Marriage in the survivors of childhood cancer: A preliminary description from the childhood cancer survivor study

Rauck, A. M.; Green, Daniel M.; Yasui, Yutaka; Mertens, Ann C.; Robison, Leslie L.

doi:10.1002/(sici)1096-911x(199907)33:1<60::aid-mpo11>3.0.co;2-h

Cited by 111 publications

(121 citation statements)

References 23 publications

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“…Prior studies [4][5][6][7][8][9][10][11][12] have suggested that the overall frequency of divorce in cancer patients (range, 5-17%) does not differ from that of well-matched controls in the general population. Our results are consistent with this observation, revealing an overall frequency of divorce (11.6%) in the 3 patient cohorts representing >500 patients diagnosed with serious neurologic and oncologic illnesses.…”

Section: Discussionmentioning

confidence: 96%

“…Some studies have in fact suggested that men are less able to undertake a caregiving role and assume the burdens of home and family maintenance compared with women. [3][4][5][6][7][8][9][10][11] Thus, a woman becomes willing sooner in the marriage to commit to the burdens of having a sick spouse.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8][9][10][11][12] In our neuro-oncology practice, however, we were impressed by a striking gender asymmetry in the occurrence of divorce. Divorce appeared to occur almost exclusively when the wife was the disease-afflicted partner.…”

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confidence: 99%

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Gender disparity in the rate of partner abandonment in patients with serious medical illness

Glantz

Chamberlain

Liu

et al. 2009

Cancer

123

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The demand for increased formulation concentrations for protein therapeutics puts a significant strain on already existing tangential flow filtration (TFF) systems that were constructed with lower protein concentration targets as part of their design criteria. TFF is commonly used to buffer exchange and concentrate the product to the appropriate drug substance concentration. Analyzing the ability of an existing TFF system to process under conditions outside its original design specifications can be challenging. In this analysis, we present a systematic approach to assess the operational limits of a TFF process with consideration of system performance parameters for changing process targets. In two new engineering diagrams, the recovery efficiency diagram and the operating space plot, all relevant operational constraints and parameters are related to allow rapid process fit evaluation. The engineering assessment of TFF systems presented in this article allows a rational review of system limitations during process fit evaluations of existing TFF systems. It also provides a rational basis for targeted system upgrades and setting system design specifications for the design of new systems if existing systems are found inadequate. Biotechnol. Bioeng. 2012; 109: 3084–3092. © 2012 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Gender disparity in the rate of partner abandonment in patients with serious medical illness

Glantz

Chamberlain

Liu

et al. 2009

Cancer

123

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“…4,6,8,9 Also survivors of a central nervous system (CNS) neoplasm have been found to marry less frequently than those of other cancer types, 6 especially in males. 4,10,11 Other factors related to the likelihood of marriage among childhood cancer survivors have been suggested, including age at diagnosis, 4,6,9 exposure to radiotherapy, 4 income 4 and educational attainment. 4,8 Adult survivors of childhood cancer have been found to delay marriage 5,12 ; and to be living more often with their parents.…”

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confidence: 99%

Long‐term population‐based marriage rates among adult survivors of childhood cancer in Britain

