The Ontario Family History Assessment Tool
Risk Factor Points
Breast and ovarian cancer
Mother 10
Sibling 7
Second-/third-degree relative 5
Breast cancer relative
Parent 4
Sibling 3
Second-/third-degree relative 2
Male relative (add to above) 2
Breast cancer characteristics
Onset at age 20–29 y 6
Onset at age 30–39 y 4
Onset at age 40–49 y 2
Premenopausal/perimenopausal 2
Bilateral/multifocal 3
Ovarian cancer relative
Mother 7
Sibling 4
Second-/third-degree relative 3
Age at ovarian cancer onset
<40 y 6
40–60 y 4
>60 y 2
Age at prostate cancer onset
<50 y 1
Age at colon cancer onset
<50 y 1
Family total
Referral† ≥10

† Referral with a score of ≥10 corresponds to doubling of lifetime risk for breast cancer (22%).

 

Reference

https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing

 

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