Research Papers:
Influence of marital status on the survival of adults with extrahepatic/intrahepatic cholangiocarcinoma
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Abstract
Zhiqiang Chen1,*, Liyong Pu1,*, Wen Gao2,*, Long Zhang1, Guoyong Han1, Qin Zhu1, Xiangcheng Li1, Jindao Wu1, Xuehao Wang1
1Department of Liver Surgery, The First Affiliated Hospital of Nanjing Medical University, Key Laboratory on Living Donor Liver Transplantation, National Health and Family Planning Commission, Nanjing, Jiangsu Province, China
2Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China
*These authors contributed equally to this work
Correspondence to:
Xuehao Wang, email: [email protected]
Jindao Wu, email: [email protected]
Xiangcheng Li, email: [email protected]
Keywords: cholangiocarcinoma, marital status, SEER, survival analysis, prognosis
Received: December 08, 2016 Accepted: February 28, 2017 Published: March 17, 2017
ABSTRACT
Although the prognostic value of marital status has been implicated in many cancers, its prognostic impact on cholangiocarcinoma has not yet been determined. The aim of this study was to examine the association between marital status and cholangiocarcinoma survival. We included 8,776 extrahepatic cholangiocarcinoma cases and 1,352 intrahepatic cholangiocarcinoma cases between 1973 and 2013 from the Surveillance, Epidemiology, and End Results database. We found widowed patients were more likely to be female, aged more than 70, and from low income areas. Multivariate analysis indicated that marital status was an independent prognostic factor for extrahepatic cholangiocarcinoma patients. Subgroup analysis suggested the widowed status independently predicted poor survival at regional stage and in older patients with intrahepatic cholangiocarcinoma. To conclude, marital status is a valuable prognostic factor in cholangiocarcinoma, and widowed patients are at greater risk of death than others.
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