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        Marital status is likely to be an important contributory factor in predicting long term survival in people with early stage gastric cancer, suggests research published online in the Journal of Investigative Medicine.


        It should be added to the usual list of clinical and personal variables used to inform how long a person is likely to live after diagnosis, say the researchers.


        Gastric cancer is the fifth most common type of cancer and the third leading cause of cancer death globally, with over 1 million new cases and 780,000 deaths in 2018 alone. The disease is around twice as common in men as it is in women, but rare below the age of 50.


        If caught early, the chances of survival are greatly increased. But while the prognostic value of marital status has been recognized for people with cancers of the liver and the lung, it isn't included in the list of predictive survival factors for early stage gastric cancer.


        The researchers therefore wanted to find out if marital status might also be a valid factor in helping to predict long term outcomes in people with early stage gastric cancer.


        They drew on clinical information that had been entered into the Surveillance, Epidemiology, and End Results (SEER) database from 3647 patients diagnosed between 2010 and 2015 with early stage gastric cancer—-that hadn't spread beyond the stomach to other parts of the body.


        Some 1793 (49%) of the participants were men and 1854 (51%) were women. Most (2231) were white. In all, 1957 were married, 274 were divorced, 41 were separated, 630 were widowed, 512 were single, and marital status wasn't known for 233.


        Overall, survival prospects were better among women than among men and among people who were married.


        Survival was also significantly better in divorced women than it was in divorced men.



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