Cited by 177Ovarian cancer diagnosis and treatmentCancer survivorship and careCancer, Stress, Anesthesia, and Immune Response

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Social Influences on Clinical Outcomes of Patients With Ovarian Cancer

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Lutgendorf, Susan K., De Geest, Koen, Bender, David, Ahmed, Amina, Goodheart, Michael J., Dahmoush, Laila, Zimmerman, M. Bridget, Penedo, Frank J., Lucci, Joseph A., Ganjei-Azar, Parvin, Thaker, Premal H., Mendez, Luis, Lubaroff, David M., Slavich, George M., Cole, Steven W., Sood, Anil K.·2012·Journal of Clinical Oncology

DOI 10.1200/jco.2011.39.4411PMC PMC3410403

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Abstract

Purpose: Previous research has demonstrated relationships of social support with disease-related biomarkers in patients with ovarian cancer. However, the clinical relevance of these findings to patient outcomes has not been established. This prospective study examined how social support relates to long-term survival among consecutive patients with ovarian cancer. We focused on two types of social support: social attachment, a type of emotional social support reflecting connections with others, and instrumental social support reflecting the availability of tangible assistance. Patients and Methods: Patients were prospectively recruited during a presurgical clinic visit and completed surveys before surgery. One hundred sixty-eight patients with histologically confirmed epithelial ovarian cancer were observed from the date of surgery until death or December 2010. Clinical information was obtained from medical records. Results: In a Cox regression model, adjusting for disease stage, grade, histology, residual disease, and age, greater social attachment was associated with a lower likelihood of death (hazard ratio [HR], 0.87; 95% CI, 0.77 to 0.98; P = .018). The median survival time for patients with low social attachment categorized on a median split of 15 was 3.35 years (95% CI, 2.56 to 4.15 years). In contrast, by study completion, 59% of patients with high social attachment were still alive after 4.70 years. No significant association was found between instrumental social support and survival, even after adjustment for covariates. Conclusion: Social attachment is associated with a survival advantage for patients with ovarian cancer. Clinical implications include the importance of screening for deficits in the social environment and consideration of support activities during adjuvant treatment.

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Authors: Lutgendorf, S. K., De Geest, K., Bender, D., Ahmed, A., Goodheart, M. J., Dahmoush, L., Zimmerman, M. B., Penedo, F. J., Lucci, J. A., Ganjei-Azar, P., Thaker, P. H., Mendez, L., Lubaroff, D. M., Slavich, G. M., Cole, S. W., & Sood, A. K.
Affiliations: University of Iowa (US)
Susan K. Lutgendorf, Koen De Geest, David Bender, Amina Ahmed, Michael J. Goodheart, Laila Dahmoush, M. Bridget Zimmerman, and David M. Lubaroff, University of Iowa; Susan K. Lutgendorf and David M. Lubaroff, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA; Frank J. Penedo, Joseph A. Lucci III, and Parvin Ganjei-Azar, Sylvester Comprehensive Cancer Center, University of Miami, Coral Gables, FL; Premal H. Thaker, Washington University School of Medicine, St Louis, MO; Luis Mendez,...
ORCID: Lutgendorf, Susan K.
Bender, David
Ahmed, Amina
Goodheart, Michael J.
Dahmoush, Laila
Penedo, Frank J.
Thaker, Premal H.
Slavich, George M.
Sood, Anil K.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2012-08-10
Volume: 30
Issue: 23
Pages: 2885-2890
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2011.39.4411
PMC: PMC3410403
OpenAlex: W2154496739
Cited by: 177
References: 64
Citations by year: 2026: 4 · 2025: 9 · 2024: 13 · 2023: 12 · 2022: 21 · 2021: 13 · 2020: 9 · 2019: 14 · 2018: 16 · 2017: 16 · 2016: 10 · 2015: 13 · 2014: 11 · 2013: 14 · 2012: 2
FWCI: 14.90
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Clinical Oncology (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Iowa Research Online (The University of Iowa) (submittedVersion)
Funders: National Cancer Institute (CA 109298, R21CA088293, CA-104825, R01CA109298, CA140933, R01CA116778, R01CA104825, CA-116778, R01CA140933, P50CA083639, P30CA016672)
Topics: Health Sciences › Medicine › Oncology › Ovarian cancer diagnosis and treatment
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Stress, Anesthesia, and Immune Response
Keywords: ovarian cancer, social support, social attachment, instrumental support, survival, epithelial ovarian cancer, emotional support, adjuvant therapy
MeSH terms: Carcinoma, Ovarian Epithelial, Aged, Female, Humans, Middle Aged, Neoplasms, Glandular and Epithelial, Ovarian Neoplasms, Prospective Studies, Social Support, Proportional Hazards Models, Outcome Assessment, Health Care

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