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Association of marital status with cardiovascular death risk in patients with lung cancer: A population-based study.
Lai, Yanxian; Guan, Tianwang; Zhang, Haifeng; Zhang, Yingyuan; Zhang, Shenghui; Yang, Zhengxia; Liu, Cheng.
Afiliación
  • Lai Y; Department of Cardiology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, China.
  • Guan T; Department of Cardiology, Guangzhou First People's Hospital, South China University of Technology, Guangzhou 510180, China.
  • Zhang H; Department of Cardiology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, China.
  • Zhang Y; Department of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
  • Zhang S; Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
  • Yang Z; Department of Cardiology, Guangzhou First People's Hospital, South China University of Technology, Guangzhou 510180, China.
  • Liu C; Department of Cardiology, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510180, China.
Prev Med Rep ; 45: 102846, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39211728
ABSTRACT

Background:

To investigate the association of marital status on cardiovascular death risk in lung cancer patients.

Methods:

Using data from the Surveillance, Epidemiology, and End Results (SEER) database in the United States from 2011 to 2015 (N = 118,293), the association between marital status and cardiovascular death (CVD) risk in patients with lung cancer was assessed by competing-risks regression models.

Results:

Unmarried status was associated with increased risk of cardiovascular death in lung cancer patients [hazard ratio (HR)  =  1.398, 95 % confidence interval (CI) 1.268-1.542], which remained significant even after adjusting for potential covariates (HR = 1.407, 95 % CI 1.276-1.551). Further unmarried subgroups analysis showed that the different unmarried status were associated with increased cardiovascular death risk as follows single (HR = 1.397, 95 % CI 1.236-1.1.580), separated (HR = 1.630, 95 % CI 1.153-2.305), divorced (HR = 1.318, 95 % CI 1.158-1.500), and widowed (HR = 1.561, 95 % CI 1.393-1.749). Further subgroup analysis by sex revealed that compared to male lung cancer patients with married, CVD risk was significant increased in their counterparts with widowed (adjusted HR = 1.509, 95 % CI 1.291-1.764, P<0.001), single (adjusted HR = 1.361, 95 % CI 1.168-1.585, P<0.001) and divorced (adjusted HR = 1.353, 95 % CI 1.177-1.555, P<0.001) rather than those with separated. However, similar phenomena was only observed in female lung cancer patients with widowed (adjusted HR = 1.414, 95 % CI 1.220-1.640, P<0.001) and single (adjusted HR = 1.438, 95 % CI 1.195-1.730, P<0.001).

Conclusion:

Unmarried status was associated with increased cardiovascular death risk in patients with lung cancer, which highlighted that more attention and humanistic/supportive care should be offered to unmarried lung cancer patients for improving the prognosis.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prev Med Rep Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prev Med Rep Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos