BCRA-package {BCRA}R Documentation

A Package for Breast Cancer Risk Assessment


This package is to project absolute risk of invasive breast cancer according to NCI's Breast Cancer Risk Assessment Tool (BCRAT) algorithm for specified race/ethnic groups and age intervals. The updated version 2.0 includes the new Hispanic model.


This package can be used to estimate the risk of developing breast cancer over a predetermined time interval with risk factors. As the same as Breast Cancer Risk Assessment SAS Macro, the users can specify the time interval as appropriate, not only limited to the 5 years risk prediction available with BCRAT.

The main function in this package is absolute.risk, which is defined based on a statistical model known as the "Gail model". Parameters and constants needed in this function include initial and projection age, recoded covariates using function recode.check, relative risks of BrCa at age "<50" and ">=50" obtained from function relative.risk as well as other known constants listed from function list.constants like BrCa composite incidences, competing hazards, 1-attributable risk using in NCI BrCa Risk Assessment Tool (NCI BCRAT). With risk factors and projection interval ages for a group of women, the function absolute.risk will return the corresponding absolute risk projections. If the function returns any missing values, the function error.table or error.table.all is used to find where the errors occured. The function check.summary can give a quick check for errors of input file and missing values of risks.

For further analysis, a data frame is created from the function risk.summary, which includes age, duration of the projection time interval, covariates and the projected risk.

The version 2.0 includes absolute risk projections for Hispanic women (US born and Foreign born) based on race specific RR risk models developed on the San Francisco Bay Area Breast Cancer Study (SFBCS). Race specific attributable risks, breast cancer composite incidences and competing hazards are added to the updated package.


Fanni Zhang <zhangf@imsweb.com>


Banegas MP, John EM, Slattery ML, Gomez SL, Yu M, LaCroix AZ, Pee D, Chlebowski RT, Hines LM, Thompson CA, Gail MH. Projecting Individualized Absolute Invasive Breast Cancer Risk in US Hispanic Women. JNCI 2016; 109.

Matsuno RK, Costantino JP, Ziegler RG, Anderson GL, Li H, Pee D, Gail MH. Projecting individualized absolute invasive breast cancer risk in asian and pacific islander american women. JNCI 103(12):951-61, 2011.

Gail MH, Costantino JP, Pee D, Bondy M, Newman L, Selvan M, Anderson GL, Malone KE, Marchbanks PA, McCaskill-Stevens W, Norman SA, Simon MS, Spirtas R, Ursin G, Berstein L. Projecting individualized absolute invasive breast cancer risk in African American women. JNCI 99(23):1782-92, 2007.

Costantino J, Gail MH, Pee D, Anderson S, Redmond CK, Benichou J, Wieand HS. Validation studies for models to project the risk of invasive and total breast cancer. JNCI 91(18):1541-48, 1999.

Gail MH, Brinton LA, Byar DP, Corle DK, Green SB, Shairer C, Mulvihill JJ. Projecting individualized probabilities of developing breast cancer for white females who are being examined annually. JNCI 81(24): 1879-86, 1989.

[Package BCRA version 2.1.2 Index]