JSM 2005 - Toronto

Abstract #304795

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Legend: = Applied Session, = Theme Session, = Presenter
Activity Number: 237
Type: Contributed
Date/Time: Tuesday, August 9, 2005 : 8:30 AM to 10:20 AM
Sponsor: Section on Statistics in Epidemiology
Abstract - #304795
Title: Comprehensive Evaluation of Breast and Ovarian Cancer Risks
Author(s): Sining Chen*+
Companies: Johns Hopkins School of Medicine
Address: 550 N Broadway, Baltimore, MD, 21205, United States
Keywords: Retrospective likelihood ; multiplicative hazards ; breast cancer
Abstract:

The screening and clinical management of families carrying deleterious germline mutations of the BRCA1 and BRCA2 genes relies on an accurate evaluation of the age-specific risk of developing cancer of the breast and the ovaries. In this paper, we provided a comprehensive evaluation of such risk, tailored to the U.S. population. We combined the results of a metaanalysis of published studies with a large-scale, multicenter retrospective analysis of 1,984 tested fa milies (676 of which are of Ashkenazi Jewish descent) assembled through the Cancer Genetics Network. We found a significant difference in the cumulative risk of breast cancer at younger ages between Ashkenazi Jewish and other carriers. For both groups, the combined risk estimates were lower than those arising from the metaanalysis alone. In the nonAshkenazi Jewish population, the estimated breast cancer penetrances at age 70 were 0.48 (95\% CI 0.41--0.56) in BRCA1 carriers and 0.43 (0.38--0.49) in BRCA2 carriers, while ovarian cancer penetrances at age 70 were 0.41 (0.33--0.51) in BRCA1 carriers and 0.16 (0.11--0.23) in BRCA2 carriers.


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Revised March 2005