Evidence map›Paper›PMID 31214808›Full record

ArticleCancer causes & control : CCC2019

The association of marital status and mortality among men with early-stage prostate cancer treated with radical prostatectomy: insight into post-prostatectomy survival strategies.

Saira Khan, Kenneth G Nepple, Adam S Kibel, Gurdarshan Sandhu, Dorina Kallogjeri, Seth Strope, Robert Grubb, Kathleen Y Wolin, Siobhan Sutcliffe

Abstract read
In one paragraph

Article in Cancer causes & control : CCC, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Marital status and post-radical prostatectomy outcomes: results from the SEARCH database.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  11. Marital Status, Living Arrangement, and Survival among Individuals with Advanced Prostate Cancer in the International Registry for Men with Advanced Prostate Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
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  14. A model established using marital status and other factors from the Surveillance, Epidemiology, and End Results database for early stage gastric cancer.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Saira Khan *Division of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA. khans@wustl.edu.ORCID http://orcid.org/0000-0002-9024-9461
Kenneth G Nepple *Department of Urology, Carver College of Medicine, University of Iowa Health Care, 3228 RCP, Iowa City, IA, 52242, USA.
Adam S KibelDivision of Urology, Department of Surgery, Brigham and Women's Hospital, Harvard School of Medicine, 45 Francis St., ASB11-3, Boston, MA, 02115, USA.
Gurdarshan SandhuMercy Clinic Urology, David C. Pratt Cancer Center, 607 S. New Ballas Rd., Suite 3100, St. Louis, MO, 63141, USA.
Dorina KallogjeriDepartment of Otolaryngology, Washington University in St. Louis School of Medicine, 660 S. Euclid Ave., Campus Box 8042, St. Louis, MO, 63110, USA.
Seth StropeUrology of St. Louis, 12855 North Forty Dr., Suite 375, St. Louis, MO, 63141, USA.
Robert GrubbDepartment of Urology, Medical University of South Carolina, 135 Rutledge Ave., Charleston, SC, 29425, USA.
Kathleen Y WolinInteractive Health Inc., 300 N. Elizabeth St., Chicago, IL, 60607, USA.
Siobhan SutcliffeDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA.

Funding

Training Program in Cancer EpidemiologyT32CA009001 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI A. Heather Eliassen, Meir Stampfer · 1985 to 2026
$17.3M
Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
WASHINGTON UNIVERSITY CER MENTORED CAREER DEVELOPMENT AWARD KM1KM1CA156708 · NCI · WASHINGTON UNIVERSITY · PI FRASER, VICTORIA J. · 2010 to 2010
$2.5M
NCI NIH HHS KM1 CA156708NCI NIH HHS T32190194NCI NIH HHS T32 CA009001NCI NIH HHS T32 CA190194U.S. Department of Defense PC170130
6 · The paper itself

Abstract

purposeThe purpose of this study was to determine the association of marital status, a marker of social support, with all-cause and prostate cancer-specific mortality in a cohort of men with early-stage prostate cancer treated with radical prostatectomy.

methodsWe conducted a retrospective cohort study of 3,579 men treated for localized (stage 1-2) prostate cancer with radical prostatectomy at a single institution between 1994 and 2004. Marital status (not married vs. married) and marital history (never married, divorced, widowed vs. married) at the time of prostatectomy were examined in relation to (1) all-cause mortality and (2) prostate cancer-specific mortality using Cox proportional hazards regression.

resultsNot being married (vs. married) at the time of radical prostatectomy was associated with an increased risk of all-cause mortality [Hazard Ratio (HR) 1.42; 95% Confidence Interval (CI) 1.10, 1.85]. Similarly, in analyses of marital history, never-married men were at highest risk of all-cause mortality (HR 1.77, 95% CI 1.19, 2.63). Unmarried status (vs. married) was also associated with an increased risk of prostate cancer-specific mortality (HR 1.97; 95% CI 1.01, 3.83).

conclusionsUnmarried men with prostate cancer were at greater risk for death after radical prostatectomy. Among married men with prostate cancer, marriage likely serves as a multi-faceted proxy for many protective factors including social support. Future studies should explore the mechanisms underlying these findings to inform the development of novel prostate cancer survival interventions for unmarried men and those with low social support.

Indexed as

Marital StatusAgedCohort StudiesHumansMaleMiddle AgedProportional Hazards ModelsProstatectomyProstatic NeoplasmsRetrospective StudiesSocial SupportMarital statusMarriedMortalityProstate cancerRadical prostatectomySingle

Identifiers

PMID31214808
PMCPMC6739072

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.