Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:03):
Good evening and welcome to another episode of
Nurse Maureen's Health Showpodcast.
I'm Maureen McGrath, registerednurse, nurse competence advisor
, sexual health educator, and Iwanted to talk to you about
something really importanttonight.
It's about breast cancer riskcalculation.
Have you ever wondered howdoctors estimate a woman's risk
of developing breast cancer?
One of the most widely usedtools is the Tyra Cusick Risk
(00:27):
Calculator, also known as theIBI-esque risk tool.
Well, this tool helpshealthcare professionals
determine a woman's likelihoodof developing breast cancer over
the next 10 years and over herlifetime.
So it's especially helpful foridentifying women who may
benefit from earlier screening,genetic counseling or even
(00:48):
preventive strategies likemedication or surgery or even
reduction in alcohol consumption.
What makes the Tyra Cusickunique, you might be thinking.
Well, it's one of the mostcomprehensive breast cancer risk
models, because it looks atboth your family history,
including both close and distantrelatives with breast or
(01:09):
ovarian cancer, personal riskfactors like age, weight, height
, age at first period, age atmenopause, whether you've had
children or not.
It looks at your breast density, whether you have C or D, and
even whether you've used hormonereplacement therapy.
And it can also incorporateBRCA1 and 2 gene status, if
(01:29):
known, which makes it incrediblyuseful for women with strong
family histories of breastcancer or cancer.
Why does this matter?
You're probably thinkingBecause early detection and risk
reduction saves lives.
With this particular calculator, clinicians can tailor
screening plans, likerecommending mammograms before
(01:49):
the age of 40 or using MRIinstead of mammograms for
high-risk women, and it alsohelps inform decisions around
risk-reducing medications liketamoxifen.
So who should consider thisassessment?
I actually think every womanshould.
Anybody with breasts, womenwith a family history of breast
or ovarian cancer, those withdense breasts, like breast
(02:12):
density C or D, and that makesit more difficult to see masses
on a mammogram.
So you might need an ultrasoundor an MRI actually to have a
further look and a morecomprehensive assessment.
And then anyone curious abouttheir own breast cancer risk,
especially if personalizedscreening is being considered.
So you'll get two numbers your10-year risk and your lifetime
(02:36):
risk, and if your lifetime riskis 20% or more, you're
considered high risk under manyguidelines, including those from
the National ComprehensiveCancer Network and National
Association Menopause Society,and this may change how often
and how early that you'rescreened.
So if you're wondering aboutyour own risk or think your
(02:57):
family history might put you athigher risk, ask your healthcare
provider about the Tyra Cusickmodel, because knowledge is
power and in this case it mightbe life saving.
And you know just a little bitof more of a deeper dive into
the Tyra Cusick model.
It's generally considered areliable tool for estimating
(03:18):
breast cancer risk, especiallyamong women with a family
history of disease or those withother risk factors.
It's often used in conjunctionwith mammograms to help guide
screening and risk managementstrategies.
It's important to remember thatthe model provides a risk
estimate, not a definitiveprediction, and its accuracy can
be influenced by many factors.
(03:39):
But studies have shown that theTYRER-QZIK model is a good
predictor of breast cancer risk,especially for women with that
family history or other riskfactors.
It's consistent in itspredictions, meaning it tends to
give similar risk estimates forindividuals with comparable
(04:02):
risk factors.
It's a good calibration.
It has shown good calibration,so it accurately estimates the
risk of breast cancerdevelopment in the population
it's used on and the modelconsiders various factors like
family history, age, as Imentioned, bmi, body mass index,
benign breast disease and otherrisk factors as well.
(04:23):
So it might be something thatyou would like to try.
I thought we'd do it onlinehere on the podcast tonight, so
if you want to go to magviewcom.
They have the IBS desk riskcalculator, and so let's go.
So the first question is haveyou ever been diagnosed with
breast cancer?
(04:43):
And they actually want me tofill it out Before they ask you
about your age 25.
How old are you?
Anyway?
Throw your age in there,whatever it is.
Age is like a phone number andmine's unlisted.
No, I'm not 177 years old.
