The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study
PurposeTo better understand whether the marital status impacts 90-day postoperative outcomes following kidney cancer surgery.MethodsWe performed a retrospective cohort study of adult patients undergoing elective partial or radical nephrectomy to manage kidney masses from 2003 to 2017 using the Premi...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1254181/full |
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| author | Yuzhe Tang Yuzhe Tang Marie-Thérèse Valovska José Ignacio Nolazco José Ignacio Nolazco Kendrick Yim Benjamin Inbeh Chung Steven Lee Chang |
| author_facet | Yuzhe Tang Yuzhe Tang Marie-Thérèse Valovska José Ignacio Nolazco José Ignacio Nolazco Kendrick Yim Benjamin Inbeh Chung Steven Lee Chang |
| author_sort | Yuzhe Tang |
| collection | DOAJ |
| description | PurposeTo better understand whether the marital status impacts 90-day postoperative outcomes following kidney cancer surgery.MethodsWe performed a retrospective cohort study of adult patients undergoing elective partial or radical nephrectomy to manage kidney masses from 2003 to 2017 using the Premier Hospital Database, a national hospital discharge dataset. Multinomial logistic regression models controlling for a wide range of clinicodemographic, surgical, and hospital characteristics were used to assess an association between marital status and postoperative complications. The primary outcome was 90-day complications, including minor complications (Clavien grades 1-2), non-fatal major complications (Clavien grades 3-4), and mortality (Clavien grade 5). Secondary outcomes included patient disposition and readmission rates.ResultsThe study cohort comprised 106,752 patients, of which 61,188 (57.32%) were married. The overall incidence of minor complications, major complications, and death was 24.04%, 6.00%, and 0.71%, respectively. Marriage was associated with a significantly lower incidence of minor (RR 0.97; 95% CI: 0.94-0.99) complications following open or radical nephrectomy and major complications (RR 0.89; 95% CI: 0.84-0.95) for all surgical types and approaches. There was no association between marital status and mortality (RR 0.94; 95% CI: 0.81-1.10).ConclusionMarriage is associated with a significant reduction in major complications following kidney cancer surgery, likely because it is associated with greater social support, which is beneficial in the postoperative phase of care. Marital status and social support may play a role in the preoperative decision-making process and counseling for patients considering kidney cancer surgery. |
| first_indexed | 2024-03-11T20:20:14Z |
| format | Article |
| id | doaj.art-3b5cf4eeb630408baa8efda899672373 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-11T20:20:14Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-3b5cf4eeb630408baa8efda8996723732023-10-03T04:34:40ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-10-011310.3389/fonc.2023.12541811254181The association of marital status with kidney cancer surgery morbidity - a retrospective cohort studyYuzhe Tang0Yuzhe Tang1Marie-Thérèse Valovska2José Ignacio Nolazco3José Ignacio Nolazco4Kendrick Yim5Benjamin Inbeh Chung6Steven Lee Chang7Urology Department, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, ChinaBrigham and Women’s Hospital, Harvard Medical School, Boston, MA, United StatesBrigham and Women’s Hospital, Harvard Medical School, Boston, MA, United StatesBrigham and Women’s Hospital, Harvard Medical School, Boston, MA, United StatesServicio de Urología, Hospital Universitario Austral, Universidad Austral, Pilar, ArgentinaBrigham and Women’s Hospital, Harvard Medical School, Boston, MA, United StatesDepartment of Urology, Stanford University Medical Center, Stanford, CA, United StatesBrigham and Women’s Hospital, Harvard Medical School, Boston, MA, United StatesPurposeTo better understand whether the marital status impacts 90-day postoperative outcomes following kidney cancer surgery.MethodsWe performed a retrospective cohort study of adult patients undergoing elective partial or radical nephrectomy to manage kidney masses from 2003 to 2017 using the Premier Hospital Database, a national hospital discharge dataset. Multinomial logistic regression models controlling for a wide range of clinicodemographic, surgical, and hospital characteristics were used to assess an association between marital status and postoperative complications. The primary outcome was 90-day complications, including minor complications (Clavien grades 1-2), non-fatal major complications (Clavien grades 3-4), and mortality (Clavien grade 5). Secondary outcomes included patient disposition and readmission rates.ResultsThe study cohort comprised 106,752 patients, of which 61,188 (57.32%) were married. The overall incidence of minor complications, major complications, and death was 24.04%, 6.00%, and 0.71%, respectively. Marriage was associated with a significantly lower incidence of minor (RR 0.97; 95% CI: 0.94-0.99) complications following open or radical nephrectomy and major complications (RR 0.89; 95% CI: 0.84-0.95) for all surgical types and approaches. There was no association between marital status and mortality (RR 0.94; 95% CI: 0.81-1.10).ConclusionMarriage is associated with a significant reduction in major complications following kidney cancer surgery, likely because it is associated with greater social support, which is beneficial in the postoperative phase of care. Marital status and social support may play a role in the preoperative decision-making process and counseling for patients considering kidney cancer surgery.https://www.frontiersin.org/articles/10.3389/fonc.2023.1254181/fullmarital statuskidney cancer surgerysurgical morbidityretrospective cohort studysocial support |
| spellingShingle | Yuzhe Tang Yuzhe Tang Marie-Thérèse Valovska José Ignacio Nolazco José Ignacio Nolazco Kendrick Yim Benjamin Inbeh Chung Steven Lee Chang The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study Frontiers in Oncology marital status kidney cancer surgery surgical morbidity retrospective cohort study social support |
| title | The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study |
| title_full | The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study |
| title_fullStr | The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study |
| title_full_unstemmed | The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study |
| title_short | The association of marital status with kidney cancer surgery morbidity - a retrospective cohort study |
| title_sort | association of marital status with kidney cancer surgery morbidity a retrospective cohort study |
| topic | marital status kidney cancer surgery surgical morbidity retrospective cohort study social support |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1254181/full |
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