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"This is the pre-peer reviewed version of the following article: Manchanda R, Legood R, Antoniou AC, Pearce L, Menon U. Commentary on changing the risk threshold for surgical prevention of ovarian cancer. BJOG. 2017; https://doi.org/10.1111/1471-0528.14763., which has been published in final form at https://doi.org/10.1111/1471-0528.14763. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving."