Evidence map›Paper›PMID 32331481›Full record

ArticleBiology2020

The Impact of Insurance and Marital Status on Survival in Patients with Nasopharyngeal Carcinoma.

Chih-Chun Wang, Ching-Chieh Yang, Shyh-An Yeh, Chung-I Huang, Tzer-Zen Hwang, Chuan-Chien Yang, Yu-Chieh Su

Abstract read
In one paragraph

Article in Biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Health Disparities in Rhinology-A Scoping Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
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  6. Prognostic models for 1-year survival of NPC after radiotherapy in different ages.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
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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

7 authors.

Chih-Chun WangDepartment of Otolaryngology, E-Da Hospital, Kaohsiung 824, Taiwan.
Ching-Chieh YangDepartment of Radiation Oncology, Chi-Mei Medical Center, Tainan 710, Taiwan.ORCID 0000-0003-3823-4673
Shyh-An YehDepartment of Radiation Oncology, E-Da Hospital, Kaohsiung 824, Taiwan.
Chung-I HuangDepartment of Radiation Oncology, E-Da Cancer Hospital, Kaohsiung 824, Taiwan.ORCID 0000-0002-7649-9923
Tzer-Zen HwangSchool of Medicine, I-Shou University, Kaohsiung 824, Taiwan.
Chuan-Chien YangDepartment of Otolaryngology, E-Da Hospital, Kaohsiung 824, Taiwan.
Yu-Chieh SuSchool of Medicine, I-Shou University, Kaohsiung 824, Taiwan.

Funding

the Chi-Mei Medical Center and Kaohsiung Medical University Research Foundation 108CM-KMU-07
6 · The paper itself

Abstract

objectiveThis study aimed to explore the influence of social support on the survival outcomes of patients with nasopharyngeal carcinoma (NPC). We examined whether the combined proxy influenced whether patients were more likely to receive radiotherapy. METHODOLOGY: data were collected from the 18 registries of the National Cancer Institute's Surveillance, Epidemiology, and End Results database. The association between both insurance status and marital status and disease-specific survival rates were evaluated with a multivariate Cox proportional-hazards regression model to calculate the hazard ratios and associated confidence intervals. Odds ratio (OR) computed by logistic regression was also used to examine the relationship between the receipt of radiotherapy and insurance and marital status.

resultsinsured and uninsured patients differed significantly in T-stage, N-stage, M-stage, radiotherapy use, race, and marital status. The uninsured-non-married patients showed the lowest 5-year disease-specific survival rates. We further found unmarried patients with either Medicaid (OR, 0.40), or no insurance (OR, 0.24) had lower odds of receiving radiotherapy than those with insurance at diagnosis.

conclusionsuninsured-unmarried NPC patients had a significantly higher risk of distant metastasis at diagnosis, poorer 5-year disease-specific survival, and were less likely to receive radiotherapy than insured-married patients.

Indexed as

insurance statusmarital statusnasopharyngeal carcinomaSEERSurveillance, Epidemiology and End Results

Identifiers

PMID32331481
PMCPMC7235887

What OpenQuestion holds

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Registered trials

None linked

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.