Marital status shows no protective effect on perioperative outcomes after robotic-assisted pulmonary lobectomy.

Authors

Jenna C Marek
Allison O Dumitriu Carcoana
William J West
Emily E Weeden
Ajay Varadhan, Lehigh Valley Health NetworkFollow
Jessica Cobb
Sarah Cool
Gregory Fishberger
Collin B Chase
Maykel Dolorit
Harrison E Strang
Carla C Moodie
Joseph R Garrett
Jenna R Tew
Jobelle Joyce-Anne R Baldonado
Jacques P Fontaine
Eric M Toloza

Publication/Presentation Date

9-1-2024

Abstract

BACKGROUND: Marital status has been shown to have protective effects for married patients with various cancers. We sought to determine effects of marital status on perioperative outcomes after robotic-assisted pulmonary lobectomy (RAPL).

METHODS: We retrospectively analyzed 709 consecutive patients who underwent RAPL between 2010 and 2022 by one surgeon. Patients were stratified by marital status at time of surgery. The Married group included married, domestically partnered, and co-habitating patients (

RESULTS: Unmarried patients were more likely to be female, while married patients were more likely to experience robotic-associated intraoperative complications and greater intraoperative estimated blood loss. Kaplan-Meier survival analysis revealed no difference in 5-year overall survival based on marital status. Other perioperative outcomes, intraoperative complications (except robotic-associated), postoperative complications, demographic history (except gender), and preoperative comorbidities did not significantly differ between the two groups.

CONCLUSION: This study challenges the existing reports in the literature that marriage confers cancer treatment outcomes advantage and prolonged survival among cancer patients. Social support, in terms of a spouse or domestic partner, may be less protective in early-stage lung cancer and after minimally invasive pulmonary lobectomy compared to other cancer populations.

Volume

18

First Page

100250

Last Page

100250

ISSN

2666-2620

Published In/Presented At

Marek, J. C., Dumitriu Carcoana, A. O., West, W. J., 3rd, Weeden, E. E., Varadhan, A., Cobb, J., Cool, S., Fishberger, G., Chase, C. B., Dolorit, M., Strang, H. E., Moodie, C. C., Garrett, J. R., Tew, J. R., Baldonado, J. J. R., Fontaine, J. P., & Toloza, E. M. (2024). Marital status shows no protective effect on perioperative outcomes after robotic-assisted pulmonary lobectomy. Surgery in practice and science, 18, 100250. https://doi.org/10.1016/j.sipas.2024.100250

Disciplines

Medical Education | Medicine and Health Sciences

PubMedID

39845427

Department(s)

USF-LVHN SELECT Program, USF-LVHN SELECT Program Students

Document Type

Article