Abstract
The objective of this study was to assess the impact of marital status on tonsil squamous cell carcinomas (TSCCs) prognosis and to analyze whether the impact is correlated with gender, age, and race. We examined the clinicopathological variables using Chi-squared tests and evaluated the association between survival and different variables using the methods of Kaplan–Meier. Univariate and multivariate analyses were performed to determine the effects of each variable on survival. A total of 10,720 patients were analyzed. The rate of being married was higher among Asian or Caucasian, and this rate decreased with higher tumor stage. While both married male and female survivors benefit from their marital status, we found a differential in cancer-specific survival based on gender, with males benefitting more than females (p < 0.05). The same results were found in overall survival. Subgroup analysis shows that the protective effect of marriage was consistent in all patients except for N3 groups (all, p < 0.05). While there are survival benefits for married patients with TSCCs, married/partnered males may benefit more than females. Age, race, and gender could affect the correlation between marital status and survival.
1 Introduction
Tonsil squamous cell carcinoma (TSCC) is one of the most common oropharyngeal neoplasm and the incidence rates of TSCC have significantly increased in recent decades. With the development of treatment strategies, the survival of patients with TSCC has been significantly improved. Up-front surgery followed by adjuvant therapy, if appropriate, or radiotherapy alone has been the principal treatment modality for early-stage TSCC and postoperative radiotherapy has been used for close or positive resection margins, T3–4 tumors, and neck node metastases [1–3].
Recent studies assessing the effect of marriage on outcomes showed that marriage was associated with better survival, and the protective effect of marriage might result from that the married people were associated with earlier stage and were more likely to receive recommended or aggressive treatment, which was known as “spousal surveillance” [4–9]. In addition, married patients were considered to have more emotional and financial support, which helps them to prolong their overall survival (OS) [10–12]. However, analysis of marital subgroup, which might reveal the potential mechanism generating the influence of marital status on prognosis, was not further analyzed.
Understanding the correlation between marital status and gender, race and age is important for developing tailored interventions aimed at improving socio-emotional support for patients. Therefore, we investigated the clinical correlates between marital status and survival and whether the association varied by gender, race, and age for TSCC using the Surveillance, Epidemiology, and End Results (SEER) database.
2 Materials and methods
2.1 Data sources
We obtained data from the current SEER database, which consists of 18 population-based cancer registries. This database collects and publishes cancer prevalence and survival data covering approximately 28% of the total population in the United States. SEER*Stat Version 8.3.4 (http://www.seer.cancer.gov/seerstat) from the National Cancer Institute was used to identify eligible patients in this study. We included patients diagnosed with microscopically confirmed TSCC between 1 January 2004 and 31 December 2014. We selected patients with only one primary malignancy in their lifetime. We excluded patients mainly because of the lack of pathology type of tumor, unknown marital status, unknown racial information, or unstaged tumors. A total of 10,720 TSCC patients were included.
2.2 Statistical analysis
Descriptive statistics were used to examine the baseline characteristics of the patients. The primary study outcomes were OS and cancer-specific survival (CSS). OS was defined as time to the date of death due to any cause or the date of last follow-up. CSS was defined as time from initial treatment to death due to cancer. Kaplan–Meier survival curves were compared using the log-rank test. Hazard analysis was conducted using the Cox proportional hazards model. SPSS software, version 22.0 (SPSS, Chicago, IL, USA) was used for additional data processing. p-Value of <0.05 was considered statistically significant for all tests.
2.3 Bias
The main limitation is the inherent bias that exists in retrospective studies.
3 Results
3.1 Clinical characteristics of all patients
Among the 10,720 patients, the median age was 58 years old (range [interquartile range]: 17–99 [52–65] years old). More than 80% patients (8,835/82.4%) were males. Among the cohort of the patients, 6,389 (59.6%), 3,739 (34.9%), and 592 (5.5%) patients were married/partnered, divorced/separated/single, and widowed, respectively. According to the 6th or 7th edition of UICC/AJCC Staging System, 1,687 (15.8%) and 9,033 (84.2%) were stage I–II and stage III–IV, respectively. The rate of being married was higher among Asian or Caucasian, and this rate decreased with higher tumor stage. Moreover, married/partnered patients received more surgeries. The clinicopathological features stratified by marital status at diagnosis are listed in Table 1.
Demographic characteristics of TSCC patients who were stratified by marital status
Features | n | % | Married/partnered | Divorced/separated/single | Widowed | p | ||
---|---|---|---|---|---|---|---|---|
n | n | n | ||||||
Gender | 0.000 | |||||||
Male | 8,835 | 82.4 | 5,489 | 3,064 | 282 | |||
Female | 1,885 | 17.6 | 900 | 675 | 310 | |||
Age | 0.000 | |||||||
<58 | 5,165 | 48.2 | 3,127 | 1,964 | 74 | |||
≥58 | 5,555 | 51.8 | 3,262 | 1,775 | 518 | |||
Race | 0.000 | |||||||
Caucasian | 9,385 | 87.5 | 5,794 | 3,097 | 494 | |||
Asian | 376 | 3.5 | 247 | 108 | 21 | |||
African American | 959 | 8.9 | 348 | 534 | 77 | |||
Stage | 0.000 | |||||||
I | 683 | 6.4 | 402 | 213 | 68 | |||
II | 1,004 | 9.4 | 606 | 321 | 77 | |||
III | 2,316 | 21.6 | 1,426 | 756 | 134 | |||
IVA | 5,392 | 50.3 | 3,319 | 1,846 | 227 | |||
IVB | 1,041 | 9.7 | 498 | 481 | 62 | |||
IVC | 284 | 2.6 | 138 | 122 | 24 | |||
T classification | 0.000 | |||||||
T1 | 3,123 | 29.1 | 2,007 | 964 | 152 | |||
T2 | 4,465 | 41.7 | 2,760 | 1,477 | 228 | |||
T3 | 1,234 | 11.5 | 672 | 476 | 86 | |||
T4a | 1,208 | 11.3 | 623 | 502 | 83 | |||
T4b | 690 | 6.4 | 327 | 320 | 43 | |||
N classification | 0.000 | |||||||
N0 | 2,327 | 21.7 | 1,362 | 765 | 200 | |||
N1 | 2,443 | 22.8 | 1,488 | 811 | 144 | |||
N2a | 1,236 | 11.5 | 794 | 401 | 41 | |||
N2b | 3,302 | 30.8 | 2,011 | 1,150 | 141 | |||
N2c | 938 | 8.8 | 503 | 392 | 43 | |||
N3 | 474 | 4.4 | 231 | 220 | 23 | |||
Grade | 0.000 | |||||||
1 | 458 | 4.3 | 264 | 165 | 29 | |||
2 | 4,547 | 42.4 | 2,591 | 1,683 | 273 | |||
3 | 5,715 | 53.3 | 3,534 | 1,891 | 290 | |||
Surgery therapy | 0.000 | |||||||
Yes | 5,891 | 55.0 | 3,811 | 1,820 | 260 | |||
No | 4,829 | 45.0 | 2,578 | 1,919 | 332 | |||
Tumor location | 0.000 | |||||||
Tonsillar fossa | 1,555 | 14.5 | 876 | 567 | 112 | |||
Tonsillar pillar | 737 | 6.9 | 408 | 273 | 56 | |||
Overlapping lesion of tonsil | 121 | 1.1 | 57 | 60 | 4 | |||
Tonsil, NOS | 8,307 | 77.5 | 5,048 | 2,839 | 420 |
Abbreviations: NOS, not otherwise specified.
3.2 Survival
The overall mean follow-up of all patients in the cohort was 34.0 months (range [interquartile range], 0–131 [13–68] months) and mortality rate was equal to 25 per 100,000 persons-years. In the univariate analysis, age, gender, marital status, grade, T category, N category, and surgery therapies to the primary tumor were significantly associated with OS and CSS (p < 0.01) (Table 2).
