Evidence map›Paper›PMID 34806126›Full record

ArticleJournal of gastrointestinal cancer2022

Social Support is Associated with Survival in Patients Diagnosed with Gastrointestinal Cancer.

Patrick Bou-Samra, Paul Scott, Hannah Cheng, Cramer Kallem, Ritambhara Pathak, David A Geller, Wallis Marsh, Yisi Wang, Michael Antoni, Frank Penedo and 2 more

Abstract read
In one paragraph

Article in Journal of gastrointestinal cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The importance of social vulnerability and exclusion in cancer prognosis and survival: a scoping review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Article
  4. Article
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  7. The interdependence of depressive symptoms and sleep in dyads affected by cancer.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  8. Article
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  11. Review
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  13. Article
  14. Survival of Middle Eastern and North African Individuals Diagnosed with Colorectal Cancer: A Population-Based Study in California.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
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

12 authors.

Patrick Bou-SamraDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Paul ScottDepartment of Psychology, School of Education, University of Pittsburgh, Pittsburgh, PA, USA.
Hannah ChengDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Cramer KallemDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Ritambhara PathakDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
David A GellerDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Wallis MarshDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Yisi WangDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Michael AntoniDepartment of Psychology, University of Miami, Miami, FL, USA.
Frank PenedoDepartment of Psychology, University of Miami, Miami, FL, USA.
Allan TsungDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Jennifer L SteelDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. steeljl@upmc.edu.

Funding

Palliative care intervention for socioeconomically disadvantaged cancer patientsR01CA196953 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STEEL, JENNIFER L. · 2016 to 2020
$3.4M
Biobehavioral pathways linking stress and cancer progressionR01CA176809 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STEEL, JENNIFER L. · 2012 to 2014
$1.3M
Comprehensive Electronic Support System for Treatment of Cancer-Related SymptomsK07CA118576 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STEEL, JENNIFER L. · 2006 to 2010
$757k
NCI NIH HHS K07 CA118576NCI NIH HHS R01 CA176809NCI NIH HHS R01 CA196953
6 · The paper itself

Abstract

purposeThe aim of this study was to examine the link between psychological, behavioral, and social factors and survival in patients diagnosed with gastrointestinal cancer.

methodsA cohort of gastrointestinal cancer patients were administered a battery of questionnaires that assessed trauma, depression, social support, sleep, diet, exercise, quality of life, tobacco and alcohol use, pain, and fatigue. Analyses included Pearson's correlations, analyses of variance, Kaplan Meier survival, and Cox regression analyses.

resultsOf the 568 patients, the majority were male (57.9%) and Caucasian (91.9%), with a mean age of 61 (S.D. = 10.7). The level of perceived social support was comparable to patients with other medical conditions. Sociodemographic predictors of social support included the number of years of education (r = 0.109, p = 0.05), marital status (F(6,387) = 5.465, p ≤ 0.001), and whether the patients' income met the family's basic needs (F(1,377) = 25.531, p < 0.001). Univariate analyses revealed that older age (p < 0.001), male gender (p = 0.007), being black (p = 0.005), diagnosis of hepatocellular carcinoma (p = 0.046), higher body mass index (p = 0.022), larger tumor size (p = 0.032), initial treatment including chemotherapy rather than surgery (p < 0.001), and lower level of perceived social support (p = 0.037) were associated with poorer survival. Using multivariate Cox regression and adjusting for all factors found to be significant in univariate survival analyses, older age (p = 0.024) and lower perceived social support (HR = 0.441, 95% CI = 0.233, 0.833; p = 0.012) were the factors that remained significantly associated with poorer survival.

conclusionThere are several biological and psychosocial factors that predict cancer mortality. Social support appears to be a robust factor affecting mortality in gastrointestinal cancer patients.

Indexed as

Gastrointestinal NeoplasmsQuality of LifeFemaleHumansMaleMiddle AgedSocial SupportSurveys and QuestionnairesSurvival AnalysisGastrointestinal neoplasmsMultivariate analysisProtective factorsSocial supportSurvival analysis

Identifiers

PMID34806126
PMCPMC10273185

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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.