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Cited by 1,031

The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

Marital Status and Survival in Patients With Cancer

Open access
Aizer, Ayal A., Chen, Ming-Hui, McCarthy, Ellen P., Mendu, Mallika L., Koo, Sophia, Wilhite, Tyler J., Graham, Powell L., Choueiri, Toni K., Hoffman, Karen E., Martin, Neil E., Hu, Jim C., Nguyen, Paul L.·2013·Journal of Clinical Oncology
DOI 10.1200/jco.2013.49.6489
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Abstract

Purpose: To examine the impact of marital status on stage at diagnosis, use of definitive therapy, and cancer-specific mortality among each of the 10 leading causes of cancer-related death in the United States. Methods: We used the Surveillance, Epidemiology and End Results program to identify 1,260,898 patients diagnosed in 2004 through 2008 with lung, colorectal, breast, pancreatic, prostate, liver/intrahepatic bile duct, non-Hodgkin lymphoma, head/neck, ovarian, or esophageal cancer. We used multivariable logistic and Cox regression to analyze the 734,889 patients who had clinical and follow-up information available. Results: Married patients were less likely to present with metastatic disease (adjusted odds ratio [OR], 0.83; 95% CI, 0.82 to 0.84; P < .001), more likely to receive definitive therapy (adjusted OR, 1.53; 95% CI, 1.51 to 1.56; P < .001), and less likely to die as a result of their cancer after adjusting for demographics, stage, and treatment (adjusted hazard ratio, 0.80; 95% CI, 0.79 to 0.81; P < .001) than unmarried patients. These associations remained significant when each individual cancer was analyzed (P < .05 for all end points for each malignancy). The benefit associated with marriage was greater in males than females for all outcome measures analyzed (P < .001 in all cases). For prostate, breast, colorectal, esophageal, and head/neck cancers, the survival benefit associated with marriage was larger than the published survival benefit of chemotherapy. Conclusion: Even after adjusting for known confounders, unmarried patients are at significantly higher risk of presentation with metastatic cancer, undertreatment, and death resulting from their cancer. This study highlights the potentially significant impact that social support can have on cancer detection, treatment, and survival.

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Metadata

Authors
Aizer, A. A., Chen, M.-H., McCarthy, E. P., Mendu, M. L., Koo, S., Wilhite, T. J., Graham, P. L., Choueiri, T. K., Hoffman, K. E., Martin, N. E., Hu, J. C., & Nguyen, P. L.
Venue
Journal of Clinical Oncology
Publisher
American Society of Clinical Oncology (ASCO)
Published
2013-11-01
Volume
31
Issue
31
Pages
3869-3876
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
DOI
10.1200/jco.2013.49.6489
OpenAlex
W2112652525
Cited by
1,031
References
12
FWCI
28.77
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Marital Status and Survival in Patients With Cancer. https://app.cochat.ai/papers/10.1200/jco.2013.49.6489
The paper
Aizer, A. A., Chen, M.-H., McCarthy, E. P., Mendu, M. L., Koo, S., Wilhite, T. J., Graham, P. L., Choueiri, T. K., Hoffman, K. E., Martin, N. E., Hu, J. C., & Nguyen, P. L. (2013). Marital Status and Survival in Patients With Cancer. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2013.49.6489

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.