Univariate analysis of CSS stratified by gender
Prognostic factor | Male | Female | ||||||
---|---|---|---|---|---|---|---|---|
p-Value | HR | Lower 95% CI | Higher 95% CI | p-Value | HR | Lower 95% CI | Higher 95% CI | |
Age | 0.00 | 0.00 | ||||||
<58 | 1 (Reference) | 1 (Reference) | ||||||
≥58 | 1.54 | 1.46 | 1.63 | 1.52 | 1.37 | 1.69 | ||
Marital status | 0.00 | 0.00 | ||||||
Married/partnered | 1 (Reference) | 1 (Reference) | ||||||
Divorced/separated/single | 2.14 | 1.92 | 2.39 | 1.16 | 0.89 | 1.51 | ||
Widowed | 3.46 | 2.70 | 4.43 | 1.89 | 1.37 | 2.60 | ||
Race | 0.00 | 0.01 | ||||||
Caucasian | 1 (Reference) | 1 (Reference) | ||||||
Asian | 1.11 | 0.83 | 1.49 | 0.78 | 0.40 | 1.51 | ||
African American | 2.42 | 2.09 | 2.81 | 2.31 | 1.71 | 3.12 | ||
Grade | 0.00 | 0.00 | ||||||
1 | 1 (Reference) | 1 (Reference) | ||||||
2 | 0.81 | 0.62 | 1.05 | 0.89 | 0.56 | 1.41 | ||
3 | 0.58 | 0.45 | 0.76 | 0.61 | 0.38 | 0.98 | ||
T classification | 0.00 | 0.00 | ||||||
T1 | 1 (Reference) | 1 (Reference) | ||||||
T2 | 1.64 | 1.39 | 1.94 | 1.81 | 1.28 | 2.56 | ||
T3 | 2.59 | 2.12 | 3.16 | 4.48 | 2.92 | 6.88 | ||
T4a | 4.87 | 4.07 | 5.83 | 5.16 | 3.56 | 7.48 | ||
T4b | 5.91 | 4.86 | 7.19 | 6.77 | 4.51 | 10.17 | ||
N classification | 0.00 | 0.00 | ||||||
N0 | 1 (Reference) | 1 (Reference) | ||||||
N1 | 1.10 | 0.92 | 1.31 | 0.95 | 0.69 | 1.31 | ||
N2a | 0.51 | 0.40 | 0.66 | 0.74 | 0.47 | 1.19 | ||
N2b | 1.06 | 0.90 | 1.25 | 0.89 | 0.63 | 1.24 | ||
N2c | 2.44 | 2.02 | 2.95 | 2.12 | 1.45 | 3.08 | ||
N3 | 1.90 | 1.51 | 2.40 | 3.41 | 2.05 | 5.66 | ||
Surgery therapy | 0.00 | 3.17 | 2.82 | 3.55 | 0.00 | 3.68 | 2.87 | 4.71 |
Abbreviations: CI, confidence interval; HR, hazard ratio; p-values were calculated using an adjusted Cox proportional hazards model.
Kaplan–Meier analysis indicates that the married/partnered subgroup showed better OS and CSS than the unmarried groups, and the widowed patients showed worse prognosis for both genders (p < 0.001) (Figure 1).

Kaplan–Meier analysis of OS and CSS in male and female TSCC patients: (a) OS in male TSCC patients (log rank p < 0.001), (b) OS in female TSCC patients (log rank p < 0.001), (c) CSS in male TSCC patients (log rank p < 0.001), and (d) CSS in female TSCC patients (log rank p < 0.001).
These risk factors associated with all causes and CSS, identified in the univariate Cox proportional hazards regression model, were included in the multivariate analyses and age, marital status, grade, T category, N category, and surgery therapies to the primary tumor were all independent prognostic factors in the multivariable analysis. While marriage was associated with better survival for both married male and female, subgroups’ analysis showed a differential in CSS based on gender, with males benefitting more than females (p < 0.01) (Table 3). The same results were found in OS.
Multivariable Cox proportional hazards analysis for CSS stratified by gender
Prognostic factor | Male | Female | ||||||
---|---|---|---|---|---|---|---|---|
p-Value | HR | Lower 95% CI | Higher 95% CI | p-Value | HR | Lower 95% CI | Higher 95% CI | |
Age | 0.00 | 0.00 | ||||||
<58 | 1 (Reference) | 1 (Reference) | ||||||
≥58 | 1.67 | 1.50 | 1.87 | 1.59 | 1.23 | 2.06 | ||
Marital status | 0.00 | 0.00 | ||||||
Married/partnered | 1 (Reference) | 1 (Reference) | ||||||
Divorced/separated/single | 1.73 | 1.55 | 1.94 | 1.16 | 0.89 | 1.51 | ||
Widowed | 2.05 | 1.60 | 2.64 | 1.89 | 1.37 | 2.60 | ||
Race | 0.00 | 0.01 | ||||||
Caucasian | 1 (Reference) | 1 (Reference) | ||||||
Asian | 1.12 | 0.83 | 1.50 | 0.82 | 0.42 | 1.60 | ||
African American | 1.60 | 1.37 | 1.86 | 1.63 | 1.19 | 2.23 | ||
Grade | 0.00 | 0.00 | ||||||
1 | 1 (Reference) | 1 (Reference) | ||||||
2 | 0.88 | 0.68 | 1.15 | 0.84 | 0.52 | 1.35 | ||
3 | 0.69 | 0.53 | 0.89 | 0.57 | 0.35 | 0.93 | ||
T classification | 0.00 | 0.00 | ||||||
T1 | 1 (Reference) | 1 (Reference) | ||||||
T2 | 1.22 | 1.03 | 1.45 | 1.44 | 1.01 | 2.06 | ||
T3 | 1.53 | 1.24 | 1.89 | 2.77 | 1.77 | 4.34 | ||
T4a | 2.77 | 2.29 | 3.35 | 3.36 | 2.26 | 4.98 | ||
T4b | 3.20 | 2.61 | 3.94 | 4.08 | 2.63 | 6.34 | ||
N classification | 0.00 | 0.17 | ||||||
N0 | 1 (Reference) | 1 (Reference) | ||||||
N1 | 1.24 | 1.04 | 1.48 | 1.14 | 0.83 | 1.58 | ||
N2a | 0.71 | 0.55 | 0.91 | 0.98 | 0.61 | 1.58 | ||
N2b | 1.09 | 0.92 | 1.29 | 0.83 | 0.59 | 1.17 | ||
N2c | 1.64 | 1.35 | 1.99 | 1.48 | 1.00 | 2.19 | ||
N3 | 1.43 | 1.13 | 1.81 | 3.30 | 1.97 | 5.55 | ||
Surgery therapy | 0.00 | 2.04 | 1.80 | 2.31 | 0.00 | 2.40 | 1.84 | 3.14 |
Abbreviations: CI, confidence interval; HR, hazard ratio; p-values were calculated using an adjusted Cox proportional hazards model.
3.3 Effects of marital status stratified by subgroups
To rule out the effects of these variables and further validate the effect of marital status on OS and CSS, we conducted the subgroup analysis based on these variables (Table 4). Remarkably, the protective effect of marriage was consistent in all patients except for N3 groups (all, p < 0.05).
