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Although metastatic breast cancer (MBC) may be responsive to further treatment, it is incurable, and so improving the quality of life (QoL), not merely the length of life, is an important parameter of benefit. Patients need appropriate formal psychosocial assessment to enable identification of those who may require different forms of support in order to minimize the social and emotional impact of the diagnosis and effects of treatment. Between 31% and 57% of women with MBC will have a mood disorder that merits intervention

Why patient recorded outcomes should be mandatory in and outside clinical trials to guide management of patients with metastatic breast cancer