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What's Love Got to do with it? Marital status and survival of head and neck cancer.
- Source :
- European Journal of Cancer Care; Jul2019, Vol. 28 Issue 4, pN.PAG-N.PAG, 1p, 2 Charts, 1 Graph
- Publication Year :
- 2019
-
Abstract
- Objective: To determine whether marital status independently predicts survival in a head and neck cancer (HNC) survivor population. Methods: In this retrospective cohort study, we analysed data from 460 adult patients (59.31 ± 11.42) years diagnosed with HNC at an academic tertiary referral centre between 1997 and 2012. Cox proportional hazards model estimated the effect of marital status on survival. Results: Our study had 73% men, and 82.2% were Whites. We found an association between marital status and HNC survival. Unmarried HNC patients had a 66% increase in hazard of death compared to married patients (aHR = 1.66, 95% CI = 1.23–2.23). This was after controlling for sociodemographic variables (age, race, sex and health insurance status), social habits (tobacco and alcohol), primary anatomical subsite (oral cavity, oropharyngeal, laryngeal and others), stage at presentation (early vs. late stage) and treatment modality (surgery, surgery with adjuvant therapies, other single modality therapy and palliative care). Conclusions: Being married confers survival advantage for HNC survivors. Our finding underscores the need to recognise this aspect of survivorship. Social support should be considered part of standard care for managing HNC. There may also be need to develop other support mechanisms, especially for unmarried HNC survivors. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACADEMIC medical centers
CANCER patients
CHI-squared test
CONFIDENCE intervals
ALCOHOL drinking
HEAD tumors
LOVE
MARITAL status
MEDICAL records
MULTIVARIATE analysis
NECK tumors
CANCER
REGRESSION analysis
SMOKING
STATISTICS
T-test (Statistics)
PROPORTIONAL hazards models
RETROSPECTIVE studies
DATA analysis software
DESCRIPTIVE statistics
TERTIARY care
Subjects
Details
- Language :
- English
- ISSN :
- 09615423
- Volume :
- 28
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- European Journal of Cancer Care
- Publication Type :
- Academic Journal
- Accession number :
- 137585568
- Full Text :
- https://doi.org/10.1111/ecc.13022