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NHS This cohort of women followed from 1976 has routinely updated information every 2 years on reproductive risk factors for breast cancer, family history of breast cancer, use of postmenopausal hormones, and from 1980 onwards alcohol intake.
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These include the fact that medications in the same letter category may have different magnitudes of fetal risk, most medications are rated category C (i.e., insufficient information is available to assess their potential risk and benefit during pregnancy), and the rating is not routinely updated when new information becomes available (18 ).
We followed a cohort of 77,232 women from 1980 to 2006 (1,445,578 person-years), with routinely updated risk factor information, documenting 4196 incident cases of invasive breast cancer.
A previous study found that although 99% of GPs record smoking status when patients first join their practices, only 57% claim to routinely update this information [ 3] and our findings may reflect this.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com