- Briefly describe a specific question, or set of related questions, about a health care test or treatment that this program should consider.
Breast cancer risk prevention in women at average risk of breast cancer: Key questions:
- What is the impact of modifiable lifestyle factors (such as diet, weight, exercise, smoking, exogenous hormones, radiation, and toxins including alcohol) on the risk of breast cancer?
- Does the risk associated with these factors vary by age, race, ethnicity or breast cancer risk factors?
- What are the benefits and harms of modifiable lifestyle factors?
- What is the impact of routine use of breast imaging modalities including screening mammography and screening MRI on the risk of dying from breast cancer?
- Does the risk associated with these modalities vary by age, race, ethnicity or breast cancer risk factors?
- What are the benefits and harms of routine use of breast imaging modalities?
- What is the impact of the use of chemoprevention medications including tamoxifen, raloxifene and exemestane, on the risk of dying from breast cancer?
- Does the risk associated with the use of these medications vary by age, race, ethnicity or breast cancer risk factors?
- What are the benefits and harms of chemoprevention medications?
- Does your question include a comparison of different health care approaches? (If no, your topic will still be considered.)
yes
- If yes, explain the specific technologies, devices, drugs, or interventions you would like to see compared:
- What patients or group(s) of patients does your question apply to? (Please include specific details such as age range, gender, coexisting diagnoses, and indications for therapy.)
- Are there subgroups of patients that your question might apply to? (For example, an ethnic group, stage or severity of a disease.)
- Describe the health-related benefits you are interested in. (For example, improvements in patient symptoms or problems from treatment or diagnosis.)
- Describe any health-related risks, side effects, or harms that you are concerned about.
Appropriateness for EHC Program
- Does your question include a health care drug, intervention, device, or technology available (or likely to be available) in the U.S.?
- Which priority area(s) and population(s) does this topic apply to? (check all that apply)
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- EHC Priority Conditions (updated in 2008)
- Cancer
- AHRQ Priority Populations
- None
- Federal Health Care Program
- None
Importance
- Describe why this topic is important.
- What specifically motivated you to ask this question? (For example, you are developing a clinical guideline, working with a policy with large uncertainty about the appropriate approach, costly intervention, new research you have read, items in the media you may have seen, a clinical practice dilemma you know of, etc.)
- Does your question represent uncertainty for clinicians and/or policy-makers? (For example, variations in clinical care, controversy in what constitutes appropriate clinical care, or a policy decision.)
- If yes, please explain:
Potential Impact
- How will an answer to your research question be used or help inform decisions for you or your group?
- Describe the timeframe in which an answer to your question is needed.
- Describe any health disparities, inequities, or impact on vulnerable populations your question applies to.
Nominator Information
- Other Information About You: (optional)
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- Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
- Are you making a suggestion as an individual or on behalf of an organization?
Organization
- Please tell us how you heard about the Effective Health Care Program