Anyway, pop your age in yourcurrent height and weight.
(05:08):
That's another something elseyou might not want to share with
the masses, but anyway,nonetheless, I've entered mine.
Have you ever had a menstrualperiod?
If you can remember the age atwhich you had your first
menstrual period, they'd likeyou to have that information.
They want your stage ofmenopause premenopausal,
perimenopausal, postmenopausal,I don't know, you know, and just
(05:30):
enter your number.
I've actually done this beforemyself and you know.
Happily, I have to say I had avery low risk of the low risk,
of the 10 year risk and also thelifetime risk as well.
Asking about if you've ever usedhormone replacement therapy,
because that can increase yourrisk as well.
(05:51):
And do you know if you have amutation in either the BRCA1 or
BRCA2 gene?
And one of the answers is nottested.
A lot of women have not hadthat test done.
Have you ever had a breastbiopsy?
Yes, no, prior biopsy.
It asks to give you results.
Or have you had ovarian cancer?
Have you had other cancers likecolorectal or pancreatic or
(06:14):
prostate cancer?
This test is not limited towomen, I might add as well,
because men although it's asignificantly lower number, men
can get breast cancer.
Also, they want to know yourbreast density, and now
mammograms are more likely toreport breast density and it's a
good idea to know what yourbreast density is.
(06:34):
And the test carries on.
I won't go through the entiretest because I've actually
missed one of the questions here.
They're telling me it must havebeen about my age.
The numbers didn't add up andthey noted it.
That also helps for itsaccuracy.
It asks about how many childrenthat you have had.
Have you given birth to one ormore children?
(06:55):
They want to know all of yourchildren's ages and how old you
were when you had a baby, or hadyour first baby, in fact,
because all of this is importantin terms of assessing your risk
.
But this is a very comprehensivetest, comprehensive test.
They also look at your familyhistory and they're looking at
(07:15):
your paternal aunts and paternalhalf-sisters and your maternal,
grandmother, maternal aunts,and so they really go through
everybody and they assess theirrisk as well of you know, breast
cancer and other cancers likeovarian cancer, pancreatic
cancer, colorectal cancer, youknow.
So it's important you fill inall of that information and, you
(07:38):
know, try and get the mostaccurate information.
They do actually have manydifferent options that you can
say so anyway.
So they estimated my risk to beless than 20%.
It's based on my lifetime riskis 2.5% and the US population
(07:59):
average lifetime risk is 9.8%for women of the same age.
So, you know, I just want to saythis is just important
information.
You might want to try it.
It might take, you know, 10 or15 minutes of your time and it
can actually put your mind atease or help you to get the
right preventive strategies tohelp you to prevent breast
cancer.
(08:19):
Anyway, thanks so much fortuning in Once again.
If you think there's anybodythat you know that might benefit
from hearing this episode,please feel free to share it
with them.
I'm Maureen McGrath, registerednurse, nurse, continence advisor
, sexual health educator, andtonight we were talking about
the Tyra Cusick risk calculatorfor breast cancer.
Thanks so much for tuning in.
As always.
(08:40):
I appreciate it.
Gentlemen, let's talk tech foryour tool.
The Firm Tech Ring isrevolutionizing erections,
tracking performance, boostingstamina and supporting your
sexual health with real science.
Ready to level up in thebedroom?
Head on over to MyFirmTechcomand use the code NURSEMOREEN15
(09:01):
for 15% off of any FirmTechorder.
Firmtech hard science forharder health, because
performance matters.
Guys, if urinary leaks orstruggles in the bedroom are
holding you back, it's time totake control.
Btl-m cell, better known as theKegelthrone, is a game changer,
(09:22):
boosting pelvic floor strength,improving bladder control and
even enhancing blood flow forbetter performance.
In just 30 minutes, thisnon-invasive treatment delivers
thousands of muscle contractions, helping you regain the
confidence where it matters most.
No surgery, no downtime, justresults Stronger pelvic floor,
better bladder control, improvedintimacy.
(09:44):
Book your session today.
For more information or to finda provider, go to
btlastheticscom.
That's btlastheticscom.
