The breast cancer risk assessment pathway in England: a systems analysis of current challenges and ways to improve

This study demonstrates challenges, variation and missed opportunities in care within the current pathway for breast cancer risk assessment and management in women under 50. The readiness of the system to change is clear, and recommendations are made to support systemic reform, which could contribute to the development of a more standardised, proactive and equitable breast cancer risk assessment and management pathway.

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Institutions

Publication Details

Journal
British Journal of Cancer
Published
2026-01-06
DOI
https://doi.org/10.1038/s41416-025-03329-2
Citations
1
Primary Topic
BRCA gene mutations in cancer
Type
article
Field-Weighted Citation Impact
30.93

Funders

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article

The breast cancer risk assessment pathway in England: a systems analysis of current challenges and ways to improve

Sacha J. Howell, S B Archer, Lily C. Taylor, Marc Tischkowitz et al.
1 citations
British Journal of Cancer
BRCA gene mutations in cancer
30.93
article

The breast cancer risk assessment pathway in England: a systems analysis of current challenges and ways to improve

Sacha J. Howell, S B Archer, Lily C. Taylor, Marc Tischkowitz, Maria Valasaki, Victoria G. Woof, Prof David French, Juliet Usher-Smith, Antonis C. Antoniou
article en
1 citations

Abstract

This study demonstrates challenges, variation and missed opportunities in care within the current pathway for breast cancer risk assessment and management in women under 50. The readiness of the system to change is clear, and recommendations are made to support systemic reform, which could contribute to the development of a more standardised, proactive and equitable breast cancer risk assessment and management pathway.

British Journal of CancerVol. 134(6)
University of Cambridge (GB), University of Manchester (GB), Cancer Research UK Manchester Institute (GB)
Cancer Research UK, National Institute for Health and Care Research, Manchester Biomedical Research Centre
Openalex Percentile: Top 2%
BRCA gene mutations in cancer
30.93
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The breast cancer risk assessment pathway in England: a systems analysis of current challenges and ways to improve — Sacha J. Howell, S B Archer, et al. · British Journal of Cancer (2026) | TGRS Research Map | TGRS