RT Journal Article T1 Primary breast cancer and health related quality of life in Spanish women: The EpiGEICAM case-control study. A1 Fernandez de Larrea-Baz, Nerea A1 Perez-Gomez, Beatriz A1 Guerrero-Zotano, Angel A1 Casas, Ana Maria A1 Bermejo, Begoña A1 Baena-Cañada, Jose Manuel A1 Antolin, Silvia A1 Sanchez-Rovira, Pedro A1 Ramos Vazquez, Manuel A1 Garcia-Saenz, Jose Angel A1 Anton, Antonio A1 Muñoz, Montserrat A1 de Juan, Ana A1 Jara, Carlos A1 Chacon, Jose Ignacio A1 Arcusa, Angels A1 Gil-Gil, Miguel A1 Adrover, Encarna A1 Oltra, Amparo A1 Brunet, Joan A1 Gonzalez, Sonia A1 Bezares, Susana A1 Lope, Virginia A1 Martin, Miguel A1 Pollan, Marina K1 Middle aged K1 Psychological distress K1 Quality of life K1 Spain AB This study evaluates the impact of breast cancer (BC) in health related quality of life (HRQL) and in psychological distress (PD) during the initial phases of the disease and looks for contributing factors. A multicentric case-control study, EpiGEICAM, was carried out. Incident BC cases and age- and residence- matched controls were included. Clinical, epidemiological, HRQL (SF-36) and PD information (GHQ-28) was collected. We used multivariable logistic regression models to estimate OR of low HRQL and of PD in cases compared to controls, and to identify factors associated with low HRQL and with PD. Among 896 BC cases and 890 control women, cases had poorer scores than both, the reference population and the control group, in all SF-36 scales. BC women with lower education, younger, active workers, never smokers, those with comorbidities, in stage IV and with surgical treatment had lower physical HRQL; factors associated with low mental HRQL were dissatisfaction with social support, being current smoker and having children. Cases had a fivefold increased odds of PD compared to controls. Managing comorbidities and trying to promote social support, especially in younger and less educated women, could improve well-being of BC patients. PB Nature Publishing Group YR 2020 FD 2020-04-02 LK http://hdl.handle.net/10668/15532 UL http://hdl.handle.net/10668/15532 LA en NO Fernández de Larrea-Baz N, Pérez-Gómez B, Guerrero-Zotano Á, Casas AM, Bermejo B, Baena-Cañada JM, et al. Primary breast cancer and health related quality of life in Spanish women: The EpiGEICAM case-control study. Sci Rep. 2020 May 8;10(1):7741 DS RISalud RD Apr 8, 2025