Good evening and welcome to another episode of
Nurse Maureen's Health Showpodcast.
I'm Maureen McGrath, registerednurse, nurse competence advisor
, sexual health educator, and Iwanted to talk to you about
something really importanttonight.
It's about breast cancer riskcalculation.
Have you ever wondered howdoctors estimate a woman's risk
of developing breast cancer?
One of the most widely usedtools is the Tyra Cusick Risk
(00:27):
Calculator, also known as theIBI-esque risk tool.
Well, this tool helpshealthcare professionals
determine a woman's likelihoodof developing breast cancer over
the next 10 years and over herlifetime.
So it's especially helpful foridentifying women who may
benefit from earlier screening,genetic counseling or even
(00:48):
preventive strategies likemedication or surgery or even
reduction in alcohol consumption.
What makes the Tyra Cusickunique, you might be thinking.
Well, it's one of the mostcomprehensive breast cancer risk
models, because it looks atboth your family history,
including both close and distantrelatives with breast or
(01:09):
ovarian cancer, personal riskfactors like age, weight, height
, age at first period, age atmenopause, whether you've had
children or not.
It looks at your breast density, whether you have C or D, and
even whether you've used hormonereplacement therapy.
And it can also incorporateBRCA1 and 2 gene status, if
(01:29):
known, which makes it incrediblyuseful for women with strong
family histories of breastcancer or cancer.
Why does this matter?
You're probably thinkingBecause early detection and risk
reduction saves lives.
With this particular calculator, clinicians can tailor
screening plans, likerecommending mammograms before
(01:49):
the age of 40 or using MRIinstead of mammograms for
high-risk women, and it alsohelps inform decisions around
risk-reducing medications liketamoxifen.
So who should consider thisassessment?
I actually think every womanshould.
Anybody with breasts, womenwith a family history of breast
or ovarian cancer, those withdense breasts, like breast
(02:12):
density C or D, and that makesit more difficult to see masses
on a mammogram.
So you might need an ultrasoundor an MRI actually to have a
further look and a morecomprehensive assessment.
And then anyone curious abouttheir own breast cancer risk,
especially if personalizedscreening is being considered.
So you'll get two numbers your10-year risk and your lifetime
(02:36):
risk, and if your lifetime riskis 20% or more, you're
considered high risk under manyguidelines, including those from
the National ComprehensiveCancer Network and National
Association Menopause Society,and this may change how often
and how early that you'rescreened.
So if you're wondering aboutyour own risk or think your
(02:57):
family history might put you athigher risk, ask your healthcare
provider about the Tyra Cusickmodel, because knowledge is
power and in this case it mightbe life saving.
And you know just a little bitof more of a deeper dive into
the Tyra Cusick model.
It's generally considered areliable tool for estimating
(03:18):
breast cancer risk, especiallyamong women with a family
history of disease or those withother risk factors.
It's often used in conjunctionwith mammograms to help guide
screening and risk managementstrategies.
It's important to remember thatthe model provides a risk
estimate, not a definitiveprediction, and its accuracy can
be influenced by many factors.
(03:39):
But studies have shown that theTYRER-QZIK model is a good
predictor of breast cancer risk,especially for women with that
family history or other riskfactors.
It's consistent in itspredictions, meaning it tends to
give similar risk estimates forindividuals with comparable
(04:02):
risk factors.
It's a good calibration.
It has shown good calibration,so it accurately estimates the
risk of breast cancerdevelopment in the population
it's used on and the modelconsiders various factors like
family history, age, as Imentioned, bmi, body mass index,
benign breast disease and otherrisk factors as well.
(04:23):
So it might be something thatyou would like to try.
I thought we'd do it onlinehere on the podcast tonight, so
if you want to go to magviewcom.
They have the IBS desk riskcalculator, and so let's go.
So the first question is haveyou ever been diagnosed with
breast cancer?
(04:43):
And they actually want me tofill it out Before they ask you
about your age 25.
How old are you?
Anyway?
Throw your age in there,whatever it is.
Age is like a phone number andmine's unlisted.
No, I'm not 177 years old.
