Breast Cancer: Why Current Risk Tools Miss the Mark for Black Women

Breast cancer is a serious issue, particularly for Black women. They are at a higher risk, but the tools doctors use to predict this risk often fall short. These tools are crucial because early detection can be life-saving. Doctors rely on models like the Gail Model and BOADICEA. These models consider factors like family history, lifestyle, and genetics. However, these models were primarily developed using data from white women. This means they might not accurately predict risk for Black women. Black women, especially those with African ancestry, often have their risk underestimated. This can lead to delayed screenings and treatments. It's a significant issue that needs attention.Researchers are exploring new methods, such as polygenic risk scores. These scores look at many small genetic variations. But again, most of this research is based on data from white women. To improve these tools, researchers need to include more Black women in their studies. This will ensure the models are fair and accurate for everyone. It's not just about creating new models; it's about making sure they work for all populations. In the meantime, doctors should be aware of the limitations of these models. They should stay updated with new research and consider alternative approaches for Black women.