ANALIZE MEDICALE DE LABORATOR
Aici gasiti analizele medicale grupate pe categorii precum si detalii generale si specifice pentru categoriile respective.
Selectati o categorie din lista de mai jos:
Solutie antistress!
Construieste poduri :)
Prinde pisica neagra :)
Marital Status Doesn't Affect Lung Cancer Survival
Contrary to previous studies,
married patients with lung cancer do not have longer survival, according to
analysis of an extensive Mayo Clinic database in the December issue of "The
Oncologist."
However, the results suggest some other potentially important
differences among patient subgroups -- including the possibility that
married patients receive a more aggressive approach to lung cancer
treatment, write Dr. Aminah Jatoi and colleagues.
The researchers analyzed data on nearly 5,900 patients from a Mayo
Clinic database of patients with non-small cell lung cancer (NSCLC), the
most common type of lung cancer. The database included information on a
wide range of factors, including cancer stage, cancer treatment, and other
factors affecting prognosis.
The study also included information on marital status: 76 percent of
the patients were married (average age, 65 years), four percent single,
seven percent divorced, and twelve percent widowed (average age, 73 years).
The researchers analyzed the data to see if there was any relationship
between the patients' marital status at the time their cancer was diagnosed
and their survival outcomes.
Initial analysis found no significant differences in survival among the
different marital status groups. This remained true after adjustment for
important prognostic factors, including age, tumor stage, and smoking. The
results were in contrast to previous studies suggesting that married
patients with lung cancer tended to have longer survival.
However, exploratory analyses found some significant differences in
lung cancer treatment by marital status. Widowed and divorced patients
received less aggressive treatment for cancer, which in some cases seemed
to lead to shorter survival times. Survival was also shorter for patients
in certain subgroups -- for example, widowed patients with stage IA lung
cancer (the least advanced stage).
Some aspects of quality of life also differed among marital groups.
Divorced patients had greater financial concerns than patients in the other
groups, while married and widowed patients had greater spirituality and
better social support.
Smaller, less well-controlled studies have reported longer survival for
married patients with lung cancer. The extensive Mayo Clinic NSCLC database
provided an opportunity to re-evaluate the relationship between marriage
and lung cancer survival.
The findings show no differences in survival based on marital status.
"Nonetheless, marital status at times appeared to have influenced whether
or not a patient received certain types of cancer therapy," the researchers
write.
The subgroup analyses also suggest other differences in lung cancer
treatment and quality of life that are worthy of further exploration, Dr.
Jatoi and coauthors believe. They conclude, "Thus, health care providers should continue to remain sensitive to the importance of human bonds as
they care for patients with NSCLC."
The new article, entitled "Does Marital Status Impact Survival and
Quality of Life in Patients with Non-Small Cell Lung Cancer? Observations
from the Mayo Clinic Lung Cancer Cohort," is available online at
http://theoncologist.alphamedpress.org and in print in the December issue
of "The Oncologist."
About AlphaMed Press
AlphaMed Press publishes the internationally renowned journals "Stem
Cells" and "The Oncologist." "Stem Cells," now in its 25th year, is the
oldest and one of the world's top-tier peer-reviewed monthly journals in
the fast-paced area of stem cells and regenerative medicine. "The
Oncologist," in its 12th year, is a premier peer-reviewed monthly journal
dedicated to physicians entrusted with the care of cancer patients. Its
highly acclaimed CME program, "The Oncologist CME Online," has awarded more
than 32,800 AMA PRA Category 1 Credits(TM). View AlphaMed Press journals at
http://www.alphamedpress.org.
AlphaMed Press
http://www.alphamedpress.org
Starea civila nu afecteazã Cancerul pulmonar de supravietuire - Marital Status Doesn't Affect Lung Cancer Survival - articole medicale engleza - startsanatate