Anyway, pop your age in yourcurrent height and weight.
(05:08):
That's another something elseyou might not want to share with
the masses, but anyway,nonetheless, I've entered mine.
Have you ever had a menstrualperiod?
If you can remember the age atwhich you had your first
menstrual period, they'd likeyou to have that information.
They want your stage ofmenopause premenopausal,
perimenopausal, postmenopausal,I don't know, you know, and just
(05:30):
enter your number.
I've actually done this beforemyself and you know.
Happily, I have to say I had avery low risk of the low risk,
of the 10 year risk and also thelifetime risk as well.
Asking about if you've ever usedhormone replacement therapy,
because that can increase yourrisk as well.
(05:51):
And do you know if you have amutation in either the BRCA1 or
BRCA2 gene?
And one of the answers is nottested.
A lot of women have not hadthat test done.
Have you ever had a breastbiopsy?
Yes, no, prior biopsy.
It asks to give you results.
Or have you had ovarian cancer?
Have you had other cancers likecolorectal or pancreatic or
(06:14):
prostate cancer?
This test is not limited towomen, I might add as well,
because men although it's asignificantly lower number, men
can get breast cancer.
Also, they want to know yourbreast density, and now
mammograms are more likely toreport breast density and it's a
good idea to know what yourbreast density is.
(06:34):
And the test carries on.
I won't go through the entiretest because I've actually
missed one of the questions here.
They're telling me it must havebeen about my age.
The numbers didn't add up andthey noted it.
That also helps for itsaccuracy.
It asks about how many childrenthat you have had.
Have you given birth to one ormore children?
(06:55):
They want to know all of yourchildren's ages and how old you
were when you had a baby, or hadyour first baby, in fact,
because all of this is importantin terms of assessing your risk
.
But this is a very comprehensivetest, comprehensive test.
They also look at your familyhistory and they're looking at
(07:15):
your paternal aunts and paternalhalf-sisters and your maternal,
grandmother, maternal aunts,and so they really go through
everybody and they assess theirrisk as well of you know, breast
cancer and other cancers likeovarian cancer, pancreatic
cancer, colorectal cancer, youknow.
So it's important you fill inall of that information and, you
(07:38):
know, try and get the mostaccurate information.
They do actually have manydifferent options that you can
say so anyway.
So they estimated my risk to beless than 20%.
It's based on my lifetime riskis 2.5% and the US population
(07:59):
average lifetime risk is 9.8%for women of the same age.
So, you know, I just want to saythis is just important
information.
You might want to try it.
It might take, you know, 10 or15 minutes of your time and it
can actually put your mind atease or help you to get the
right preventive strategies tohelp you to prevent breast
cancer.
(08:19):
Anyway, thanks so much fortuning in Once again.
If you think there's anybodythat you know that might benefit
from hearing this episode,please feel free to share it
with them.
I'm Maureen McGrath, registerednurse, nurse, continence advisor
, sexual health educator, andtonight we were talking about
the Tyra Cusick risk calculatorfor breast cancer.
Thanks so much for tuning in.
As always.
(08:40):
I appreciate it.
Gentlemen, let's talk tech foryour tool.
The Firm Tech Ring isrevolutionizing erections,
tracking performance, boostingstamina and supporting your
sexual health with real science.
Ready to level up in thebedroom?
Head on over to MyFirmTechcomand use the code NURSEMOREEN15
(09:01):
for 15% off of any FirmTechorder.
Firmtech hard science forharder health, because
performance matters.
Guys, if urinary leaks orstruggles in the bedroom are
holding you back, it's time totake control.
Btl-m cell, better known as theKegelthrone, is a game changer,
(09:22):
boosting pelvic floor strength,improving bladder control and
even enhancing blood flow forbetter performance.
In just 30 minutes, thisnon-invasive treatment delivers
thousands of muscle contractions, helping you regain the
confidence where it matters most.
No surgery, no downtime, justresults Stronger pelvic floor,
better bladder control, improvedintimacy.
(09:44):
Book your session today.
For more information or to finda provider, go to
btlastheticscom.
That's btlastheticscom.
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