A major new cancer study suggests that when it comes to cancer, nagging wives may just save lives. Nagging husbands too, of course.
The study just out in the Journal of Clinical Oncology found that marriage appears to confer three signal advantages on cancer patients: Married people are likelier to be diagnosed before the cancer has spread. They are likelier to get and stick through the right treatments. And they are likelier to live longer after the diagnosis.
In some cancers, the paper found, being married appears to improve a patient’s survival odds even a bit more than chemotherapy.
The study is the biggest yet on the link between marriage and cancer outcomes, said its lead author, Dr. Ayal Aizer, chief resident of the Harvard Radiation Oncology Program. It began with a database of more than 1 million patients and looked at the ten cancers that cause the most deaths, including cancers of the prostate, breast, lung and colon.
How might marriage improve cancer outcomes? Couldn’t married people just be richer or healthier or better able to get care? “We think it’s actually the marriage itself that really causes better outcomes,” Dr. Aizer said. “And we think it’s the support that a patient with cancer gets from their spouse that really is the difference-maker.”
How much of a difference does it make?
Dr. Aizer and his team generated a single analysis of all the patients with all their cancers and found: “Patients who were married are 20 percent more likely to be alive after their diagnosis of cancer at any time point” compared to patients who were not married, he said. “They’re also about 17 percent more likely to present with localized cancers, ones that are treatable or curable; and they’re about 53 percent more likely to get the recommended or appropriate treatment for their cancer.”
That 53 percent was striking and a bit baffling. Wouldn’t most patients get appropriate cancer treatment? Continue reading