Effect of marital status on OS and CSS based on different subgroup variables
Subgroups | OS | CSS | ||||||
---|---|---|---|---|---|---|---|---|
p-Value | HR | Lower 95% CI | Higher 95% CI | p-Value | HR | Lower 95% CI | Higher 95% CI | |
Age | ||||||||
<58 | 0.00 | 1.70 | 1.57 | 1.85 | 0.00 | 1.78 | 1.61 | 1.96 |
≥58 | 0.00 | 1.32 | 1.26 | 1.37 | 0.00 | 1.39 | 1.31 | 1.48 |
Race | ||||||||
Caucasian | 0.00 | 1.45 | 1.39 | 1.52 | 0.00 | 1.53 | 1.44 | 1.62 |
Asian | 0.00 | 1.42 | 1.14 | 1.77 | 0.00 | 1.72 | 1.29 | 2.28 |
African American | 0.00 | 1.36 | 1.23 | 1.50 | 0.00 | 1.43 | 1.25 | 1.64 |
Gender | ||||||||
Male | 0.00 | 1.53 | 1.46 | 1.61 | 0.00 | 1.66 | 1.55 | 1.77 |
Female | 0.00 | 1.39 | 1.30 | 1.48 | 0.00 | 1.40 | 1.27 | 1.55 |
Grade | ||||||||
1 | 0.00 | 1.32 | 1.13 | 1.55 | 0.00 | 1.53 | 1.23 | 1.92 |
2 | 0.00 | 1.46 | 1.38 | 1.54 | 0.00 | 1.56 | 1.45 | 1.68 |
3 | 0.00 | 1.48 | 1.40 | 1.57 | 0.00 | 1.56 | 1.44 | 1.68 |
T classification | ||||||||
T1 | 0.00 | 1.45 | 1.32 | 1.58 | 0.00 | 1.38 | 1.18 | 1.62 |
T2 | 0.00 | 1.43 | 1.34 | 1.52 | 0.00 | 1.44 | 1.31 | 1.59 |
T3 | 0.00 | 1.43 | 1.29 | 1.58 | 0.00 | 1.58 | 1.38 | 1.81 |
T4a | 0.00 | 1.48 | 1.36 | 1.62 | 0.00 | 1.63 | 1.46 | 1.82 |
T4b | 0.00 | 1.36 | 1.21 | 1.52 | 0.00 | 1.34 | 1.17 | 1.53 |
N classification | ||||||||
N0 | 0.00 | 1.43 | 1.33 | 1.53 | 0.00 | 1.51 | 1.35 | 1.70 |
N1 | 0.00 | 1.46 | 1.35 | 1.58 | 0.00 | 1.59 | 1.43 | 1.76 |
N2a | 0.00 | 1.41 | 1.18 | 1.68 | 0.00 | 1.64 | 1.29 | 2.08 |
N2b | 0.00 | 1.52 | 1.41 | 1.64 | 0.00 | 1.56 | 1.41 | 1.73 |
N2c | 0.00 | 1.51 | 1.35 | 1.69 | 0.00 | 1.62 | 1.40 | 1.87 |
N3 | 0.04 | 1.21 | 1.01 | 1.46 | 0.06 | 1.22 | 0.99 | 1.50 |
Surgery therapy | ||||||||
Yes | 0.00 | 1.38 | 1.29 | 1.47 | 0.00 | 1.39 | 1.25 | 1.55 |
No | 0.00 | 1.43 | 1.37 | 1.50 | 0.00 | 1.51 | 1.42 | 1.61 |
Stage | ||||||||
I | 0.00 | 1.42 | 1.24 | 1.62 | 0.05 | 1.35 | 1.00 | 1.81 |
II | 0.00 | 1.46 | 1.30 | 1.64 | 0.00 | 1.44 | 1.17 | 1.78 |
III | 0.00 | 1.40 | 1.29 | 1.53 | 0.00 | 1.56 | 1.38 | 1.76 |
IVA | 0.00 | 1.55 | 1.46 | 1.64 | 0.00 | 1.68 | 1.55 | 1.82 |
IVB | 0.00 | 1.36 | 1.23 | 1.50 | 0.00 | 1.37 | 1.21 | 1.54 |
IVC | 0.00 | 1.31 | 1.12 | 1.52 | 0.00 | 1.34 | 1.11 | 1.61 |
Abbreviations: CI, confidence interval; HR, hazard ratio; p-values were calculated using an adjusted Cox proportional hazards model.
4 Discussion
We confirmed what previous studies had shown that marital status impacted on treatment outcome of TSCC patients in this study. Compared to other peers, the worse prognosis of widowed patients might have resulted from negative emotions and worse economic situation due to their unfavorable marital status. We further found that married/partnered males may benefit more than females, which relates to spousal influence on adoption of healthy behaviors, as well as the support to quit harmful risk factors associated with adverse outcomes [13]. Women tend to have a greater influence on their spouse’s health than men because women exert more effort to control their partners’ health habits [13,14]. Takagi et al. found that there was a spillover effect of the wife’s non-smoking only among men. However, husband’s non-smoking was not associated with female target’s cessation [15]. Generally speaking, the support received by male patients to adopt healthier lifestyles and have a positive outlook may explain their greater survival benefit from being married, which could partly explain the observed sex-based differences. The differential protective effect of marriage based on gender among TSCC patients is a novel finding, which is important for care planning and needs further exploration of the underlying specific mechanism behind this observation.
We then explored the effect of marital status on prognosis by different subgroups, such as age, race, stage, grade, and the surgery situation of patients. Difference of protective effect of marriage was found among variable subgroups except for N3 patients. Not only cancer, marriage also played a positive role in overall health. Kubzansky reported that marriage protected people from type 2 diabetes through favorable changes in lifestyle [16]. Another study of African Americans with heart failure proved that being married and living with family independently predict lower mortality and fewer readmissions [17]. Besides, a research of East Asian populations revealed marriage and marital satisfaction was of great importance in determining self-rated health [18]. These studies were compatible with our results that the greater impact of marital status on OS than CSS among variable subgroups.
As far as we know, this is the first SEER analysis assessing impact of age, race, and gender on the association between marital status and outcomes in TSCC. Several limitations were noted in this study. First, the SEER database does not include change of marital status after cancer diagnosis. Second, the lack of data on additional predictors of OS such as human papillomavirus infection, p16 status, performance status, comorbidities, tobacco smoking, alcohol consumption, betel nut, and mieng (a fermented ea-leaf) chewing, prevented us to adjust our analyses for these important factors. Finally, also due to the data limitations of the SEER database, positive surgical margins at final pathology were not able to be analyzed between marital status and CSS in this study.
5 Conclusion
Our results showed that while there are survival benefits for married/partnered patients with TSCC, married females may benefit more than males. Age, race, and gender could affect the correlation between marital status and survival.
Acknowledgments
We acknowledge the support of the Department of Radiation Oncology, Fudan University Shanghai Cancer Center. The views expressed in this publication are those of the authors.
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Funding information: None.
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Author contributions: Yujiao Li and Chaosu Hu have made substantial contributions to all of the following: (1) the conception and design of the study, acquisition of data, and analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content, and (3) final approval of the version to be submitted.
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Conflict of interest: The authors declare that they have no conflict of interest.
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Consent for publication: Not applicable.
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Data availability statement: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
[1] Ryerson AB, Peters ES, Coughlin SS, Chen VW, Gillison ML, Reichman ME, et al. Burden of potentially human papillomavirus-associated cancers of the oropharynx and oral cavity in the US, 1998–2003. Cancer – Am Cancer Soc. 2008;113(10 Suppl):2901–9.10.1002/cncr.23745Search in Google Scholar PubMed
[2] Schantz SP, Yu GP. Head and neck cancer incidence trends in young Americans, 1973–1997, with a special analysis for tongue cancer. Arch Otolaryngol Head Neck Surg. 2002;128(3):268–74.10.1001/archotol.128.3.268Search in Google Scholar PubMed
[3] Shiboski CH, Schmidt BL, Jordan RCK. Tongue and tonsil carcinoma: increasing trends in the U.S. population ages 20–44 years. Cancer – Am Cancer Soc. 2005;103(9):1843–9.10.1002/cncr.20998Search in Google Scholar PubMed
[4] Osazuwa-Peters N, Adjei BE, Chen BY, Tobo BB, Varvares MA. Association between head and neck squamous cell carcinoma survival, smoking at diagnosis, and marital status. JAMA Otolaryngol Head Neck Surg. 2018;144(1):43–50.10.1001/jamaoto.2017.1880Search in Google Scholar PubMed PubMed Central
[5] Schaefer EW, Wilson MZ, Goldenberg D, Mackley H, Koch W, Hollenbeak CS. Effect of marriage on outcomes for elderly patients with head and neck cancer. Head Neck. 2015;37(5):735–42.10.1002/hed.23657Search in Google Scholar PubMed
[6] Inverso G, Mahal BA, Aizer AA, Donoff RB, Chau NG, Haddad RI. Marital status and head and neck cancer outcomes. Cancer – Am Cancer Soc. 2015;121(8):1273–8.10.1002/cncr.29171Search in Google Scholar PubMed
[7] Aizer AA, Chen MH, McCarthy EP, Mendu ML, Koo S, Wilhite TJ, et al. Marital status and survival in patients with cancer. J Clin Oncol. 2013;31(31):3869–76.10.1200/JCO.2013.49.6489Search in Google Scholar PubMed PubMed Central
[8] Goodwin JS, Hunt WC, Key CR, Samet JM. The effect of marital status on stage, treatment, and survival of cancer patients. JAMA. 1987;258(21):3125–30.10.1001/jama.1987.03400210067027Search in Google Scholar
[9] Howren MB, Christensen AJ, Hynds KL, Van Liew JR, Funk GF. Influence of pretreatment social support on health-related quality of life in head and neck cancer survivors: results from a prospective study. Head Neck. 2013;35(6):779–87.10.1002/hed.23029Search in Google Scholar PubMed
[10] Osazuwa Peters N, Christopher KM, Cass LM, Massa ST, Hussaini AS, Behera A, et al. What’s love got to do with it? Marital status and survival of head and neck cancer. Eur J Cancer Care. 2019;28(4):e13022.10.1111/ecc.13022Search in Google Scholar PubMed
[11] Liao P, Lee C. The influence of marital status on survival for patients aged 65 years and younger with oral cavity cancer. Auris Nasus Larynx. 2018;45(6):1227–32.10.1016/j.anl.2018.03.007Search in Google Scholar PubMed
[12] Xu C, Chen YP, Liu X, Tang LL, Chen L, Mao YP, et al. Socioeconomic factors and survival in patients with non‐metastatic head and neck squamous cell carcinoma. Cancer Sci. 2017;108(6):1253–62.10.1111/cas.13250Search in Google Scholar PubMed PubMed Central
[13] Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992;34(8):907–17.10.1016/0277-9536(92)90259-SSearch in Google Scholar PubMed
[14] Reczek C, Pudrovska T, Carr D, Thomeer MB, Umberson D. Marital histories and heavy alcohol use among older adults. J Health Soc Behav. 2016;57(1):77–96.10.1177/0022146515628028Search in Google Scholar PubMed PubMed Central
[15] Takagi D, Kondo N, Takada M, Hashimoto H. Differences in spousal influence on smoking cessation by gender and education among Japanese couples. BMC Public Health. 2014;14:1184.10.1186/1471-2458-14-1184Search in Google Scholar PubMed PubMed Central
[16] Cornelis MC, Chiuve SE, Glymour MM, Chang SC, Tchetgen TE, Liang L, et al. Bachelors, divorcees, and widowers: does marriage protect men from type 2 diabetes? Plos One. 2014;9(9):e106720.10.1371/journal.pone.0106720Search in Google Scholar PubMed PubMed Central
[17] Lu M, Davila CD, Shah M, Wheeler DS, Ziccardi MR, Banerji S, et al. Marital status and living condition as predictors of mortality and readmissions among African Americans with heart failure. Int J Cardiol. 2016;222:313–8.10.1016/j.ijcard.2016.07.185Search in Google Scholar PubMed
[18] Chung W, Kim R. Does marriage really matter to health? Intra- and inter-country evidence from China, Japan, Taiwan, and the Republic of Korea. Plos One. 2014;9(8):e104868.10.1371/journal.pone.0104868Search in Google Scholar PubMed PubMed Central
© 2022 Yujiao Li and Chaosu Hu, published by De Gruyter
This work is licensed under the Creative Commons Attribution 4.0 International License.
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- Radiation increases COL1A1, COL3A1, and COL1A2 expression in breast cancer
- Association between preventable risk factors and metabolic syndrome
- miR-29c-5p knockdown reduces inflammation and blood–brain barrier disruption by upregulating LRP6
- Cardiac contractility modulation ameliorates myocardial metabolic remodeling in a rabbit model of chronic heart failure through activation of AMPK and PPAR-α pathway
- Quercitrin protects human bronchial epithelial cells from oxidative damage
- Smurf2 suppresses the metastasis of hepatocellular carcinoma via ubiquitin degradation of Smad2
- circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury
- Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study
- Four drug metabolism-related subgroups of pancreatic adenocarcinoma in prognosis, immune infiltration, and gene mutation
- Decreased expression of miR-195 mediated by hypermethylation promotes osteosarcoma
- LMO3 promotes proliferation and metastasis of papillary thyroid carcinoma cells by regulating LIMK1-mediated cofilin and the β-catenin pathway
- Cx43 upregulation in HUVECs under stretch via TGF-β1 and cytoskeletal network
- Evaluation of menstrual irregularities after COVID-19 vaccination: Results of the MECOVAC survey
- Histopathologic findings on removed stomach after sleeve gastrectomy. Do they influence the outcome?
- Analysis of the expression and prognostic value of MT1-MMP, β1-integrin and YAP1 in glioma
- Optimal diagnosis of the skin cancer using a hybrid deep neural network and grasshopper optimization algorithm
- miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells
- Clinical value of SIRT1 as a prognostic biomarker in esophageal squamous cell carcinoma, a systematic meta-analysis
- circ_0020123 promotes cell proliferation and migration in lung adenocarcinoma via PDZD8
- miR-22-5p regulates the self-renewal of spermatogonial stem cells by targeting EZH2
- hsa-miR-340-5p inhibits epithelial–mesenchymal transition in endometriosis by targeting MAP3K2 and inactivating MAPK/ERK signaling
- circ_0085296 inhibits the biological functions of trophoblast cells to promote the progression of preeclampsia via the miR-942-5p/THBS2 network
- TCD hemodynamics findings in the subacute phase of anterior circulation stroke patients treated with mechanical thrombectomy
- Development of a risk-stratification scoring system for predicting risk of breast cancer based on non-alcoholic fatty liver disease, non-alcoholic fatty pancreas disease, and uric acid
- Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway
- circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis
- Human amniotic fluid as a source of stem cells
- lncRNA NONRATT013819.2 promotes transforming growth factor-β1-induced myofibroblastic transition of hepatic stellate cells by miR24-3p/lox
- NORAD modulates miR-30c-5p-LDHA to protect lung endothelial cells damage
- Idiopathic pulmonary fibrosis telemedicine management during COVID-19 outbreak
- Risk factors for adverse drug reactions associated with clopidogrel therapy
- Serum zinc associated with immunity and inflammatory markers in Covid-19
- The relationship between night shift work and breast cancer incidence: A systematic review and meta-analysis of observational studies
- LncRNA expression in idiopathic achalasia: New insight and preliminary exploration into pathogenesis
- Notoginsenoside R1 alleviates spinal cord injury through the miR-301a/KLF7 axis to activate Wnt/β-catenin pathway
- Moscatilin suppresses the inflammation from macrophages and T cells
- Zoledronate promotes ECM degradation and apoptosis via Wnt/β-catenin
- Epithelial-mesenchymal transition-related genes in coronary artery disease
- The effect evaluation of traditional vaginal surgery and transvaginal mesh surgery for severe pelvic organ prolapse: 5 years follow-up
- Repeated partial splenic artery embolization for hypersplenism improves platelet count
- Low expression of miR-27b in serum exosomes of non-small cell lung cancer facilitates its progression by affecting EGFR
- Exosomal hsa_circ_0000519 modulates the NSCLC cell growth and metastasis via miR-1258/RHOV axis
- miR-455-5p enhances 5-fluorouracil sensitivity in colorectal cancer cells by targeting PIK3R1 and DEPDC1
- The effect of tranexamic acid on the reduction of intraoperative and postoperative blood loss and thromboembolic risk in patients with hip fracture
- Isocitrate dehydrogenase 1 mutation in cholangiocarcinoma impairs tumor progression by sensitizing cells to ferroptosis
- Artemisinin protects against cerebral ischemia and reperfusion injury via inhibiting the NF-κB pathway
- A 16-gene signature associated with homologous recombination deficiency for prognosis prediction in patients with triple-negative breast cancer
- Lidocaine ameliorates chronic constriction injury-induced neuropathic pain through regulating M1/M2 microglia polarization
- MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model
- miR-1273h-5p suppresses CXCL12 expression and inhibits gastric cancer cell invasion and metastasis
- Clinical characteristics of pneumonia patients of long course of illness infected with SARS-CoV-2
- circRNF20 aggravates the malignancy of retinoblastoma depending on the regulation of miR-132-3p/PAX6 axis
- Linezolid for resistant Gram-positive bacterial infections in children under 12 years: A meta-analysis
- Rack1 regulates pro-inflammatory cytokines by NF-κB in diabetic nephropathy
- Comprehensive analysis of molecular mechanism and a novel prognostic signature based on small nuclear RNA biomarkers in gastric cancer patients
- Smog and risk of maternal and fetal birth outcomes: A retrospective study in Baoding, China
- Let-7i-3p inhibits the cell cycle, proliferation, invasion, and migration of colorectal cancer cells via downregulating CCND1
- β2-Adrenergic receptor expression in subchondral bone of patients with varus knee osteoarthritis
- Possible impact of COVID-19 pandemic and lockdown on suicide behavior among patients in Southeast Serbia
- In vitro antimicrobial activity of ozonated oil in liposome eyedrop against multidrug-resistant bacteria
- Potential biomarkers for inflammatory response in acute lung injury
- A low serum uric acid concentration predicts a poor prognosis in adult patients with candidemia
- Antitumor activity of recombinant oncolytic vaccinia virus with human IL2
- ALKBH5 inhibits TNF-α-induced apoptosis of HUVECs through Bcl-2 pathway
- Risk prediction of cardiovascular disease using machine learning classifiers
- Value of ultrasonography parameters in diagnosing polycystic ovary syndrome
- Bioinformatics analysis reveals three key genes and four survival genes associated with youth-onset NSCLC
- Identification of autophagy-related biomarkers in patients with pulmonary arterial hypertension based on bioinformatics analysis
- Protective effects of glaucocalyxin A on the airway of asthmatic mice
- Overexpression of miR-100-5p inhibits papillary thyroid cancer progression via targeting FZD8
- Bioinformatics-based analysis of SUMOylation-related genes in hepatocellular carcinoma reveals a role of upregulated SAE1 in promoting cell proliferation
- Effectiveness and clinical benefits of new anti-diabetic drugs: A real life experience
- Identification of osteoporosis based on gene biomarkers using support vector machine
- Tanshinone IIA reverses oxaliplatin resistance in colorectal cancer through microRNA-30b-5p/AVEN axis
- miR-212-5p inhibits nasopharyngeal carcinoma progression by targeting METTL3
- Association of ST-T changes with all-cause mortality among patients with peripheral T-cell lymphomas
- LINC00665/miRNAs axis-mediated collagen type XI alpha 1 correlates with immune infiltration and malignant phenotypes in lung adenocarcinoma
- The perinatal factors that influence the excretion of fecal calprotectin in premature-born children
- Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study
- Does the use of 3D-printed cones give a chance to postpone the use of megaprostheses in patients with large bone defects in the knee joint?
- lncRNA HAGLR modulates myocardial ischemia–reperfusion injury in mice through regulating miR-133a-3p/MAPK1 axis
- Protective effect of ghrelin on intestinal I/R injury in rats
- In vivo knee kinematics of an innovative prosthesis design
- Relationship between the height of fibular head and the incidence and severity of knee osteoarthritis
- lncRNA WT1-AS attenuates hypoxia/ischemia-induced neuronal injury during cerebral ischemic stroke via miR-186-5p/XIAP axis
- Correlation of cardiac troponin T and APACHE III score with all-cause in-hospital mortality in critically ill patients with acute pulmonary embolism
- LncRNA LINC01857 reduces metastasis and angiogenesis in breast cancer cells via regulating miR-2052/CENPQ axis
- Endothelial cell-specific molecule 1 (ESM1) promoted by transcription factor SPI1 acts as an oncogene to modulate the malignant phenotype of endometrial cancer
- SELENBP1 inhibits progression of colorectal cancer by suppressing epithelial–mesenchymal transition
- Visfatin is negatively associated with coronary artery lesions in subjects with impaired fasting glucose
- Treatment and outcomes of mechanical complications of acute myocardial infarction during the Covid-19 era: A comparison with the pre-Covid-19 period. A systematic review and meta-analysis
- Neonatal stroke surveillance study protocol in the United Kingdom and Republic of Ireland
- Oncogenic role of TWF2 in human tumors: A pan-cancer analysis
- Mean corpuscular hemoglobin predicts the length of hospital stay independent of severity classification in patients with acute pancreatitis
- Association of gallstone and polymorphisms of UGT1A1*27 and UGT1A1*28 in patients with hepatitis B virus-related liver failure
- TGF-β1 upregulates Sar1a expression and induces procollagen-I secretion in hypertrophic scarring fibroblasts
- Antisense lncRNA PCNA-AS1 promotes esophageal squamous cell carcinoma progression through the miR-2467-3p/PCNA axis
- NK-cell dysfunction of acute myeloid leukemia in relation to the renin–angiotensin system and neurotransmitter genes
- The effect of dilution with glucose and prolonged injection time on dexamethasone-induced perineal irritation – A randomized controlled trial
- miR-146-5p restrains calcification of vascular smooth muscle cells by suppressing TRAF6
- Role of lncRNA MIAT/miR-361-3p/CCAR2 in prostate cancer cells
- lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2
- Noninvasive diagnosis of AIH/PBC overlap syndrome based on prediction models
- lncRNA FAM230B is highly expressed in colorectal cancer and suppresses the maturation of miR-1182 to increase cell proliferation
- circ-LIMK1 regulates cisplatin resistance in lung adenocarcinoma by targeting miR-512-5p/HMGA1 axis
- LncRNA SNHG3 promoted cell proliferation, migration, and metastasis of esophageal squamous cell carcinoma via regulating miR-151a-3p/PFN2 axis
- Risk perception and affective state on work exhaustion in obstetrics during the COVID-19 pandemic
- lncRNA-AC130710/miR-129-5p/mGluR1 axis promote migration and invasion by activating PKCα-MAPK signal pathway in melanoma
- SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53
- Xylooligosaccharides and aerobic training regulate metabolism and behavior in rats with streptozotocin-induced type 1 diabetes
- Serpin family A member 1 is an oncogene in glioma and its translation is enhanced by NAD(P)H quinone dehydrogenase 1 through RNA-binding activity
- Silencing of CPSF7 inhibits the proliferation, migration, and invasion of lung adenocarcinoma cells by blocking the AKT/mTOR signaling pathway
- Ultrasound-guided lumbar plexus block versus transversus abdominis plane block for analgesia in children with hip dislocation: A double-blind, randomized trial
- Relationship of plasma MBP and 8-oxo-dG with brain damage in preterm
- Identification of a novel necroptosis-associated miRNA signature for predicting the prognosis in head and neck squamous cell carcinoma
- Delayed femoral vein ligation reduces operative time and blood loss during hip disarticulation in patients with extremity tumors
- The expression of ASAP3 and NOTCH3 and the clinicopathological characteristics of adult glioma patients
- Longitudinal analysis of factors related to Helicobacter pylori infection in Chinese adults
- HOXA10 enhances cell proliferation and suppresses apoptosis in esophageal cancer via activating p38/ERK signaling pathway
- Meta-analysis of early-life antibiotic use and allergic rhinitis
- Marital status and its correlation with age, race, and gender in prognosis of tonsil squamous cell carcinomas
- HPV16 E6E7 up-regulates KIF2A expression by activating JNK/c-Jun signal, is beneficial to migration and invasion of cervical cancer cells
- Amino acid profiles in the tissue and serum of patients with liver cancer
- Pain in critically ill COVID-19 patients: An Italian retrospective study
- Immunohistochemical distribution of Bcl-2 and p53 apoptotic markers in acetamiprid-induced nephrotoxicity
- Estradiol pretreatment in GnRH antagonist protocol for IVF/ICSI treatment
- Long non-coding RNAs LINC00689 inhibits the apoptosis of human nucleus pulposus cells via miR-3127-5p/ATG7 axis-mediated autophagy
- The relationship between oxygen therapy, drug therapy, and COVID-19 mortality
- Monitoring hypertensive disorders in pregnancy to prevent preeclampsia in pregnant women of advanced maternal age: Trial mimicking with retrospective data
- SETD1A promotes the proliferation and glycolysis of nasopharyngeal carcinoma cells by activating the PI3K/Akt pathway
- The role of Shunaoxin pills in the treatment of chronic cerebral hypoperfusion and its main pharmacodynamic components
- TET3 governs malignant behaviors and unfavorable prognosis of esophageal squamous cell carcinoma by activating the PI3K/AKT/GSK3β/β-catenin pathway
- Associations between morphokinetic parameters of temporary-arrest embryos and the clinical prognosis in FET cycles
- Long noncoding RNA WT1-AS regulates trophoblast proliferation, migration, and invasion via the microRNA-186-5p/CADM2 axis
- The incidence of bronchiectasis in chronic obstructive pulmonary disease
- Integrated bioinformatics analysis shows integrin alpha 3 is a prognostic biomarker for pancreatic cancer
- Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway
- Comparison of hospitalized patients with severe pneumonia caused by COVID-19 and influenza A (H7N9 and H1N1): A retrospective study from a designated hospital
- lncRNA ZFAS1 promotes intervertebral disc degeneration by upregulating AAK1
- Pathological characteristics of liver injury induced by N,N-dimethylformamide: From humans to animal models
- lncRNA ELFN1-AS1 enhances the progression of colon cancer by targeting miR-4270 to upregulate AURKB
- DARS-AS1 modulates cell proliferation and migration of gastric cancer cells by regulating miR-330-3p/NAT10 axis
- Dezocine inhibits cell proliferation, migration, and invasion by targeting CRABP2 in ovarian cancer
- MGST1 alleviates the oxidative stress of trophoblast cells induced by hypoxia/reoxygenation and promotes cell proliferation, migration, and invasion by activating the PI3K/AKT/mTOR pathway
- Bifidobacterium lactis Probio-M8 ameliorated the symptoms of type 2 diabetes mellitus mice by changing ileum FXR-CYP7A1
- circRNA DENND1B inhibits tumorigenicity of clear cell renal cell carcinoma via miR-122-5p/TIMP2 axis
- EphA3 targeted by miR-3666 contributes to melanoma malignancy via activating ERK1/2 and p38 MAPK pathways
- Pacemakers and methylprednisolone pulse therapy in immune-related myocarditis concomitant with complete heart block
- miRNA-130a-3p targets sphingosine-1-phosphate receptor 1 to activate the microglial and astrocytes and to promote neural injury under the high glucose condition
- Review Articles
- Current management of cancer pain in Italy: Expert opinion paper
- Hearing loss and brain disorders: A review of multiple pathologies
- The rationale for using low-molecular weight heparin in the therapy of symptomatic COVID-19 patients
- Amyotrophic lateral sclerosis and delayed onset muscle soreness in light of the impaired blink and stretch reflexes – watch out for Piezo2
- Interleukin-35 in autoimmune dermatoses: Current concepts
- Recent discoveries in microbiota dysbiosis, cholangiocytic factors, and models for studying the pathogenesis of primary sclerosing cholangitis
- Advantages of ketamine in pediatric anesthesia
- Congenital adrenal hyperplasia. Role of dentist in early diagnosis
- Migraine management: Non-pharmacological points for patients and health care professionals
- Atherogenic index of plasma and coronary artery disease: A systematic review
- Physiological and modulatory role of thioredoxins in the cellular function
- Case Reports
- Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
- A case of successful pembrolizumab monotherapy in a patient with advanced lung adenocarcinoma: Use of multiple biomarkers in combination for clinical practice
- Unusual neurological manifestations of bilateral medial medullary infarction: A case report
- Atypical symptoms of malignant hyperthermia: A rare causative mutation in the RYR1 gene
- A case report of dermatomyositis with the missed diagnosis of non-small cell lung cancer and concurrence of pulmonary tuberculosis
- A rare case of endometrial polyp complicated with uterine inversion: A case report and clinical management
- Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)
- Fungal infection mimicking COVID-19 infection – A case report
- Concurrent aspergillosis and cystic pulmonary metastases in a patient with tongue squamous cell carcinoma
- Paraganglioma-induced inverted takotsubo-like cardiomyopathy leading to cardiogenic shock successfully treated with extracorporeal membrane oxygenation
- Lineage switch from lymphoma to myeloid neoplasms: First case series from a single institution
- Trismus during tracheal extubation as a complication of general anaesthesia – A case report
- Simultaneous treatment of a pubovesical fistula and lymph node metastasis secondary to multimodal treatment for prostate cancer: Case report and review of the literature
- Two case reports of skin vasculitis following the COVID-19 immunization
- Ureteroiliac fistula after oncological surgery: Case report and review of the literature
- Synchronous triple primary malignant tumours in the bladder, prostate, and lung harbouring TP53 and MEK1 mutations accompanied with severe cardiovascular diseases: A case report
- Huge mucinous cystic neoplasms with adhesion to the left colon: A case report and literature review
- Commentary
- Commentary on “Clinicopathological features of programmed cell death-ligand 1 expression in patients with oral squamous cell carcinoma”
- Rapid Communication
- COVID-19 fear, post-traumatic stress, growth, and the role of resilience
- Erratum
- Erratum to “Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway”
- Erratum to “Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study”
- Erratum to “lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2”
- Retraction
- Expression and role of ABIN1 in sepsis: In vitro and in vivo studies
- Retraction to “miR-519d downregulates LEP expression to inhibit preeclampsia development”
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part II
- Usefulness of close surveillance for rectal cancer patients after neoadjuvant chemoradiotherapy
Articles in the same Issue
- Research Articles
- AMBRA1 attenuates the proliferation of uveal melanoma cells
- A ceRNA network mediated by LINC00475 in papillary thyroid carcinoma
- Differences in complications between hepatitis B-related cirrhosis and alcohol-related cirrhosis
- Effect of gestational diabetes mellitus on lipid profile: A systematic review and meta-analysis
- Long noncoding RNA NR2F1-AS1 stimulates the tumorigenic behavior of non-small cell lung cancer cells by sponging miR-363-3p to increase SOX4
- Promising novel biomarkers and candidate small-molecule drugs for lung adenocarcinoma: Evidence from bioinformatics analysis of high-throughput data
- Plasmapheresis: Is it a potential alternative treatment for chronic urticaria?
- The biomarkers of key miRNAs and gene targets associated with extranodal NK/T-cell lymphoma
- Gene signature to predict prognostic survival of hepatocellular carcinoma
- Effects of miRNA-199a-5p on cell proliferation and apoptosis of uterine leiomyoma by targeting MED12
- Does diabetes affect paraneoplastic thrombocytosis in colorectal cancer?
- Is there any effect on imprinted genes H19, PEG3, and SNRPN during AOA?
- Leptin and PCSK9 concentrations are associated with vascular endothelial cytokines in patients with stable coronary heart disease
- Pericentric inversion of chromosome 6 and male fertility problems
- Staple line reinforcement with nebulized cyanoacrylate glue in laparoscopic sleeve gastrectomy: A propensity score-matched study
- Retrospective analysis of crescent score in clinical prognosis of IgA nephropathy
- Expression of DNM3 is associated with good outcome in colorectal cancer
- Activation of SphK2 contributes to adipocyte-induced EOC cell proliferation
- CRRT influences PICCO measurements in febrile critically ill patients
- SLCO4A1-AS1 mediates pancreatic cancer development via miR-4673/KIF21B axis
- lncRNA ACTA2-AS1 inhibits malignant phenotypes of gastric cancer cells
- circ_AKT3 knockdown suppresses cisplatin resistance in gastric cancer
- Prognostic value of nicotinamide N-methyltransferase in human cancers: Evidence from a meta-analysis and database validation
- GPC2 deficiency inhibits cell growth and metastasis in colon adenocarcinoma
- A pan-cancer analysis of the oncogenic role of Holliday junction recognition protein in human tumors
- Radiation increases COL1A1, COL3A1, and COL1A2 expression in breast cancer
- Association between preventable risk factors and metabolic syndrome
- miR-29c-5p knockdown reduces inflammation and blood–brain barrier disruption by upregulating LRP6
- Cardiac contractility modulation ameliorates myocardial metabolic remodeling in a rabbit model of chronic heart failure through activation of AMPK and PPAR-α pathway
- Quercitrin protects human bronchial epithelial cells from oxidative damage
- Smurf2 suppresses the metastasis of hepatocellular carcinoma via ubiquitin degradation of Smad2
- circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury
- Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study
- Four drug metabolism-related subgroups of pancreatic adenocarcinoma in prognosis, immune infiltration, and gene mutation
- Decreased expression of miR-195 mediated by hypermethylation promotes osteosarcoma
- LMO3 promotes proliferation and metastasis of papillary thyroid carcinoma cells by regulating LIMK1-mediated cofilin and the β-catenin pathway
- Cx43 upregulation in HUVECs under stretch via TGF-β1 and cytoskeletal network
- Evaluation of menstrual irregularities after COVID-19 vaccination: Results of the MECOVAC survey
- Histopathologic findings on removed stomach after sleeve gastrectomy. Do they influence the outcome?
