20 Citations (Scopus)

Abstract

Background Beneficial effects of marriage on cancer outcomes have been observed for many cancers, but oral cavity and pharyngeal cancers have never been examined. Methods We used the National Cancer Institute (NCI) Surveillance, Epidemiology, and End Results (SEER) Program linked with Medicare records to identify 9403 elderly patients (age ≥66 years) with oral cavity and pharyngeal cancers. We used a propensity score analysis to estimate differences in proportions (pd) between married and unmarried patients on stage, treatment, and survival. Results For oral cavity cancers, a larger proportion of married patients presented with earlier stage (pd = 0.05; 95% confidence interval [CI], 0.02-0.08), were treated with surgery (pd = 0.06; 95% CI, 0.03-0.08), and survived 1 year (pd = 0.04; 95% CI, 0.01-0.06). Similar results were found for pharyngeal cancers for stage (pd = 0.04; 95% CI, 0.01-0.06), treatment with chemotherapy and radiation (pd = 0.04; 95% CI, 0.01-0.07), and 1-year survival (pd = 0.01; 95% CI, 0.08-0.16). Conclusion Marriage is associated with earlier stage, aggressive treatment, and superior survival for patients with oral cavity and pharyngeal cancers.

Original languageEnglish (US)
Pages (from-to)735-742
Number of pages8
JournalHead and Neck
Volume37
Issue number5
DOIs
StatePublished - May 1 2015

Fingerprint

Head and Neck Neoplasms
Marriage
Pharyngeal Neoplasms
Mouth Neoplasms
Confidence Intervals
Mouth
Survival
SEER Program
Propensity Score
National Cancer Institute (U.S.)
Medicare
Therapeutics
Radiation
Drug Therapy
Neoplasms

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

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title = "Effect of marriage on outcomes for elderly patients with head and neck cancer",
abstract = "Background Beneficial effects of marriage on cancer outcomes have been observed for many cancers, but oral cavity and pharyngeal cancers have never been examined. Methods We used the National Cancer Institute (NCI) Surveillance, Epidemiology, and End Results (SEER) Program linked with Medicare records to identify 9403 elderly patients (age ≥66 years) with oral cavity and pharyngeal cancers. We used a propensity score analysis to estimate differences in proportions (pd) between married and unmarried patients on stage, treatment, and survival. Results For oral cavity cancers, a larger proportion of married patients presented with earlier stage (pd = 0.05; 95{\%} confidence interval [CI], 0.02-0.08), were treated with surgery (pd = 0.06; 95{\%} CI, 0.03-0.08), and survived 1 year (pd = 0.04; 95{\%} CI, 0.01-0.06). Similar results were found for pharyngeal cancers for stage (pd = 0.04; 95{\%} CI, 0.01-0.06), treatment with chemotherapy and radiation (pd = 0.04; 95{\%} CI, 0.01-0.07), and 1-year survival (pd = 0.01; 95{\%} CI, 0.08-0.16). Conclusion Marriage is associated with earlier stage, aggressive treatment, and superior survival for patients with oral cavity and pharyngeal cancers.",
author = "Schaefer, {Eric W.} and Wilson, {Matthew Z.} and David Goldenberg and Heath Mackley and Wayne Koch and Hollenbeak, {Christopher S.}",
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Effect of marriage on outcomes for elderly patients with head and neck cancer. / Schaefer, Eric W.; Wilson, Matthew Z.; Goldenberg, David; Mackley, Heath; Koch, Wayne; Hollenbeak, Christopher S.

In: Head and Neck, Vol. 37, No. 5, 01.05.2015, p. 735-742.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effect of marriage on outcomes for elderly patients with head and neck cancer

AU - Schaefer, Eric W.

AU - Wilson, Matthew Z.

AU - Goldenberg, David

AU - Mackley, Heath

AU - Koch, Wayne

AU - Hollenbeak, Christopher S.

PY - 2015/5/1

Y1 - 2015/5/1

N2 - Background Beneficial effects of marriage on cancer outcomes have been observed for many cancers, but oral cavity and pharyngeal cancers have never been examined. Methods We used the National Cancer Institute (NCI) Surveillance, Epidemiology, and End Results (SEER) Program linked with Medicare records to identify 9403 elderly patients (age ≥66 years) with oral cavity and pharyngeal cancers. We used a propensity score analysis to estimate differences in proportions (pd) between married and unmarried patients on stage, treatment, and survival. Results For oral cavity cancers, a larger proportion of married patients presented with earlier stage (pd = 0.05; 95% confidence interval [CI], 0.02-0.08), were treated with surgery (pd = 0.06; 95% CI, 0.03-0.08), and survived 1 year (pd = 0.04; 95% CI, 0.01-0.06). Similar results were found for pharyngeal cancers for stage (pd = 0.04; 95% CI, 0.01-0.06), treatment with chemotherapy and radiation (pd = 0.04; 95% CI, 0.01-0.07), and 1-year survival (pd = 0.01; 95% CI, 0.08-0.16). Conclusion Marriage is associated with earlier stage, aggressive treatment, and superior survival for patients with oral cavity and pharyngeal cancers.

AB - Background Beneficial effects of marriage on cancer outcomes have been observed for many cancers, but oral cavity and pharyngeal cancers have never been examined. Methods We used the National Cancer Institute (NCI) Surveillance, Epidemiology, and End Results (SEER) Program linked with Medicare records to identify 9403 elderly patients (age ≥66 years) with oral cavity and pharyngeal cancers. We used a propensity score analysis to estimate differences in proportions (pd) between married and unmarried patients on stage, treatment, and survival. Results For oral cavity cancers, a larger proportion of married patients presented with earlier stage (pd = 0.05; 95% confidence interval [CI], 0.02-0.08), were treated with surgery (pd = 0.06; 95% CI, 0.03-0.08), and survived 1 year (pd = 0.04; 95% CI, 0.01-0.06). Similar results were found for pharyngeal cancers for stage (pd = 0.04; 95% CI, 0.01-0.06), treatment with chemotherapy and radiation (pd = 0.04; 95% CI, 0.01-0.07), and 1-year survival (pd = 0.01; 95% CI, 0.08-0.16). Conclusion Marriage is associated with earlier stage, aggressive treatment, and superior survival for patients with oral cavity and pharyngeal cancers.

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