UNIVERSI
TÄ
TS-
BIBLIOTHEK
P
ADERBORN
Anmelden
Menü
Menü
Start
Hilfe
Blog
Weitere Dienste
Neuerwerbungslisten
Fachsystematik Bücher
Erwerbungsvorschlag
Bestellung aus dem Magazin
Fernleihe
Einstellungen
Sprache
Deutsch
Deutsch
Englisch
Farbschema
Hell
Dunkel
Automatisch
Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist
gegebenenfalls
nur via VPN oder Shibboleth (DFN-AAI) möglich.
mehr Informationen...
Universitätsbibliothek
Katalog
Suche
Details
Zur Ergebnisliste
Ergebnis 5 von 1379
Datensatz exportieren als...
BibTeX
Marital status and head and neck cancer outcomes
Cancer, 2015-04, Vol.121 (8), p.1273-1278
Inverso, Gino
Mahal, Brandon A.
Aizer, Ayal A.
Donoff, R. Bruce
Chau, Nicole G.
Haddad, Robert I.
2015
Details
Autor(en) / Beteiligte
Inverso, Gino
Mahal, Brandon A.
Aizer, Ayal A.
Donoff, R. Bruce
Chau, Nicole G.
Haddad, Robert I.
Titel
Marital status and head and neck cancer outcomes
Ist Teil von
Cancer, 2015-04, Vol.121 (8), p.1273-1278
Ort / Verlag
United States
Erscheinungsjahr
2015
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
BACKGROUND The objective of this study was to examine the effects of marital status on stage at presentation, receipt of treatment, and survival in patients with head and neck cancer (HNC). METHODS The Surveillance, Epidemiology, and End Results database was used to analyze 51,272 patients who were diagnosed with HNC from 2007 to 2010. The impact of marital status on cancer stage at presentation, receipt of definitive treatment, and HNC‐specific mortality (HNCSM) was determined using multivariable logistic and Fine and Gray competing‐risks regression models, as appropriate. RESULTS Marriage had a protective effect against metastatic presentation of oral and laryngeal cancers (oral cancer: adjusted odds ratio [AOR], 0.72; 95% confidence interval [CI], 0.60‐0.87; P < .001; laryngeal cancer: AOR, 0.53; 95% CI, 0.42‐0.67; P < .001) but not against oropharyngeal, hypopharyngeal, or nasopharyngeal cancers. Among patients with nonmetastatic disease, married patients were more likely to receive definitive treatment (overall AOR, 1.77; 95% CI, 1.60‐1.95; P < .001) and had a lower risk of HNCSM (overall adjusted hazard ratio, 0.72; 95% CI, 0.68‐0.77; P < .001); these associations remained significant across all HNC sites. CONCLUSIONS Among patients with oral and laryngeal cancers, those who are married are less likely to present with metastatic disease. In addition, married patients are more likely to receive definitive treatment and less likely to die from HNC across all HNC sites. This suggests that spousal support may have a role in the surveillance of visual and symptomatic HNC types and leads to higher rates of treatment and better survival across all HNC sites. Cancer 2015;121:1273–1278. © 2014 American Cancer Society. Married patients are less likely than unmarried patients to present with metastatic oral and laryngeal cancers, more likely to receive definitive treatment across the 5 head and neck cancer sites (oral, oropharyngeal, hypopharyngeal, nasopharyngeal, and laryngeal), and less likely to die from cancers of these 5 sites. These findings suggest that spousal support may play a role in the surveillance of patients who have visual and symptomatic head and neck cancers and can lead to higher rates of treatment and better survival across all head and neck cancer types.
Sprache
Englisch
Identifikatoren
ISSN: 0008-543X
eISSN: 1097-0142
DOI: 10.1002/cncr.29171
Titel-ID: cdi_proquest_miscellaneous_1672612905
Format
–
Schlagworte
Aged
,
cancer outcomes
,
cancer social support
,
Databases, Factual
,
Female
,
head and neck cancer
,
Humans
,
Laryngeal Neoplasms - mortality
,
Laryngeal Neoplasms - pathology
,
Male
,
Marital Status
,
marriage
,
Middle Aged
,
Mouth Neoplasms - mortality
,
Mouth Neoplasms - pathology
,
Neoplasm Metastasis - pathology
,
Prognosis
,
SEER Program
,
Spouses - psychology
,
Surveillance, Epidemiology, and End Results
Weiterführende Literatur
Empfehlungen zum selben Thema automatisch vorgeschlagen von
bX