The impact of a breast cancer diagnosis on marital outcomes and factors associated with divorce and separation.

Autor:	Werutsky G; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., Lopes M; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., de Jesus RG; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., Gazola AA; Pontifícia Universidade Católica do Rio Grande do Sul Porto AlegreRS Brazil Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil., Pellegrini RA; Pontifícia Universidade Católica do Rio Grande do Sul Porto AlegreRS Brazil Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil., Rebelatto TF; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., Freitas LVW; Department of Medical Oncology Hospital São Lucas Pontifícia Universidade Católica do Rio Grande do Sul Porto AlegreRS Brazil Department of Medical Oncology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil., Heck AP; Department of Medical Oncology Hospital São Lucas Pontifícia Universidade Católica do Rio Grande do Sul Porto AlegreRS Brazil Department of Medical Oncology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil., da Silva AF; Department of Medical Oncology Hospital São Lucas Pontifícia Universidade Católica do Rio Grande do Sul Porto AlegreRS Brazil Department of Medical Oncology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil., Rodrigues MF; Pontifícia Universidade Católica do Rio Grande do Sul Porto AlegreRS Brazil Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil., Gössling G; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., Giacomazzi J; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., Rocha MS; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., Rosa DD; Grupo Brasileiro de Estudos em Câncer de Mama Porto AlegreRS Brazil Grupo Brasileiro de Estudos em Câncer de Mama, Porto Alegre, RS, Brazil., Barrios CH; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil., Cronemberger EH; Centro Regional Integrado de Oncologia FortalezaCE Brazil Centro Regional Integrado de Oncologia, Fortaleza, CE, Brazil., Queiroz GS; Associação de Combate ao Câncer em Goiás Hospital Araújo Jorge GoiâniaGO Brazil Associação de Combate ao Câncer em Goiás, Hospital Araújo Jorge, Goiânia, GO, Brazil., Bines J; Instituto Nacional do Câncer Rio de JaneiroRJ Brazil Instituto Nacional do Câncer, Rio de Janeiro, RJ, Brazil., Simon SD; Grupo Oncoclínicas São PauloSP Brazil Grupo Oncoclínicas, São Paulo, SP, Brazil., Fay AP; Latin American Cooperative Oncology Group Porto AlegreRS Brazil Latin American Cooperative Oncology Group, Porto Alegre, RS, Brazil.; Department of Medical Oncology Hospital São Lucas Pontifícia Universidade Católica do Rio Grande do Sul Porto AlegreRS Brazil Department of Medical Oncology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2024 Jun 27; Vol. 46. Date of Electronic Publication: 2024 Jun 27 (Print Publication: 2024).
DOI:	10.61622/rbgo/2024rbgo60
Abstrakt:	Objective: To analyze marital outcomes, divorce or separation, and its association with demographic, socioeconomic, and clinicopathological factors among breast cancer (BC) survivors after 2-years of diagnosis. Methods: We performed a retrospective analysis of marital status at baseline and at years 1 and 2 of follow-up of women aged ≥ 18 years diagnosed with invasive BC participating in the AMAZONA III (GBECAM0115) study. The BC diagnosis occurred between January 2016 and March 2018 at 23 institutions in Brazil. Results: Of the 2974 women enrolled in AMAZONA III, 599 were married or living under common law at baseline. Divorce or separation occurred in 35 (5.8%) patients at 2 years of follow-up. In the multivariate analysis, public health insurance coverage was associated with a higher risk of marital status change (8.25% vs. 2.79%, RR 3.09, 95% CI 1.39 - 7.03, p = 0.007). Women who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation (8.1% vs. 4.49%, RR 1.97, 95 CI 1.04 - 3.72, p = 0.0366) than those who underwent breast-conserving surgery. Conclusion: Women covered by the public health system and those who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation. This evidence further supports the idea that long-term marital stability is associated with a complex interplay between socioeconomic conditions and stressors, such as BC diagnosis and treatment. ClinicalTrials Registration: NCT02663973. Competing Interests: Conflicts to interest: none to declare
Databáze:	MEDLINE
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