Marital status and survival in epithelial ovarian cancer patients: a SEER-based study
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Xinyu Wang1, Xi Li1, Shaofei Su1 and Meina Liu1
1Department of Biostatistics, Public Health College, Harbin Medical University, Harbin, China
Meina Liu, email: firstname.lastname@example.org
Keywords: epithelial ovarian cancer, marital status, cancer survival, SEER
Abbreviations: EOC: epithelial ovarian cancer, OS: overall survival, EOCSS: epithelial ovarian cancer-specific survival, AJCC: American Joint Committee on Cancer
Received: July 06, 2017 Accepted: August 17, 2017 Published: October 06, 2017
Marital status has been proved to be correlated to the survival of patients in various cancer types, except for that in the large female population of epithelial ovarian cancer (EOC). In this study, we retrospectively extracted 10905 eligible EOC patients from the Surveillance, Epidemiology, and End Results (SEER) database in the period from 2004 to 2012. We categorized marital status as married, divorced/separated, widowed, and never married. Chi-square test was used to investigate the association between marital status and other variables. The Kaplan-Meier test was adopted to compare survival curves of different groups. Multivariate Cox regression analyses were conducted to estimate the effect of marital status on overall survival (OS) and epithelial ovarian cancer-specific survival (EOCSS). To explore how marital status affected patients diagnosed at the same stage, we further performed subgroup analyses according to TNM stage. The results showed that marital status was an independent predictor for OS and EOCSS. Subgroup analyses indicated that the relationship between marital status and prognosis varied according to different conditions. Widowed patients had poorer prognosis than the other groups in most conditions, while the never married group showed similar risk of mortality as the married ones.
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