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Gross 4 , Jiafu Ji 5 , Laura Morlock 3 1 Inner Mongolia Peoples Hosptial, Hohhot, China, 2 Johns Hopkins Department of Medicine, Johns Hopkins University School of Medicine, Balitimore, Maryland, USA, 3 Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA, 4 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA, 5 State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, GI Cancer Center of Peking University Cancer Hospital & Institute, Beijing, China Journal of Patient-Reported Outcomes 2026 , 10(Suppl 1) :209.2 Aims Breast cancer (BC) is the most common malignancy for women worldwide