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

Eric W. Schaefer, Matthew Z. Wilson, David Goldenberg, Heath Mackley, Wayne Koch, Christopher S. Hollenbeak

Research output: Contribution to journalArticle

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

Keywords

  • cancer stage
  • cancer survival
  • cancer treatment
  • head and neck cancer
  • marital status

ASJC Scopus subject areas

  • Otorhinolaryngology

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  • Cite this

    Schaefer, E. W., Wilson, M. Z., Goldenberg, D., Mackley, H., Koch, W., & Hollenbeak, C. S. (2015). Effect of marriage on outcomes for elderly patients with head and neck cancer. Head and Neck, 37(5), 735-742. https://doi.org/10.1002/hed.23657