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The impact of a breast cancer diagnosis on marital outcomes and factors associated with divorce and separation
Werutsky, Gustavo; Lopes, Mahira; Jesus, Rafaela Gomes de; Gazola, Antonia Angeli; Pellegrini, Rodrigo Azevedo; Rebelatto, Taiane Francieli; Freitas, Laura von Wallwitz; Heck, Ana Paula; Silva, Arthur Ferreira da; Rodrigues, Matheus Füehr; Gössling, Gustavo; Giacomazzi, Juliana; Rocha, Matheus Soares; Rosa, Daniela Dornelles; Barrios, Carlos Henrique; Cronemberger, Eduardo Henrique; Queiroz, Geraldo Silva; Bines, José; Simon, Sérgio Daniel; Fay, Andre Poisl.
Afiliación
  • Werutsky, Gustavo; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Lopes, Mahira; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Jesus, Rafaela Gomes de; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Gazola, Antonia Angeli; Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre. BR
  • Pellegrini, Rodrigo Azevedo; Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre. BR
  • Rebelatto, Taiane Francieli; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Freitas, Laura von Wallwitz; Pontifícia Universidade Católica do Rio Grande do Sul. Hospital São Lucas. Department of Medical Oncology. Porto Alegre. BR
  • Heck, Ana Paula; Pontifícia Universidade Católica do Rio Grande do Sul. Hospital São Lucas. Department of Medical Oncology. Porto Alegre. BR
  • Silva, Arthur Ferreira da; Pontifícia Universidade Católica do Rio Grande do Sul. Hospital São Lucas. Department of Medical Oncology. Porto Alegre. BR
  • Rodrigues, Matheus Füehr; Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre. BR
  • Gössling, Gustavo; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Giacomazzi, Juliana; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Rocha, Matheus Soares; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Rosa, Daniela Dornelles; Grupo Brasileiro de Estudos em Câncer de Mama. Porto Alegre. BR
  • Barrios, Carlos Henrique; Latin American Cooperative Oncology Group. Porto Alegre. BR
  • Cronemberger, Eduardo Henrique; Centro Regional Integrado de Oncologia. Fortaleza. BR
  • Queiroz, Geraldo Silva; Hospital Araújo Jorge. Associação de Combate ao Câncer em Goiás. Goiânia. BR
  • Bines, José; Instituto Nacional do Câncer. Rio de Janeiro. BR
  • Simon, Sérgio Daniel; Grupo Oncoclínicas. São Paulo. BR
  • Fay, Andre Poisl; Latin American Cooperative Oncology Group. Porto Alegre. BR
Rev. bras. ginecol. obstet ; 46: x-xx, 2024. tab
Article en En | LILACS | ID: biblio-1565340
Biblioteca responsable: BR26.1
Ubicación: 1806-9339-rbgo-46-e-rbgo60.xml
ABSTRACT
Abstract Objective To analyze marital outcomes, divorce or separation, and its association with demographic, socioeconomic, and clinicopathological factors among breast cancer (BC) survivors after 2-years of diagnosis. Methods We performed a retrospective analysis of marital status at baseline and at years 1 and 2 of follow-up of women aged ≥ 18 years diagnosed with invasive BC participating in the AMAZONA III (GBECAM0115) study. The BC diagnosis occurred between January 2016 and March 2018 at 23 institutions in Brazil. Results Of the 2974 women enrolled in AMAZONA III, 599 were married or living under common law at baseline. Divorce or separation occurred in 35 (5.8%) patients at 2 years of follow-up. In the multivariate analysis, public health insurance coverage was associated with a higher risk of marital status change (8.25% vs. 2.79%, RR 3.09, 95% CI 1.39 - 7.03, p = 0.007). Women who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation (8.1% vs. 4.49%, RR 1.97, 95 CI 1.04 - 3.72, p = 0.0366) than those who underwent breast-conserving surgery. Conclusion Women covered by the public health system and those who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation. This evidence further supports the idea that long-term marital stability is associated with a complex interplay between socioeconomic conditions and stressors, such as BC diagnosis and treatment. ClinicalTrials Registration NCT02663973.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Neoplasias de la Mama / Divorcio / Estado Civil Límite: Female / Humans Idioma: En Revista: Rev. bras. ginecol. obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Neoplasias de la Mama / Divorcio / Estado Civil Límite: Female / Humans Idioma: En Revista: Rev. bras. ginecol. obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil