PMID- 35034189 OWN - NLM STAT- MEDLINE DCOM- 20220509 LR - 20220509 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 279 IP - 6 DP - 2022 Jun TI - Marital status and survival in laryngeal squamous cell carcinoma patients: a multinomial propensity scores matched study. PG - 3005-3011 LID - 10.1007/s00405-022-07252-7 [doi] AB - OBJECTIVE: To explore the correlation between the marital status and prognosis of patients with laryngeal squamous cell carcinoma (LSCC). STUDY DESIGN: MPSM was adopted to minimize the maximum standardized average difference of the covariates among the four groups with different marital status. SETTING: Multinomial propensity scores matching (MPSM) based on data from the surveillance, epidemiology, and end results (SEER) database. METHODS: The Kaplan-Meier method and log-rank test were used to compare the survival outcomes of these groups with different marital status. RESULTS: Totally, 16,981 LSCC patients (median [IQR] age 62 [55-69] years; 829 [76.41%] males) from 2004 to 2016 were included in this study. Among them, 9112 (53.66%) were married, 2708 (15.95%) divorced or separated, 1709 (10.06%) widowed, and 3452 (20.33%) single. After MPSM, the weights make the characteristics of four groups with different marital status sufficient balance. The Kaplan-Meier method and log-rank test showed widowed patients may lead to the highest mortality rate while married patients have a higher survival rate than the other three groups. Single and divorced or separated patients had no significant difference in the survival rate. In addition, multivariate analysis by controlling for confounding factors showed that in male, well-differentiated, and early stage patients, compared with married, unmarried was an independent risk factor for CSS (P < 0.05). CONCLUSION: Marital status showed a significant association with the survival status of LSCC patients. Importantly, the outcome of married patients was better, while widowed patients tended to have worse prognosis. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Du, Xiushuai AU - Du X AD - Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Xueyuan Road No. 1, Minhou County, Fuzhou, 350108, Fujian, People's Republic of China. FAU - Zhan, Wenqiang AU - Zhan W AD - School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, People's Republic of China. FAU - Li, Xiaoqin AU - Li X AD - Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Xueyuan Road No. 1, Minhou County, Fuzhou, 350108, Fujian, People's Republic of China. FAU - Yin, Shuo AU - Yin S AD - Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Xueyuan Road No. 1, Minhou County, Fuzhou, 350108, Fujian, People's Republic of China. FAU - Chen, Qingquan AU - Chen Q AD - Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Xueyuan Road No. 1, Minhou County, Fuzhou, 350108, Fujian, People's Republic of China. FAU - Huang, Jialing AU - Huang J AD - Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Xueyuan Road No. 1, Minhou County, Fuzhou, 350108, Fujian, People's Republic of China. FAU - Chen, Yao AU - Chen Y AD - Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Xueyuan Road No. 1, Minhou County, Fuzhou, 350108, Fujian, People's Republic of China. FAU - Liu, Jin AU - Liu J AUID- ORCID: 0000-0002-4506-1638 AD - Department of Preventive Medicine, Fujian Provincial Key Laboratory of Environment Factors and Cancer, Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Xueyuan Road No. 1, Minhou County, Fuzhou, 350108, Fujian, People's Republic of China. liujin@fjmu.edu.cn. LA - eng PT - Journal Article DEP - 20220116 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 SB - IM MH - Female MH - *Head and Neck Neoplasms MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Marital Status MH - Middle Aged MH - Prognosis MH - Propensity Score MH - SEER Program MH - Squamous Cell Carcinoma of Head and Neck OTO - NOTNLM OT - Laryngeal squamous cell carcinoma OT - Marriage OT - Multinomial propensity scores matching OT - SEER EDAT- 2022/01/17 06:00 MHDA- 2022/05/10 06:00 CRDT- 2022/01/16 21:14 PHST- 2021/10/20 00:00 [received] PHST- 2022/01/01 00:00 [accepted] PHST- 2022/01/17 06:00 [pubmed] PHST- 2022/05/10 06:00 [medline] PHST- 2022/01/16 21:14 [entrez] AID - 10.1007/s00405-022-07252-7 [pii] AID - 10.1007/s00405-022-07252-7 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2022 Jun;279(6):3005-3011. doi: 10.1007/s00405-022-07252-7. Epub 2022 Jan 16.