to their respective risk groups, and tailoring of screening strategy to each risk group. The findings of the PERSPECTIVE I&I project will also be presented. This project was designed to evaluate risk stratification tools to generate real-world evidence on feasibility, acceptability, uptake, cost-effectiveness, organizational readiness as well as socio-ethical and legal issues, to determine the optimal implementation approaches to improve the breast cancer screening program in the Canadian health system.
Learning Objectives:
Describe the risk-stratified approach that involves assessing the risk of breast cancer of each woman in the population, stratifying the population into several risk groups, assigning individuals to their respective risk groups, and tailoring of screening strategy to each risk group.
Discuss the relative contribution of self-reported risk factors, mammographic density, and polygenic risk score to the breast cancer risk level estimated by the comprehensive risk prediction tool.
Describe the evidence on acceptability by women and the healthcare providers of a risk-based screening approach.