The influence of marital status on stage at diagnosis and survival of older persons with melanoma.

The influence of marital status on stage at diagnosis and survival of older persons with melanoma. Research Abstract Details 

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The influence of marital status on stage at diagnosis and survival of older persons with melanoma. Abstract Text:

Carlos A Reyes Ortiz,Jean L Freeman,Yong-Fang Kuo,James S Goodwin,

BACKGROUND: Melanoma incidence and mortality had a sustained increase in the last 3 decades in the United States, especially among white older men. Little is known about the relationship between marital status and melanoma outcomes in older people. The objective of this study was to determine the association between marital status and stage at diagnosis and survival of older persons with cutaneous melanoma. METHODS: Data are from the Surveillance, Epidemiology and End Results (SEER) registries-Medicare-linked database (1991-1999). The sample consisted of 14,630 men and women 65 years old and older. The outcomes were melanoma stage at diagnosis and melanoma specific survival. The main independent variable, marital status, was used in four categories: married, single, separated or divorced, and widowed. Other covariates include sociodemographics, stage at diagnosis, tumor characteristics (body site and histology), and comorbidity index. Logistic regression and survival analyses techniques were used. RESULTS: Multivariate analyses showed that, compared with married persons, widowed persons were more likely to be diagnosed with late-stage (regional or distant) versus early-stage (in situ or localized) melanoma (odds ratio = 1.31, 95% confidence interval [CI], 1.13-1.52). In addition, after controlling for all other variables (sociodemographics, stage at diagnosis, tumor characteristics, and comorbidity), widowed persons were at increased risk of death from melanoma (hazard ratio = 1.23, 95% CI, 1.06-1.44). CONCLUSION: Older widowed persons were more likely to be diagnosed at late stage and to die from melanoma than were older married persons.

The influence of marital status on stage at diagnosis and survival of older persons with melanoma. Publishing Authors By Initials

CA Reyes Ortiz,JL Freeman,YF Kuo,JS Goodwin,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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The influence of marital status on stage at diagnosis and survival of older persons with melanoma. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: The journals of gerontology. Series A, Biological

VOLUME: 62

Page Numbers: 892-8

Journal Abbreviation: J. Gerontol. A Biol. Sci. Med.

ISSN: 1079-5006

DAY: 3

MONTH: Aug

YEAR: 2007

The influence of marital status on stage at diagnosis and survival of older persons with melanoma. Information

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LANGUAGE: eng

NlmUniqueID: 9502837

The influence of marital status on stage at diagnosis and survival of older persons with melanoma. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: epidemiology

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Grant and Affiliation Information for The influence of marital status on stage at diagnosis and survival of older persons with melanoma.

AFFILIATION: Sealy Center on Aging, Department of Internal Medicine, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0460, USA. careyeso@utmb.edu

Country: United States

AGENCY: United States AHRQ

GRANT: R24 HS011618-04

ACRONYM: HS

MEDLINETA: J Gerontol A Biol Sci Med Sci

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