- Analysis of the expression and prognostic value of MT1-MMP, β1-integrin and YAP1 in glioma
- Optimal diagnosis of the skin cancer using a hybrid deep neural network and grasshopper optimization algorithm
- miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells
- Clinical value of SIRT1 as a prognostic biomarker in esophageal squamous cell carcinoma, a systematic meta-analysis
- circ_0020123 promotes cell proliferation and migration in lung adenocarcinoma via PDZD8
- miR-22-5p regulates the self-renewal of spermatogonial stem cells by targeting EZH2
- hsa-miR-340-5p inhibits epithelial–mesenchymal transition in endometriosis by targeting MAP3K2 and inactivating MAPK/ERK signaling
- circ_0085296 inhibits the biological functions of trophoblast cells to promote the progression of preeclampsia via the miR-942-5p/THBS2 network
- TCD hemodynamics findings in the subacute phase of anterior circulation stroke patients treated with mechanical thrombectomy
- Development of a risk-stratification scoring system for predicting risk of breast cancer based on non-alcoholic fatty liver disease, non-alcoholic fatty pancreas disease, and uric acid
- Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway
- circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis
- Human amniotic fluid as a source of stem cells
- lncRNA NONRATT013819.2 promotes transforming growth factor-β1-induced myofibroblastic transition of hepatic stellate cells by miR24-3p/lox
- NORAD modulates miR-30c-5p-LDHA to protect lung endothelial cells damage
- Idiopathic pulmonary fibrosis telemedicine management during COVID-19 outbreak
- Risk factors for adverse drug reactions associated with clopidogrel therapy
- Serum zinc associated with immunity and inflammatory markers in Covid-19
- The relationship between night shift work and breast cancer incidence: A systematic review and meta-analysis of observational studies
- LncRNA expression in idiopathic achalasia: New insight and preliminary exploration into pathogenesis
- Notoginsenoside R1 alleviates spinal cord injury through the miR-301a/KLF7 axis to activate Wnt/β-catenin pathway
- Moscatilin suppresses the inflammation from macrophages and T cells
- Zoledronate promotes ECM degradation and apoptosis via Wnt/β-catenin
- Epithelial-mesenchymal transition-related genes in coronary artery disease
- The effect evaluation of traditional vaginal surgery and transvaginal mesh surgery for severe pelvic organ prolapse: 5 years follow-up
- Repeated partial splenic artery embolization for hypersplenism improves platelet count
- Low expression of miR-27b in serum exosomes of non-small cell lung cancer facilitates its progression by affecting EGFR
- Exosomal hsa_circ_0000519 modulates the NSCLC cell growth and metastasis via miR-1258/RHOV axis
- miR-455-5p enhances 5-fluorouracil sensitivity in colorectal cancer cells by targeting PIK3R1 and DEPDC1
- The effect of tranexamic acid on the reduction of intraoperative and postoperative blood loss and thromboembolic risk in patients with hip fracture
- Isocitrate dehydrogenase 1 mutation in cholangiocarcinoma impairs tumor progression by sensitizing cells to ferroptosis
- Artemisinin protects against cerebral ischemia and reperfusion injury via inhibiting the NF-κB pathway
- A 16-gene signature associated with homologous recombination deficiency for prognosis prediction in patients with triple-negative breast cancer
- Lidocaine ameliorates chronic constriction injury-induced neuropathic pain through regulating M1/M2 microglia polarization
- MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model
- miR-1273h-5p suppresses CXCL12 expression and inhibits gastric cancer cell invasion and metastasis
- Clinical characteristics of pneumonia patients of long course of illness infected with SARS-CoV-2
- circRNF20 aggravates the malignancy of retinoblastoma depending on the regulation of miR-132-3p/PAX6 axis
- Linezolid for resistant Gram-positive bacterial infections in children under 12 years: A meta-analysis
- Rack1 regulates pro-inflammatory cytokines by NF-κB in diabetic nephropathy
- Comprehensive analysis of molecular mechanism and a novel prognostic signature based on small nuclear RNA biomarkers in gastric cancer patients
- Smog and risk of maternal and fetal birth outcomes: A retrospective study in Baoding, China
- Let-7i-3p inhibits the cell cycle, proliferation, invasion, and migration of colorectal cancer cells via downregulating CCND1
- β2-Adrenergic receptor expression in subchondral bone of patients with varus knee osteoarthritis
- Possible impact of COVID-19 pandemic and lockdown on suicide behavior among patients in Southeast Serbia
- In vitro antimicrobial activity of ozonated oil in liposome eyedrop against multidrug-resistant bacteria
- Potential biomarkers for inflammatory response in acute lung injury
- A low serum uric acid concentration predicts a poor prognosis in adult patients with candidemia
- Antitumor activity of recombinant oncolytic vaccinia virus with human IL2
- ALKBH5 inhibits TNF-α-induced apoptosis of HUVECs through Bcl-2 pathway
- Risk prediction of cardiovascular disease using machine learning classifiers
- Value of ultrasonography parameters in diagnosing polycystic ovary syndrome
- Bioinformatics analysis reveals three key genes and four survival genes associated with youth-onset NSCLC
- Identification of autophagy-related biomarkers in patients with pulmonary arterial hypertension based on bioinformatics analysis
- Protective effects of glaucocalyxin A on the airway of asthmatic mice
- Overexpression of miR-100-5p inhibits papillary thyroid cancer progression via targeting FZD8
- Bioinformatics-based analysis of SUMOylation-related genes in hepatocellular carcinoma reveals a role of upregulated SAE1 in promoting cell proliferation
- Effectiveness and clinical benefits of new anti-diabetic drugs: A real life experience
- Identification of osteoporosis based on gene biomarkers using support vector machine
- Tanshinone IIA reverses oxaliplatin resistance in colorectal cancer through microRNA-30b-5p/AVEN axis
- miR-212-5p inhibits nasopharyngeal carcinoma progression by targeting METTL3
- Association of ST-T changes with all-cause mortality among patients with peripheral T-cell lymphomas
- LINC00665/miRNAs axis-mediated collagen type XI alpha 1 correlates with immune infiltration and malignant phenotypes in lung adenocarcinoma
- The perinatal factors that influence the excretion of fecal calprotectin in premature-born children
- Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study
- Does the use of 3D-printed cones give a chance to postpone the use of megaprostheses in patients with large bone defects in the knee joint?
