INTRODUCTION
cancers, breast cancer, cancer, tumour, Cancer
CANCERS, RECURRENCE, BREAST CANCER, CANCER, DISEASE, TUMOUR, CANCER
Although breast cancer (BC) remains a highly prevalent form of cancer in women around the world, advances in early diagnosis and treatment have resulted in increased survival. In Spain, it remains the most frequent tumour among women and is one of the cancers with the highest rate of incidence, mortality and recurrence at 5 years.The majority of women diagnosed with early BC undergo treatment involving surgery and radiotherapy, chemotherapy and/or hormonal therapy, which is associated with a substantial burden of symptoms and impacts quality of life. Cancer survivors experience many adverse outcomes related to the disease or its treatment,A Danish population‐based cohort study of cancer survivors found that the need for psychological and physical rehabilitation was equally frequent.Tremendous interest has been generated in the association between exercise and physiological and psychological well‐being in general and HRQoL in particular. As far as we know, there have been relatively few multidisciplinary interventions for cancer patients and survivors in Spain. In particular, no studies have investigated the effectiveness of a coordinated psychological and physiotherapeutic intervention.In our opinion, given the high prevalence of BC and the negative impact on patient's HRQoL, methodologically rigorous interdisciplinary treatments should be developed and implemented that are specifically designed for breast cancer survivors (BCSs). We developed an interdisciplinary treatment for BCS based on the biopsychosocial model,The chief objective of this study was to evaluate the effects of an interdisciplinary (psychological and physiological) group intervention for BCS compared with standard treatment. A further aim was to identify factors predicting improvement in HRQoL among these patients.