Frobisher

Lancashire

Winter

et al. 2007

Intl Journal of Cancer

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The objectives of this study were to assess the number of adult survivors of childhood cancer who ever married and the factors influencing marriage, compare observed marriages to those expected from the general population, and assess age at marriage and influencing factors. The data is based on the British Childhood Cancer Survivor Study (BCCSS), which is a populationbased cohort of 18,119 individuals who were diagnosed with childhood cancer between 1940 and 91 and survived at least 5 years. Fourteen thousand five hundred thirty-nine were alive, aged at least 16 years and eligible to receive a postal questionnaire, which ascertained marriage status. Thirty-four percent of 9,954 survivors had married. Survivors with the following characteristics: males, CNS neoplasm, received radiotherapy, diagnosed with mental retardation, registered blind, low social functioning score (calculated from SF-36 health status measure), and achieved the highest level of educational attainment, were less likely to have married than the complementary survivor groups. The deficits in the proportion ever married compared to the general population were mostly between 9 and 18% among males and 7-10% among females. The largest ever married deficits were among male CNS neoplasm survivors aged 30 years or over (29-38%). Age at first marriage among survivors was related to: sex, childhood cancer type, age at diagnosis, chemotherapy, radiotherapy, mental retardation, and level of educational attainment. Regular follow-up for these survivors should address not just physical late-effects of the childhood cancer and treatment, but also psychosocial needs throughout the lifespan of the survivors to help them achieve life events as they occur in the general population. ' 2007 Wiley-Liss, Inc.Key words: childhood cancer; marriage; late effects; survivorship The survival rates for childhood cancer have increased considerably over the last 40 years. 1 The long term physical, psychological and social consequences of childhood cancer and its treatment have been increasingly investigated in survivors. 2,3 One important outcome is the likelihood that survivors form relationships, and in particular live with a partner or marry.Marriage rates have been found to be lower in adult survivors of childhood cancer than those in control subjects. 4-7 Male survivors appear less likely to marry than female survivors. 4,6,8,9 Also survivors of a central nervous system (CNS) neoplasm have been found to marry less frequently than those of other cancer types, 6 especially in males. 4,10,11 Other factors related to the likelihood of marriage among childhood cancer survivors have been suggested, including age at diagnosis, 4,6,9 exposure to radiotherapy, 4 income 4 and educational attainment. 4,8 Adult survivors of childhood cancer have been found to delay marriage 5,12 ; and to be living more often with their parents. 6 In particular, those who had a CNS neoplasm during childhood were found to be older at first marriage than sibling controls. 4 Unfortunately, all previous...

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“…The impact of cancer on marriage rates has mainly been studied for survivors of childhood cancers, and most studies show slightly reduced marriage rates after cancer, ranging from around 5-20% for men and women [7][8][9][10][11][12][13][14]. In a recently published study, marriage rates among young Norwegian cancer survivors were shown to have become similar to those of the general population with time, although breast and female brain cancer remained associated with reduced rates [15].…”

Section: Introductionmentioning

confidence: 99%

Marriage after cancer in older adulthood

Syse

Bergva

2009

J Cancer Surviv

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Introduction Cancer's impact on family formation in older adulthood is not well described. Marriage rates among older adults were therefore explored. Method Data on the unmarried Norwegian population aged 45-80 in 1974-2001 (N=306 000) was retrieved from the Cancer Registry, the Central Population Register, and population censuses. Marriage rates for 27600 persons diagnosed with cancer were compared to those of the general population by means of discrete-time hazard regression models. Results Men with cancer had a similar marriage rate as cancer-free men, whereas women experienced a 25% marriage deficit after cancer. This deficit was most pronounced after ovarian (OR 0.48) and breast (OR 0.69) cancer. Marriage rates decreased with time from diagnosis. No cancer forms elevated marriage rates. Conclusion Marriage rates among older male cancer survivors are similar to those of the general population. Ovarian and breast cancer in older women was associated with pronounced marriage deficits. A possible explanation is that these gender-specific cancers relate to aspects of persons' psychological well-being, body image, and sense of femininity. Long-term adverse treatment effects are also common for the cancers in question. To explore explanations further, more details on treatment and illness progression are needed. Implications for cancer survivors Increased awareness of how ovarian and breast cancer may affect (prospects of) interpersonal relationships is valuable for cancer survivors and clinicians, and may facilitate communication of relevant, related issues during consultations. Our findings may suggest a need for more extensive psychosocial follow-up after these gender-specific cancer forms in older women, but further research is clearly warranted.

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Marriage in the survivors of childhood cancer: A preliminary description from the childhood cancer survivor study

Cited by 111 publications

References 23 publications

Gender disparity in the rate of partner abandonment in patients with serious medical illness

Gender disparity in the rate of partner abandonment in patients with serious medical illness

Long‐term population‐based marriage rates among adult survivors of childhood cancer in Britain

Marriage after cancer in older adulthood

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