Breast cancer survival in New Zealand women

被引:6
作者
Campbell, Ian D. [1 ]
Scott, Nina [2 ]
Seneviratne, Sanjeewa [1 ]
Kollias, James [3 ,4 ,5 ]
Walters, David [3 ]
Taylor, Corey [6 ]
Webster, Fleur [7 ]
Zorbas, Helen [7 ]
Roder, David M. [7 ,8 ]
机构
[1] Univ Auckland, Fac Med & Hlth Sci, Waikato Clin Sch, Hamilton, New Zealand
[2] Waikato Dist Hlth Board, Maori Hlth, Te Puna Oranga, Hamilton, New Zealand
[3] Breast Surg Australia & New Zealand, Natl Breast Canc Audit Steering Comm, Sydney, NSW, Australia
[4] Royal Adelaide Hosp, Breast Endocrine & Surg Oncol Unit, Adelaide, SA 5000, Australia
[5] Univ Adelaide, Dept Surg, Adelaide, SA, Australia
[6] Royal Australasian Coll Surg, Breast Surg Australia & New Zealand Qual Audit, Adelaide, SA, Australia
[7] Canc Australia, Populat Hlth, Sydney, NSW, Australia
[8] Univ S Australia, Sch Populat Hlth, Adelaide, SA 5001, Australia
关键词
breast cancer; ethnicity; risk factor; survival; RELATIVE SURVIVAL; REGISTRY;
D O I
10.1111/ans.12851
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundThe Quality Audit (BQA) of Breast Surgeons of Australia and New Zealand includes a broad range of data and is the largest New Zealand (NZ) breast cancer (BC) database outside the NZ Cancer Registry. We used BQA data to compare BC survival by ethnicity, deprivation, remoteness, clinical characteristic and case load. MethodsBQA and death data were linked using the National Health Index. Disease-specific survival for invasive cases was benchmarked against Australian BQA data and NZ population-based survivals. Validity was explored by comparison with expected survival by risk factor. ResultsCompared with 93% for Australian audit cases, 5-year survival was 90% for NZ audit cases overall, 87% for Maori, 84% for Pacific and 91% for other. ConclusionsBC survival in NZ appears lower than in Australia, with inequities by ethnicity. Differences may be due to access, timeliness and quality of health services, patient risk profiles, BQA coverage and death-record methodology.
引用
收藏
页码:546 / 552
页数:7
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