Table 2 Summary of components of the BOADICEA breast cancer risk model

From: BOADICEA: a comprehensive breast cancer risk prediction model incorporating genetic and nongenetic risk factors

Risk factor group

Risk factor category

Comments

Family history

Explicit family history of breast and other cancers (ovarian, prostate, male breast, pancreatic)

Considers families of arbitrary size or structure, including affected and unaffected relatives

Sex

 

Sex of all family members

Age

 

Ages at cancer diagnosis or current ages/age at death of all family members

Genetic factors

Rare truncating/pathogenic variants

BRCA1

 

BRCA2

 

PALB2

 

CHEK2

 

ATM

 

Common genetic variants

Polygenic risk score

313-SNP polygenic risk score, explaining 20% of the polygenic variance

Unobserved genetic effects

Residual polygenic component

Accounts for the residual familial aggregation of breast cancer

Lifestyle/hormonal/reproductive

 

Height

Measured in cm (5 categories)

Body mass index

Measured in kg/m2 (4 categories)

Parity

Number of live births (4 categories)

Age at first birth

Measured in years (4 categories)

Age at menarche

Measured in years (7 categories)

Age at menopause

Measured in years (5 categories)

Use of oral contraceptive

Never/former/current

Use of hormone replacement therapy

Never/former any type/current estrogen only type/current other type

Alcohol intake

Measured in grams per day (7 categories)

Mammographic density

 

Measured using the BI-RADS breast composition categories (4 categories)

Breast tumor pathology

Estrogen receptor status

 

Progesterone receptor status

 

HER2 receptor status

 

CK14 status

Basal subtype status

CK5/6 status

Basal subtype status

Demographic factors

Country of origin

Country

Defines the underlying incidences used

Birth cohort

Defined by the person’s year of birth

8 calendar year–specific sets of incidences

Family ethnicity

Ashkenazi Jewish origin

 
  1. BI-RADS Breast Imaging Reporting and Data System, BOADICEA Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm, SNP single-nucleotide polymorphism.