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We aimed to address this by comparing patient-reported outcomes between breast cancer survivors and women with no history of breast cancer<jats:italic>.<\/jats:italic><\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Breast cancer survivors and women with no prior cancer were selected from the UK Clinical Practice Research Datalink GOLD primary care database, which includes population-based primary care electronic health record data. Breast cancer survivors and controls were frequency matched by age and primary care practice. Outcomes were assessed with validated instruments via postal questionnaire. Linear and logistic regression models were fitted to estimate adjusted associations between breast cancer survivorship and outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 356 breast cancer survivors (8.1\u00a0years post diagnosis) and 252 women with no prior cancer participated in the study. Compared with non-cancer controls, breast cancer survivors had poorer QoL in the domains of cognitive problems (adjusted <jats:italic>\u03b2 (a\u03b2)\u2009=\u20091.4, p\u2009=\u20090.01<\/jats:italic>), sexual function (a<jats:italic>\u03b2\u2009=\u20091.7, p\u2009=\u20090.02<\/jats:italic>) and fatigue (a<jats:italic>\u03b2\u2009=\u20091.3, p\u2009=\u20090.01<\/jats:italic>), but no difference in negative feelings, positive feelings, pain, or social avoidance. Breast cancer survivors had higher odds of borderline-probable anxiety (score\u00a0<jats:italic>\u2265\u20098<\/jats:italic>) (adjusted OR\u2009=\u20091.47, 95%CI:1.15\u20131.87), but no differences in depression. Advanced stage at diagnosis and chemotherapy treatment were associated with poorer QoL.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Compared with women with no history of cancer, breast cancer survivors report more problems with cognition, sexual function, fatigue, and anxiety, particularly where their cancer was advanced and\/or treated with chemotherapy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Implications for Cancer Survivors<\/jats:title>\n                <jats:p>Breast cancer survivors with more advanced disease and\/or treated with chemotherapy should be closely monitored and, when possible, offered evidence-based intervention for fatigue, cognitive dysfunction, and sexual problems.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11764-020-00950-3","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T19:02:57Z","timestamp":1603306977000},"page":"564-575","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":113,"title":["Quality of life and mental health in breast cancer survivors compared with non-cancer controls: a study of patient-reported outcomes in the United Kingdom"],"prefix":"10.1007","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1538-2526","authenticated-orcid":false,"given":"Helena","family":"Carreira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harley","family":"Dempsey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susannah","family":"Stanway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam","family":"Smeeth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishnan","family":"Bhaskaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"issue":"4","key":"950_CR1","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1158\/1055-9965.EPI-12-1356","volume":"22","author":"JS de Moor","year":"2013","unstructured":"de Moor JS, Mariotto AB, Parry C, Alfano CM, Padgett L, Kent EE, et al. 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J Clin Oncol. 2012;30(30):3712\u20139.","journal-title":"J Clin Oncol"}],"container-title":["Journal of Cancer Survivorship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-020-00950-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-020-00950-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-020-00950-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T11:46:55Z","timestamp":1650541615000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11764-020-00950-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,21]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["950"],"URL":"https:\/\/doi.org\/10.1007\/s11764-020-00950-3","relation":{},"ISSN":["1932-2259","1932-2267"],"issn-type":[{"value":"1932-2259","type":"print"},{"value":"1932-2267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,21]]},"assertion":[{"value":"29 July 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 October 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The Wellcome Trust, the Royal Society, and the UK Medical Research Council had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. The Clinical Practice Research Datalink was involved in the design and conduct of the study; interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}},{"value":"Dr. Williams and Ms. Dempsey report that CPRD has financial relationships with its clients, including the London School of Hygiene & Tropical Medicine, in relation to providing access to research data and services both related to and outside of the submitted work. Dr. Stanway reports personal fees from Roche, Clinigen, Eli Lilly, and Novartis, not related to this work. Dr. Bhaskaran reports grants from Wellcome Trust, the Royal Society, Medical Research Council, and British Heart Foundation, outside the submitted work. The other authors in this report have no conflict of interest to disclose.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the East of England\u2013Cambridge South Research Ethics Committee (Ref: \/EE\/0403), the London School of Hygiene and Tropical Medicine Interventions Research Ethics Committee (Ref: 14417), and the Health Research Authority and Health and Care Research Wales (IRAS Project ID: 224561). Implicit patient consent was obtained when the patient posted the completed questionnaires.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}]}}