In order to know the effectiveness of the preventive surgeries you would need to know how many people died after the surgeries, and or the number of people that still had cancer after surgery. This would allow you to compare those who had surgery to those who didn’t.
In the BRCA1 the average age of diagnosis is 44, the average age of diagnosis for BRCA2 is 46, while people with no mutations the average age is 50. With the BRCA1 mutation you are more likely to have cancer at a younger age. With no mutations cancer develops later.
Breast cancer genes are normal genes that have mutated; the surgeries and the deaths remove the mutated genes from the population but don’t prevent other people from developing the mutations