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This study aimed to determine whether depression or bipolar recorded in routine hospital admission data independently predicts survival in English breast cancer patients and whether onset in relation to cancer diagnosis is significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on 77\u00a0173 women diagnosed with breast cancer (ICD\u201010 C50) in South East England, 2000\u20132009, were included. Of these, 131 women had a diagnosis of bipolar affective disorder (ICD\u201010 F31) and 955 of depression (either depressive episodes (ICD\u201010 F32) or depressive disorder (ICD\u201010 F33)) recorded in Hospital Episode Statistics between 3\u00a0years before and a year following cancer diagnosis. Kaplan\u2013Meier plots were used to examine overall survival. Cox regression analyses were carried out overall and separately for mood disorder diagnoses before and after the cancer diagnosis and adjusted for confounding variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A record of depression was a predictor of worse overall survival in breast cancer patients (adjusted HR\u2009=\u20091.33, 95% CI: 1.20\u20131.48, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), while the effect of bipolar was not statistically significant (adjusted HR\u2009=\u20091.33, 95% CI: 0.97\u20131.82, <jats:italic>p<\/jats:italic>\u2009=\u20090.079). New recordings of depression and bipolar diagnoses following a cancer diagnosis appeared better predictors of overall survival than a prior history of either.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is evidence that English breast cancer patients with depression and bipolar recorded in routine hospital data have worse overall survival than those without these mood disorders. Further work exploring the concordance of records within administrative health data with clinical diagnosis and cause\u2010specific death within these patient groups is needed. \u00a9 2015 The Authors. Psycho\u2010Oncology Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4037","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:01:05Z","timestamp":1448928065000},"page":"19-27","source":"Crossref","is-referenced-by-count":46,"title":["The association of mood disorders with breast cancer survival: an investigation of linked cancer registration and hospital admission data for South East England"],"prefix":"10.1002","volume":"25","author":[{"given":"R.","family":"Kanani","sequence":"first","affiliation":[{"name":"Cancer Epidemiology and Population Health, Research Oncology King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. 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