RT journal article T1 Primary breast cancer and health related quality of life in Spanish women: The EpiGEICAM case-control study A1 Fernández de Larrea-Baz, Nerea A1 Pérez-Gómez, Beatriz A1 Guerrero-Zotano, Ángel A1 Casas, Ana María A1 Bermejo, Begoña A1 Baena Cañada, José Manuel A1 Antolín, Silvia A1 Sánchez-Rovira, Pedro A1 Ramos Vázquez, Manuel A1 García-Sáenz, José Ángel A1 Antón, Antonio A1 Muñoz, Montserrat A1 de Juan, Ana A1 Jara, Carlos A1 Chacón, José Ignacio A1 Arcusa, Angels A1 Gil-Gil, Miguel A1 Adrover, Encarna A1 Oltra, Amparo A1 Brunet, Joan A1 González, Sonia A1 Bezares, Susana A1 Lope, Virginia A1 Martín, Miguel A1 Pollán, Marina A2 Medicina 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 SN 2045-2322 YR 2020 FD 2020-05 LK http://hdl.handle.net/10498/23701 UL http://hdl.handle.net/10498/23701 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 10-may-2026