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Fewer Black women with advanced breast cancer were identified as intermediate\/high advanced breast cancer risk, with the model excluding race and ethnicity due to worse calibration. This could result in suboptimal implementation of tailored screening strategies to reduce advanced breast cancer diagnoses and breast cancer mortality.<\/jats:p>","DOI":"10.1038\/s41746-025-02130-y","type":"journal-article","created":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T04:45:49Z","timestamp":1765687549000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of race and ethnicity on advanced breast cancer risk prediction model performance"],"prefix":"10.1038","volume":"8","author":[{"given":"Karla","family":"Kerlikowske","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuai","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian L.","family":"Sprague","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Tice","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana L.","family":"Miglioretti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca A.","family":"Hubbard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,14]]},"reference":[{"key":"2130_CR1","unstructured":"Evans C. 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