- lncRNA HAGLR modulates myocardial ischemia–reperfusion injury in mice through regulating miR-133a-3p/MAPK1 axis
- Protective effect of ghrelin on intestinal I/R injury in rats
- In vivo knee kinematics of an innovative prosthesis design
- Relationship between the height of fibular head and the incidence and severity of knee osteoarthritis
- lncRNA WT1-AS attenuates hypoxia/ischemia-induced neuronal injury during cerebral ischemic stroke via miR-186-5p/XIAP axis
- Correlation of cardiac troponin T and APACHE III score with all-cause in-hospital mortality in critically ill patients with acute pulmonary embolism
- LncRNA LINC01857 reduces metastasis and angiogenesis in breast cancer cells via regulating miR-2052/CENPQ axis
- Endothelial cell-specific molecule 1 (ESM1) promoted by transcription factor SPI1 acts as an oncogene to modulate the malignant phenotype of endometrial cancer
- SELENBP1 inhibits progression of colorectal cancer by suppressing epithelial–mesenchymal transition
- Visfatin is negatively associated with coronary artery lesions in subjects with impaired fasting glucose
- Treatment and outcomes of mechanical complications of acute myocardial infarction during the Covid-19 era: A comparison with the pre-Covid-19 period. A systematic review and meta-analysis
- Neonatal stroke surveillance study protocol in the United Kingdom and Republic of Ireland
- Oncogenic role of TWF2 in human tumors: A pan-cancer analysis
- Mean corpuscular hemoglobin predicts the length of hospital stay independent of severity classification in patients with acute pancreatitis
- Association of gallstone and polymorphisms of UGT1A1*27 and UGT1A1*28 in patients with hepatitis B virus-related liver failure
- TGF-β1 upregulates Sar1a expression and induces procollagen-I secretion in hypertrophic scarring fibroblasts
- Antisense lncRNA PCNA-AS1 promotes esophageal squamous cell carcinoma progression through the miR-2467-3p/PCNA axis
- NK-cell dysfunction of acute myeloid leukemia in relation to the renin–angiotensin system and neurotransmitter genes
- The effect of dilution with glucose and prolonged injection time on dexamethasone-induced perineal irritation – A randomized controlled trial
- miR-146-5p restrains calcification of vascular smooth muscle cells by suppressing TRAF6
- Role of lncRNA MIAT/miR-361-3p/CCAR2 in prostate cancer cells
- lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2
- Noninvasive diagnosis of AIH/PBC overlap syndrome based on prediction models
- lncRNA FAM230B is highly expressed in colorectal cancer and suppresses the maturation of miR-1182 to increase cell proliferation
- circ-LIMK1 regulates cisplatin resistance in lung adenocarcinoma by targeting miR-512-5p/HMGA1 axis
- LncRNA SNHG3 promoted cell proliferation, migration, and metastasis of esophageal squamous cell carcinoma via regulating miR-151a-3p/PFN2 axis
- Risk perception and affective state on work exhaustion in obstetrics during the COVID-19 pandemic
- lncRNA-AC130710/miR-129-5p/mGluR1 axis promote migration and invasion by activating PKCα-MAPK signal pathway in melanoma
- SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53
- Xylooligosaccharides and aerobic training regulate metabolism and behavior in rats with streptozotocin-induced type 1 diabetes
- Serpin family A member 1 is an oncogene in glioma and its translation is enhanced by NAD(P)H quinone dehydrogenase 1 through RNA-binding activity
- Silencing of CPSF7 inhibits the proliferation, migration, and invasion of lung adenocarcinoma cells by blocking the AKT/mTOR signaling pathway
- Ultrasound-guided lumbar plexus block versus transversus abdominis plane block for analgesia in children with hip dislocation: A double-blind, randomized trial
- Relationship of plasma MBP and 8-oxo-dG with brain damage in preterm
- Identification of a novel necroptosis-associated miRNA signature for predicting the prognosis in head and neck squamous cell carcinoma
- Delayed femoral vein ligation reduces operative time and blood loss during hip disarticulation in patients with extremity tumors
- The expression of ASAP3 and NOTCH3 and the clinicopathological characteristics of adult glioma patients
- Longitudinal analysis of factors related to Helicobacter pylori infection in Chinese adults
- HOXA10 enhances cell proliferation and suppresses apoptosis in esophageal cancer via activating p38/ERK signaling pathway
- Meta-analysis of early-life antibiotic use and allergic rhinitis
- Marital status and its correlation with age, race, and gender in prognosis of tonsil squamous cell carcinomas
- HPV16 E6E7 up-regulates KIF2A expression by activating JNK/c-Jun signal, is beneficial to migration and invasion of cervical cancer cells
- Amino acid profiles in the tissue and serum of patients with liver cancer
- Pain in critically ill COVID-19 patients: An Italian retrospective study
- Immunohistochemical distribution of Bcl-2 and p53 apoptotic markers in acetamiprid-induced nephrotoxicity
- Estradiol pretreatment in GnRH antagonist protocol for IVF/ICSI treatment
- Long non-coding RNAs LINC00689 inhibits the apoptosis of human nucleus pulposus cells via miR-3127-5p/ATG7 axis-mediated autophagy
- The relationship between oxygen therapy, drug therapy, and COVID-19 mortality
- Monitoring hypertensive disorders in pregnancy to prevent preeclampsia in pregnant women of advanced maternal age: Trial mimicking with retrospective data
- SETD1A promotes the proliferation and glycolysis of nasopharyngeal carcinoma cells by activating the PI3K/Akt pathway
- The role of Shunaoxin pills in the treatment of chronic cerebral hypoperfusion and its main pharmacodynamic components
- TET3 governs malignant behaviors and unfavorable prognosis of esophageal squamous cell carcinoma by activating the PI3K/AKT/GSK3β/β-catenin pathway
- Associations between morphokinetic parameters of temporary-arrest embryos and the clinical prognosis in FET cycles
- Long noncoding RNA WT1-AS regulates trophoblast proliferation, migration, and invasion via the microRNA-186-5p/CADM2 axis
- The incidence of bronchiectasis in chronic obstructive pulmonary disease
- Integrated bioinformatics analysis shows integrin alpha 3 is a prognostic biomarker for pancreatic cancer
- Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway
- Comparison of hospitalized patients with severe pneumonia caused by COVID-19 and influenza A (H7N9 and H1N1): A retrospective study from a designated hospital
- lncRNA ZFAS1 promotes intervertebral disc degeneration by upregulating AAK1
- Pathological characteristics of liver injury induced by N,N-dimethylformamide: From humans to animal models
- lncRNA ELFN1-AS1 enhances the progression of colon cancer by targeting miR-4270 to upregulate AURKB
- DARS-AS1 modulates cell proliferation and migration of gastric cancer cells by regulating miR-330-3p/NAT10 axis
- Dezocine inhibits cell proliferation, migration, and invasion by targeting CRABP2 in ovarian cancer
- MGST1 alleviates the oxidative stress of trophoblast cells induced by hypoxia/reoxygenation and promotes cell proliferation, migration, and invasion by activating the PI3K/AKT/mTOR pathway
- Bifidobacterium lactis Probio-M8 ameliorated the symptoms of type 2 diabetes mellitus mice by changing ileum FXR-CYP7A1
- circRNA DENND1B inhibits tumorigenicity of clear cell renal cell carcinoma via miR-122-5p/TIMP2 axis
- EphA3 targeted by miR-3666 contributes to melanoma malignancy via activating ERK1/2 and p38 MAPK pathways
- Pacemakers and methylprednisolone pulse therapy in immune-related myocarditis concomitant with complete heart block
- miRNA-130a-3p targets sphingosine-1-phosphate receptor 1 to activate the microglial and astrocytes and to promote neural injury under the high glucose condition
- Review Articles
- Current management of cancer pain in Italy: Expert opinion paper
- Hearing loss and brain disorders: A review of multiple pathologies
- The rationale for using low-molecular weight heparin in the therapy of symptomatic COVID-19 patients
- Amyotrophic lateral sclerosis and delayed onset muscle soreness in light of the impaired blink and stretch reflexes – watch out for Piezo2
- Interleukin-35 in autoimmune dermatoses: Current concepts
- Recent discoveries in microbiota dysbiosis, cholangiocytic factors, and models for studying the pathogenesis of primary sclerosing cholangitis
- Advantages of ketamine in pediatric anesthesia
- Congenital adrenal hyperplasia. Role of dentist in early diagnosis
- Migraine management: Non-pharmacological points for patients and health care professionals
- Atherogenic index of plasma and coronary artery disease: A systematic review
- Physiological and modulatory role of thioredoxins in the cellular function
- Case Reports
- Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
- A case of successful pembrolizumab monotherapy in a patient with advanced lung adenocarcinoma: Use of multiple biomarkers in combination for clinical practice
- Unusual neurological manifestations of bilateral medial medullary infarction: A case report
- Atypical symptoms of malignant hyperthermia: A rare causative mutation in the RYR1 gene
- A case report of dermatomyositis with the missed diagnosis of non-small cell lung cancer and concurrence of pulmonary tuberculosis
- A rare case of endometrial polyp complicated with uterine inversion: A case report and clinical management
- Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)
- Fungal infection mimicking COVID-19 infection – A case report
- Concurrent aspergillosis and cystic pulmonary metastases in a patient with tongue squamous cell carcinoma
- Paraganglioma-induced inverted takotsubo-like cardiomyopathy leading to cardiogenic shock successfully treated with extracorporeal membrane oxygenation
- Lineage switch from lymphoma to myeloid neoplasms: First case series from a single institution
- Trismus during tracheal extubation as a complication of general anaesthesia – A case report
- Simultaneous treatment of a pubovesical fistula and lymph node metastasis secondary to multimodal treatment for prostate cancer: Case report and review of the literature
- Two case reports of skin vasculitis following the COVID-19 immunization
- Ureteroiliac fistula after oncological surgery: Case report and review of the literature
- Synchronous triple primary malignant tumours in the bladder, prostate, and lung harbouring TP53 and MEK1 mutations accompanied with severe cardiovascular diseases: A case report
- Huge mucinous cystic neoplasms with adhesion to the left colon: A case report and literature review
- Commentary
- Commentary on “Clinicopathological features of programmed cell death-ligand 1 expression in patients with oral squamous cell carcinoma”
- Rapid Communication
- COVID-19 fear, post-traumatic stress, growth, and the role of resilience
- Erratum
- Erratum to “Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway”
- Erratum to “Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study”
- Erratum to “lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2”
- Retraction
- Expression and role of ABIN1 in sepsis: In vitro and in vivo studies
- Retraction to “miR-519d downregulates LEP expression to inhibit preeclampsia development”
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part II
- Usefulness of close surveillance for rectal cancer patients after neoadjuvant chemoradiotherapy