Cargando…
Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study
BACKGROUND: The lifetime risk of breast and ovarian cancer is significantly higher among women with genetic susceptibility or a strong family history. However, current risk assessment tools and clinical practices may identify only 10% of asymptomatic carriers of susceptibility genes. Bright Pink dev...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8914739/ https://www.ncbi.nlm.nih.gov/pubmed/35200148 http://dx.doi.org/10.2196/29124 |
_version_ | 1784667801158418432 |
---|---|
author | Hibler, Elizabeth A Fought, Angela J Kershaw, Kiarri N Molsberry, Rebecca Nowakowski, Virginia Lindner, Deborah |
author_facet | Hibler, Elizabeth A Fought, Angela J Kershaw, Kiarri N Molsberry, Rebecca Nowakowski, Virginia Lindner, Deborah |
author_sort | Hibler, Elizabeth A |
collection | PubMed |
description | BACKGROUND: The lifetime risk of breast and ovarian cancer is significantly higher among women with genetic susceptibility or a strong family history. However, current risk assessment tools and clinical practices may identify only 10% of asymptomatic carriers of susceptibility genes. Bright Pink developed the Assess Your Risk (AYR) tool to estimate breast and ovarian cancer risk through a user-friendly, informative web-based quiz for risk assessment at the population level. OBJECTIVE: This study aims to present the AYR tool, describe AYR users, and present evidence that AYR works as expected by comparing classification using the AYR tool with gold standard genetic testing guidelines. METHODS: The AYR is a recently developed population-level risk assessment tool that includes 26 questions based on the National Comprehensive Cancer Network (NCCN) guidelines and factors from other commonly used risk assessment tools. We included all women who completed the AYR between November 2018 and January 2019, with the exception of self-reported cancer or no knowledge of family history. We compared AYR classifications with those that were independently created using NCCN criteria using measures of validity and the McNemar test. RESULTS: There were 143,657 AYR completions, and most participants were either at increased or average risk for breast cancer or ovarian cancer (137,315/143,657, 95.59%). Using our estimates of increased and average risk as the gold standard, based on the NCCN guidelines, we estimated the sensitivity and specificity for the AYR algorithm–generated risk categories as 100% and 89.9%, respectively (P<.001). The specificity improved when we considered the additional questions asked by the AYR to define increased risk, which were not examined by the NCCN criteria. By race, ethnicity, and age group; we found that the lowest observed specificity was for the Asian race (85.9%) and the 30 to 39 years age group (87.6%) for the AYR-generated categories compared with the NCCN criteria. CONCLUSIONS: These results demonstrate that Bright Pink’s AYR is an accurate tool for use by the general population to identify women at increased risk of breast and ovarian cancer. We plan to validate the tool longitudinally in future studies, including the impact of race, ethnicity, and age on breast and ovarian cancer risk assessment. |
format | Online Article Text |
id | pubmed-8914739 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-89147392022-03-12 Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study Hibler, Elizabeth A Fought, Angela J Kershaw, Kiarri N Molsberry, Rebecca Nowakowski, Virginia Lindner, Deborah J Med Internet Res Original Paper BACKGROUND: The lifetime risk of breast and ovarian cancer is significantly higher among women with genetic susceptibility or a strong family history. However, current risk assessment tools and clinical practices may identify only 10% of asymptomatic carriers of susceptibility genes. Bright Pink developed the Assess Your Risk (AYR) tool to estimate breast and ovarian cancer risk through a user-friendly, informative web-based quiz for risk assessment at the population level. OBJECTIVE: This study aims to present the AYR tool, describe AYR users, and present evidence that AYR works as expected by comparing classification using the AYR tool with gold standard genetic testing guidelines. METHODS: The AYR is a recently developed population-level risk assessment tool that includes 26 questions based on the National Comprehensive Cancer Network (NCCN) guidelines and factors from other commonly used risk assessment tools. We included all women who completed the AYR between November 2018 and January 2019, with the exception of self-reported cancer or no knowledge of family history. We compared AYR classifications with those that were independently created using NCCN criteria using measures of validity and the McNemar test. RESULTS: There were 143,657 AYR completions, and most participants were either at increased or average risk for breast cancer or ovarian cancer (137,315/143,657, 95.59%). Using our estimates of increased and average risk as the gold standard, based on the NCCN guidelines, we estimated the sensitivity and specificity for the AYR algorithm–generated risk categories as 100% and 89.9%, respectively (P<.001). The specificity improved when we considered the additional questions asked by the AYR to define increased risk, which were not examined by the NCCN criteria. By race, ethnicity, and age group; we found that the lowest observed specificity was for the Asian race (85.9%) and the 30 to 39 years age group (87.6%) for the AYR-generated categories compared with the NCCN criteria. CONCLUSIONS: These results demonstrate that Bright Pink’s AYR is an accurate tool for use by the general population to identify women at increased risk of breast and ovarian cancer. We plan to validate the tool longitudinally in future studies, including the impact of race, ethnicity, and age on breast and ovarian cancer risk assessment. JMIR Publications 2022-02-24 /pmc/articles/PMC8914739/ /pubmed/35200148 http://dx.doi.org/10.2196/29124 Text en ©Elizabeth A Hibler, Angela J Fought, Kiarri N Kershaw, Rebecca Molsberry, Virginia Nowakowski, Deborah Lindner. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 24.02.2022. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Hibler, Elizabeth A Fought, Angela J Kershaw, Kiarri N Molsberry, Rebecca Nowakowski, Virginia Lindner, Deborah Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study |
title | Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study |
title_full | Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study |
title_fullStr | Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study |
title_full_unstemmed | Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study |
title_short | Novel Interactive Tool for Breast and Ovarian Cancer Risk Assessment (Bright Pink Assess Your Risk): Development and Usability Study |
title_sort | novel interactive tool for breast and ovarian cancer risk assessment (bright pink assess your risk): development and usability study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8914739/ https://www.ncbi.nlm.nih.gov/pubmed/35200148 http://dx.doi.org/10.2196/29124 |
work_keys_str_mv | AT hiblerelizabetha novelinteractivetoolforbreastandovariancancerriskassessmentbrightpinkassessyourriskdevelopmentandusabilitystudy AT foughtangelaj novelinteractivetoolforbreastandovariancancerriskassessmentbrightpinkassessyourriskdevelopmentandusabilitystudy AT kershawkiarrin novelinteractivetoolforbreastandovariancancerriskassessmentbrightpinkassessyourriskdevelopmentandusabilitystudy AT molsberryrebecca novelinteractivetoolforbreastandovariancancerriskassessmentbrightpinkassessyourriskdevelopmentandusabilitystudy AT nowakowskivirginia novelinteractivetoolforbreastandovariancancerriskassessmentbrightpinkassessyourriskdevelopmentandusabilitystudy AT lindnerdeborah novelinteractivetoolforbreastandovariancancerriskassessmentbrightpinkassessyourriskdevelopmentandusabilitystudy |