Keeping it in the family: the impact of marital status and next of kin on cancer treatment and survival.

Autor: Eskander MF; Surgical Outcomes Analysis and Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Schapira EF; Surgical Outcomes Analysis and Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Bliss LA; Surgical Outcomes Analysis and Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Burish NM; Surgical Outcomes Analysis and Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Tadikonda A; Surgical Outcomes Analysis and Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Ng SC; Surgical Outcomes Analysis and Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Tseng JF; Surgical Outcomes Analysis and Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. Electronic address: jftseng@bidmc.harvard.edu.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2016 Oct; Vol. 212 (4), pp. 691-699. Date of Electronic Publication: 2016 Sep 13.
DOI: 10.1016/j.amjsurg.2016.07.004
Abstrakt: Background: This study examines the impact of marriage and next of kin identity on timing of diagnosis, treatment, and survival in cancer patients.
Methods: Retrospective review of patients with 5 solid tumor types treated at an academic medical center from 2002 to 2012. Exposures of interest were marriage status at time of diagnosis and familial relationship with next of kin (NOK). Association with overall survival determined via Cox regressions and with early diagnosis (stage I to II) and receipt of surgery via logistic regressions.
Results: Marriage was not associated with early diagnosis for any cancer type. After adjustment, being married was associated with significantly higher odds of receiving surgery only for pancreatic cancer and with improved survival for breast and lung cancers. Having a nuclear relationship with NOK was not associated with any outcomes.
Conclusions: Marriage status was associated with improved outcomes for certain cancers whereas familial relationship with NOK was not.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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