ArticleMedicine2019
The impact of marital status on survival in patients with surgically treated colon cancer.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Marital status and survival in cancer patients: A systematic review and meta-analysis.Cancer medicine · 2023Pooled it
- Social determinants of colorectal cancer risk, stage, and survival: a systematic review.International journal of colorectal disease · 2020Pooled it
- Socioeconomic disparities in survival of patients with superficial colorectal cancer.Discover oncology · 2026Article
- The Impact of Social Determinants of Health on Severe Colorectal Complications.Clinics in colon and rectal surgery · 2026Review
- Prevalence and trends of cancer-related daily life limitations among gastrointestinal cancer survivors.Journal of cancer survivorship : research and practice · 2025Article
- Sepsis as a cause of death among elderly cancer patients: an updated SEER database analysis 2000-2021.Annals of medicine and surgery (2012) · 2025Article
- A retrospective analysis of key predictors and patient outcomes: Using artificial intelligence for precision survival prediction in colorectal cancer.German medical science : GMS e-journal · 2025Article
- Social Determinants of Health and the Link to Colorectal Cancer Outcomes.Current treatment options in oncology · 2024Review
- Proportion trends, cancer stage, and survival of patients with cancer diagnosed through emergency and nonemergency departments: a nationwide cohort study.Frontiers in oncology · 2024Article
- Primary tumor location impacts survival in colorectal cancer patients after primary resection: a population‑based propensity score matching cohort study.Journal of gastrointestinal oncology · 2023Article
- The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study.Frontiers in oncology · 2023Article
- Article
- Characterizing Cancer and Work Disparities Using Electronic Health Records.International journal of environmental research and public health · 2022Article
- Social support and cervical cancer screening among sub-Saharan African immigrant (SAI) women.Cancer causes & control : CCC · 2022Article
- Impact of Primary Tumor Resection on Survival of Patients with Metastatic Gallbladder Carcinoma: A Population-Based, Propensity‑Matched Study.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Early-Onset Colorectal Cancer Survival Differences and Potential Geographic Determinants Among Men and Women in Utah.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2022Article
- Racial Disparities in Survival Outcomes of Colorectal Cancer Patients After Surgical Resection.Cureus · 2022Article
- A Nomogram Predicting the Overall Survival and Cancer-Specific Survival in Patients with Parathyroid Cancer: A Retrospective Study.Frontiers in endocrinology · 2022Article
- Surgical Methods and Social Factors Are Associated With Long-Term Survival in Follicular Thyroid Carcinoma: Construction and Validation of a Prognostic Model Based on Machine Learning Algorithms.Frontiers in oncology · 2022Article
- Living alone as a risk factor for cancer incidence, case-fatality and all-cause mortality: A nationwide registry study.SSM - population health · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to investigate the relationship between marital status and disease outcome in patients with surgically treated colon cancer. Between June 2010 and December 2015, a total of 925 patients with newly diagnosed colon cancer receiving curative resection were enrolled. The effect of marital status on 5-year disease-specific survival (DSS) was calculated using Kaplan-Meier method, and was compared by log-rank tests. A Cox regression model was used to find significant independent variables and determine whether marriage had a survival benefit in patients with colon cancer, using stratified analysis. Among these patients, 749 (80.9%) were married, and 176 (19.1%) were unmarried, including 42 (4.5%) never-married, 42 (4.5%) divorced/separated, and 93 (10.1%) widowed. There was no significant difference between the married and unmarried groups in cancer stage or adjuvant treatment. Married patients had better 5-year DSS compared with unmarried patients (69.1% vs 55.9%, P < .001). Uni- and multivariate analyses also indicated that unmarried patients had worse 5-year DSS after adjusting for various confounders (adjusted HR [aHR], 1.66; 95% CI, 1.24-2.22). Further stratified analysis according to demographic variables revealed that unmarried status was a significant negative factor in patients with the following characteristics: age >65 years, female sex, well/moderately differentiated tumor, and advanced tumor-node-metastasis (TNM) stage disease (III-IV). Thus, marriage has a protective effect, and contributes to better survival in patients with surgically treated colon cancer. Additional social support for unmarried colon cancer patients may lead to improve outcomes.
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