Because data on American Indian/Alaska Native women are limited, their risk estimates are partly based on data for White women and may be inaccurate. The tool may underestimate risk in Black women with previous biopsies and Hispanic women born outside the United States. The tool has been validated for White women, Black/African American women, Hispanic women, and for Asian and Pacific Islander women in the United States. This calculator takes about five minutes to complete. The tool uses a woman's personal medical and reproductive history and the history of breast cancer among her first-degree relatives (mother, sisters, daughters) to estimate absolute breast cancer risk-her chance or probability of developing invasive breast cancer in a defined age interval. The Breast Cancer Risk Assessment Tool (BCRAT), also known as The Gail Model, allows health professionals to estimate a woman's risk of developing invasive breast cancer over the next five years and up to age 90 (lifetime risk).
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