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	<title>EHSLibrary &#187; breast cancer</title>
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		<title>Breast cancer online decision tool</title>
		<link>http://library.med.utah.edu/blog/eccles/2012/04/24/breast-cancer-online-decision-tool/</link>
		<comments>http://library.med.utah.edu/blog/eccles/2012/04/24/breast-cancer-online-decision-tool/#comments</comments>
		<pubDate>Tue, 24 Apr 2012 14:56:14 +0000</pubDate>
		<dc:creator>Todd Vandenbark</dc:creator>
				<category><![CDATA[health information]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[absolute risk]]></category>
		<category><![CDATA[BRCA]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[gene mutation]]></category>
		<category><![CDATA[online decision tool]]></category>

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		<description><![CDATA[New online decision tool from Stanford for women at risk of breast and ovarian cancer due to BRCA gene mutation.]]></description>
				<content:encoded><![CDATA[<p>According to <a href="http://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v%3afile=viv_Q3vMBS&amp;server=search1.nlm.nih.gov&amp;v%3astate=root%7croot&amp;url=http%3a%2f%2fjama.ama-assn.org%2fcontent%2f305%2f21%2f2244.full.pdf&amp;rid=Ndoc0&amp;v%3aframe=redirect&amp;v%3aredirect-hash=0f98159356b53c3046b89072fe9aa273&amp;">JAMA</a>, a women&#8217;s lifetime risk of contracting breast cancer is 1 in 8, and the presence of a particular mutation &#8220;in breast cancer susceptibility gene 1 or 2 (BRCA1/2) significantly increases the risk of breast and ovarian cancer.&#8221; The Cancer Institute at Stanford has developed an <a href="http://brcatool.stanford.edu/">online tool</a> for helping women with this genetic mutation evaluate her risks and benefits for different interventions. It is not intended to replace proper medical care, but instead to &#8220;inform discussion between providers and patients about options for reducing cancer risk.&#8221;</p>
<p><a href="http://library.med.utah.edu/blog/eccles/files/2012/04/screenshotBRCA_DecisionTool.jpg"><img class="alignnone size-full wp-image-1892" title="screenshot of decision tool" src="http://library.med.utah.edu/blog/eccles/files/2012/04/screenshotBRCA_DecisionTool.jpg" alt="screenshot of decision tool" /></a></p>
<p>When talking about cancer or any other life-threatening medical condition, numbers about risk, results, etc. can begin to blur for any patient. Having a tool like this to provide a clear visualization can help any woman and her doctor think through medical decisions more carefully. The website does note that the calculations this tool is based on &#8221; calculations result from a computer simulation model, not a clinical trial.&#8221; Long-term validation studies of this tool are needed to confirm its accuracy.</p>
<p>But a woman facing important decisions about breast cancer risk and prevention needs the best information available <em>now</em>, and this tool appears to be a good way to help visualize the risks and benefits of treatment options and timing, in consultation with a physician. And being online, rather than in print, it is free and immediately available. Kudos to Standford for developing this important resource!</p>
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