Putting the risk of breast cancer in perspective.

Princess Margaret Hospital, Toronto, ON, Canada.
New England Journal of Medicine (Impact Factor: 54.42). 02/1999; 340(2):141-4. DOI: 10.1056/NEJM199901143400211
Source: PubMed
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    ABSTRACT: Background We developed working-life estimates of risk for dust-related occupational lung disease, COPD, and hearing loss based on the experience of the Building Trades National Medical Screening Program in order to (1) demonstrate the value of estimates of lifetime risk, and (2) make lifetime risk estimates for common conditions among construction workers. Methods Estimates of lifetime risk were performed based on 12,742 radiographic evaluations, 12,679 spirometry tests, and 11,793 audiograms. ResultsOver a 45-year working life, 16% of construction workers developed COPD, 11% developed parenchymal radiological abnormality, and 73.8% developed hearing loss. The risk for occupationally related disease over a lifetime in a construction trade was 2-6 times greater than the risk in non-construction workers. Conclusions When compared with estimates from annualized cross-sectional data, lifetime risk estimates are highly useful for risk expression, and should help to inform stakeholders in the construction industry as well as policy-makers about magnitudes of risk. Am. J. Ind. Med. 57:1235-1245, 2014. (c) 2014 Wiley Periodicals, Inc.
    American Journal of Industrial Medicine 08/2014; 57(11). DOI:10.1002/ajim.22366 · 1.59 Impact Factor
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    ABSTRACT: Breast cancer risk assessment and communication are much neglected aspects of women's health care. Breast cancer is the most prevalent cancer-related disease that touches the deepest of a women's feelings and the subject thus attracts much of the attention of the media. Disease prevalence and media coverage are the roots of inappropriate breast cancer risk perception. Many women overestimate their personal breast cancer risk. Inappropriate risk perception precedes inappropriate health behaviour and it is pivotal to understand the underlying mechanisms in order to plan intervention. Whether interventions such as patient education through counselling and objective risk assessment are effective in restoring inappropriate breast cancer risk perception remains a question unanswered, but the tools to measure breast cancer risk are available and were validated.
  • Medecine Nucleaire 01/2010; 34(1):3-13. DOI:10.1016/j.mednuc.2009.11.005 · 0.16 Impact Factor