Making sense of breast cancer risk estimates

IF 1.7 4区 医学 Q3 GENETICS & HEREDITY
John O'Quigley
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引用次数: 0

Abstract

Individual probabilistic assessments on the risk of cancer, primary or secondary, will not be understood by most patients. That is the essence of our arguments in this paper. Greater understanding can be achieved by extensive, intensive, and detailed counseling. But since probability itself is a concept that easily escapes our everyday intuition—consider the famous Monte Hall paradox—then it would also be wise to advise patients and potential patients, to not put undue weight on any probabilistic assessment. Such assessments can be of value to the epidemiologist in the investigation of different potential etiologies describing cancer evolution or to the clinical trialist as a way to maximize design efficiency. But to an ordinary individual we cannot anticipate that these assessments will be correctly interpreted.

合理估算乳腺癌风险。
大多数患者无法理解对癌症风险(原发性或继发性)的个别概率评估。这就是我们本文论点的实质。通过广泛、深入和详细的咨询可以加深理解。但是,由于概率本身是一个很容易脱离我们日常直觉的概念--想想著名的蒙特-霍尔悖论--因此,建议患者和潜在患者不要过分看重任何概率评估也是明智之举。这种评估对于流行病学家调查描述癌症演变的不同潜在病因,或者对于临床试验人员最大限度地提高设计效率,都是有价值的。但对于普通人来说,我们无法预料这些评估会得到正确的解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Genetic Epidemiology
Genetic Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
9.50%
发文量
49
审稿时长
6-12 weeks
期刊介绍: Genetic Epidemiology is a peer-reviewed journal for discussion of research on the genetic causes of the distribution of human traits in families and populations. Emphasis is placed on the relative contribution of genetic and environmental factors to human disease as revealed by genetic, epidemiological, and biologic investigations. Genetic Epidemiology primarily publishes papers in statistical genetics, a research field that is primarily concerned with development of statistical, bioinformatical, and computational models for analyzing genetic data. Incorporation of underlying biology and population genetics into conceptual models is favored. The Journal seeks original articles comprising either applied research or innovative statistical, mathematical, computational, or genomic methodologies that advance studies in genetic epidemiology. Other types of reports are encouraged, such as letters to the editor, topic reviews, and perspectives from other fields of research that will likely enrich the field of genetic epidemiology.
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