Assessment of Breast Cancer Risk Among Women Using the Gail Model, Egypt.

Abstract

The rationale of this study: breast cancer is an increasingglobal public health problem due to its high incidence and mortality. Lots of debates over the actualvalue of screening program at population level continue justifying, enthusiasm for risk-stratified screening is gaining momentum and can be useful for guiding public health strategies of breast cancer prevention. The Gail model is considered the best available means to quantify an individual woman's risk of developing BC and is crucial to provide risk-benefit analysis before deciding interventions designed to lower breast cancer risk. Objectives: to identify the mean five years and lifetime risk development of breast cancer among Egyptian women. Methods: cross sectional study conducted on a sample of 156 women attending family planning clinics using systematic random sampling technique. The instrument used is based on the information required for analysis by the Gail model. Results:after analyzing the collected data according to the Gail Model, about 30% of the sampled females had high risk for developing BC >1.66% with their mean five-year breast cancer risk was 1.53±1.49, and their mean lifetime breast cancer risk up to age 90 years was 20.54 ±11.86. Conculsions:our findings surges the need for BC screening services for early detection directed mainly for women with multiple risk factors making informed decisions about the screening methods best suited to their individual situations.

Risk Assessment Tool of Breast Cancer and Barriers against Breast Self-Examination among Nurses: An Educational Program

“…Tese results were in confict with studies that reported a higher risk assessment than the current research, which was conducted by Mahadevaiahet al [24], with fndings of their sample (23.3%). Mortada [25] assessed that according to Egyptian women, 30% of the female sampled had a high chance of developing breast cancer. Te variation may result from the use of various risk evaluation tools [12] and various sample sizes.…”