Marriage and Mortality in Prostate Cancer

Krongrad, Arnon; Lai, Hong; Burke, Michael A.; Goodkin, Karl; Lai, Shenghan

doi:10.1016/s0022-5347(01)65485-5

Cited by 119Cancer survivorship and careProstate Cancer Diagnosis and TreatmentHealth disparities and outcomes

Marriage and Mortality in Prostate Cancer

Krongrad, Arnon, Lai, Hong, Burke, Michael A., Goodkin, Karl, Lai, Shenghan·1996·Journal of Urology

DOI 10.1016/s0022-5347(01)65485-5

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Abstract

Purpose We evaluated the association of marital status and survival in patients with prostate cancer. Materials and methods Using the 146,979 prostate cancer patients of the 1973 to 1990 public use tape of the Surveillance, Epidemiology and End Results program we performed survival analysis and multivariate proportional hazards modeling to estimate the relative risk of mortality. Results Married patients had significantly longer median survival than those who were divorced, single, separated or widowed. In models that controlled for age, stage, race and treatment, married patients had a significantly lower risk of mortality than those who were divorced, single, separated or widowed. Conclusions Several hypothetical models can explain the association of marital status and mortality in men with prostate cancer. The most attractive model relies on the putative salutary effects of being married on social support and/or mood. A social support and depressed mood model of mortality raises the possibility that in prostate cancer quality of life determines quantity of life. Understanding the relationships among marital status, social support, mood and mortality could open the way to rational strategies for postponing death in men with prostate cancer.

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Married men diagnosed with prostate cancer have been shown to have significantly longer median survival than those who were divorced, single, separated or widowed.
“For example, married men diagnosed with PC have been shown to have significantly longer median survival than those who were divorced, single, separated or widowed.72”
From Preliminary Development of a Mindfulness-Based Group Therapy to Expand Couples’ Sexual Intimacy after Prostate Cancer: A Mixed Methods Approach (2021) · cites this paper as [72]

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Authors: Krongrad, A., Lai, H., Burke, M. A., Goodkin, K., & Lai, S.
Affiliations: University of Miami (US)
ORCID: Lai, Hong
Lai, Shenghan
Venue: Journal of Urology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1996-11
Volume: 156
Issue: 5
Pages: 1696-1700
ISSN: 0022-5347 (ISSN-L)
1527-3792
DOI: 10.1016/s0022-5347(01)65485-5
OpenAlex: W2171069307
Cited by: 119
References: 44
Citations by year: 2025: 1 · 2024: 2 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 7 · 2018: 4 · 2017: 4 · 2016: 8 · 2015: 3 · 2014: 5 · 2013: 7 · 2012: 8
FWCI: 1.20
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Journal of Urology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
Social Sciences › Health › Health disparities and outcomes
Keywords: prostate cancer, marital status, mortality, survival, social support, depressive mood, quality of life, SEER database
MeSH terms: Aged, Aged, 80 and over, Humans, Male, Middle Aged, Prostatic Neoplasms, Survival Rate, Multivariate Analysis, Proportional Hazards Models, Marital Status

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Marriage and Mortality in Prostate Cancer

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