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Marital Status and Overall Survival in Patients with Resectable Pancreatic Cancer: Results of an Ancillary Analysis of NRG Oncology/RTOG 9704.
Reyngold, Marsha; Winter, Kathryn A; Regine, William F; Abrams, Ross A; Safran, Howard; Hoffman, John P; Mowat, Rex B; Hayes, John P; Kessel, Ivan L; DiPetrillo, Thomas; Narayan, Samir; Chen, Yuhchyau; Ben-Josef, Edgar; Delouya, Guila; Suh, John H; Meyer, Joshua; Haddock, Michael G; Feldman, Marvin; Gaur, Rakesh; Yost, Kathleen; Peterson, Richard A; Sherr, David L; Moughan, Jennifer; Crane, Christopher H.
Afiliación
  • Reyngold M; Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Winter KA; NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania, USA.
  • Regine WF; University of Maryland Marlene and Stewart Greenebaum Cancer Center, Baltimore, Maryland, USA.
  • Abrams RA; Rush University Medical Center, Chicago, Illinois, USA.
  • Safran H; Rhode Island Hospital, Providence, Rhode Island, USA.
  • Hoffman JP; Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
  • Mowat RB; Toledo Community Hospital Oncology Program, Community Clinical Oncology Program, Toledo, Ohio, USA.
  • Hayes JP; Northwestern Memorial Hospital, Chicago, Illinois, USA.
  • Kessel IL; University of Texas Medical Branch, Galveston, Texas, USA.
  • DiPetrillo T; Lifespan Cancer Institute, Providence, Rhode Island, USA.
  • Narayan S; Michigan Cancer Research Consortium, Grand Rapid, Michigan, USA.
  • Chen Y; University of Rochester, Rochester, New York, USA.
  • Ben-Josef E; University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA.
  • Delouya G; Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
  • Suh JH; Cleveland Clinic Foundation, Cleveland, Ohio, USA.
  • Meyer J; Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
  • Haddock MG; Mayo Clinic, Rochester, New York, USA.
  • Feldman M; Sinai Hospital of Baltimore, Baltimore, Maryland, USA.
  • Gaur R; Kansas City Community Clinical Oncology Program, Prairie Village, Kansas, USA.
  • Yost K; Grand Rapids Community Clinical Oncology Program, Grand Rapids, Michigan, USA.
  • Peterson RA; St. Francis Regional Medical Center, Shakopee, Minnesota, USA.
  • Sherr DL; The Brooklyn Hospital Center, New York, New York, USA.
  • Moughan J; NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania, USA.
  • Crane CH; Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Oncologist ; 25(3): e477-e483, 2020 03.
Article en En | MEDLINE | ID: mdl-32162826
BACKGROUND: Several registry-based analyses suggested a survival advantage for married versus single patients with pancreatic cancer. The mechanisms underlying the association of marital status and survival are likely multiple and complex and, therefore, may be obscured in analyses generated from large population-based databases. The goal of this research was to characterize this potential association of marital status with outcomes in patients with resected pancreatic cancer who underwent combined modality adjuvant therapy on a prospective clinical trial. MATERIALS AND METHODS: This is an ancillary analysis of 367 patients with known marital status treated on NRG Oncology/RTOG 97-04. Survival analysis was performed using the Kaplan-Meier method and compared using the log-rank test. Multivariate analysis was performed using the Cox proportional hazards regression model. RESULTS: Of 367 patients, 271 (74%) were married or partnered and 96 (26%) were single. Married or partnered patients were more likely to be male. There was no association between marital status and overall survival (OS) or disease-free survival (DFS) on univariate (hazard ratio [HR], 1.09 and 1.01, respectively) or multivariate analyses (HR, 1.05 and 0.98, respectively). Married or partnered male patients did not have improved survival compared with female or single patients. CONCLUSION: Ancillary analysis of data from NRG Oncology/RTOG 97-04 demonstrated no association between marital and/or partner status and OS or DFS in patients with resected pancreatic cancer who received adjuvant postoperative chemotherapy followed by concurrent external beam radiation therapy and chemotherapy. Clinical trial identification number. NCT00003216. IMPLICATIONS FOR PRACTICE: Several population-based studies have shown an epidemiological link between marital status and survival in patients with pancreatic cancer. A better understanding of this association could offer an opportunity to improve outcomes through psychosocial interventions designed to mitigate the negative effects of not being married. Based on the results of this analysis, patients who have undergone a resection and are receiving adjuvant therapy on a clinical trial are unlikely to benefit from such interventions. Further efforts to study the association between marital status and survival should be focused on less selected subgroups of patients with pancreatic cancer.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Pancreáticas Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Oncologist Asunto de la revista: NEOPLASIAS Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Pancreáticas Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Oncologist Asunto de la revista: NEOPLASIAS Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido