Do ethnic patients report longer lung cancer intervals than Anglo-Australian patients?: Findings from a prospective, observational cohort study

被引:3
作者
Mazza, Danielle [1 ]
Lin, Xiaoping [2 ,3 ]
Walter, Fiona M. [4 ]
Young, Jane M. [5 ]
Barnes, David J. [6 ]
Mitchell, Paul L. [7 ]
Brijnath, Bianca [8 ]
Martin, Andrew [9 ]
O'Byrne, Kenneth J. [10 ,11 ]
Emery, Jon D. [12 ,13 ]
机构
[1] Monash Univ, Dept Gen Practice, Bldg 1,270 Ferntree Gully Rd,Notting Hill, Melbourne, Vic 3168, Australia
[2] Monash Univ, Dept Gen Practice, Melbourne, Vic, Australia
[3] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic, Australia
[4] Univ Cambridge, Dept Publ Hlth & Primary Care, Primary Care Unit, Cambridge, England
[5] Univ Sydney, Sydney Sch Publ Hlth, Sydney Med Sch, Sydney, NSW, Australia
[6] Royal Prince Alfred Hosp, Dept Resp & Sleep Med, Sydney, NSW, Australia
[7] Austin Hlth & Univ Melbourne, Olivia Newton John Canc & Wellness Ctr, Melbourne, Vic, Australia
[8] Natl Ageing Res Inst, Social Gerontol Div, Melbourne, Vic, Australia
[9] Univ Sydney, NHMRC Clin Trials Ctr, Sydney, NSW, Australia
[10] Princess Alexandra Hosp, Brisbane, Qld, Australia
[11] Queensland Univ Technol, Brisbane, Qld, Australia
[12] Univ Melbourne, Dept Gen Practice, Melbourne, Vic, Australia
[13] Univ Melbourne, Ctr Canc Res, Fac Med Dent & Hlth Sci, Melbourne, Vic, Australia
关键词
cancer pathway; diagnostic intervals; ethnicity; immigrants; lung cancer; DIAGNOSTIC INTERVALS; DISPARITIES; PATHWAYS; HEALTH; MODEL;
D O I
10.1111/ecc.13492
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective Lung cancer patients from ethnic minorities have poorer outcomes than their Caucasian counterparts. We compared lung cancer intervals between culturally and linguistically diverse (CALD) and Anglo-Australian patients to identify ethnic disparities. Methods This was a prospective, observational cohort study comprising a patient survey and reviews of patients' hospital and general practice records. Across three states, 577 (407 Anglo-Australian and 170 CALD) patients were recruited and their hospital records reviewed. The survey was returned by 189 (135 Anglo-Australian and 54 CALD) patients, and a review was completed by general practitioners (GPs) of 99 (76 Anglo-Australian and 23 CALD) patients. Survival and Cox regression analyses were conducted. Results CALD patients had longer hospital diagnostic interval [median 30 days, 95% confidence interval (CI) 26-34] than Anglo-Australian patients (median 17, 95% CI 14-20), p = 0.005, hazard ratio (HR) = 1.32 (95% CI 1.09-1.60). This difference persisted after relevant factors were taken into consideration, adjusted HR = 1.26 (95% CI 1.03-1.54, p = 0.022). CALD patients also reported longer prehospital intervals; however, these differences were not statistically significant. Conclusion Target interventions need to be developed to address ethnic disparity in hospital diagnostic interval.
引用
收藏
页数:11
相关论文
共 33 条
[21]   The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ) [J].
Osborne, Richard H. ;
Batterham, Roy W. ;
Elsworth, Gerald R. ;
Hawkins, Melanie ;
Buchbinder, Rachelle .
BMC PUBLIC HEALTH, 2013, 13
[22]  
Pison G., 2019, Population & Societes, V563, P1, DOI DOI 10.3917/POPSOC.563.0001
[23]   The effectiveness of recruitment strategies on general practitioner's survey response rates - a systematic review [J].
Pit, Sabrina Winona ;
Vo, Tham ;
Pyakurel, Sagun .
BMC MEDICAL RESEARCH METHODOLOGY, 2014, 14
[24]   Lung cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study [J].
Richards, Thomas B. ;
Henley, S. Jane ;
Puckett, Mary C. ;
Weir, Hannah K. ;
Huang, Bin ;
Tucker, Thomas C. ;
Allemani, Claudia .
CANCER, 2017, 123 :5079-5099
[25]   The Model of Pathways to Treatment: Conceptualization and integration with existing theory [J].
Scott, S. E. ;
Walter, F. M. ;
Webster, A. ;
Sutton, S. ;
Emery, J. .
BRITISH JOURNAL OF HEALTH PSYCHOLOGY, 2013, 18 (01) :45-65
[26]   Migrant Health in Cancer: Outcome Disparities and the Determinant Role of Migrant-Specific Variables [J].
Sze, Ming ;
Butow, Phyllis ;
Bell, Melanie ;
Vaccaro, Lisa ;
Dong, Skye ;
Eisenbruch, Maurice ;
Jefford, Michael ;
Girgis, Afaf ;
King, Madeleine ;
McGrane, Joshua ;
Ng, Weng ;
Asghari, Ray ;
Parente, Phillip ;
Liauw, Winston ;
Goldstein, David .
ONCOLOGIST, 2015, 20 (05) :523-531
[27]   Evidence of increasing mortality with longer diagnostic intervals for five common cancers: A cohort study in primary care [J].
Torring, Marie Louise ;
Frydenberg, Morten ;
Hansen, Rikke P. ;
Olesen, Frede ;
Vedsted, Peter .
EUROPEAN JOURNAL OF CANCER, 2013, 49 (09) :2187-2198
[28]   Population-based differences in the outcome and presentation of lung cancer patients based upon racial, histologic, and economic factors in all lung patients and those with metastatic disease [J].
Varlotto, John Michael ;
Voland, Richard ;
McKie, Kerrie ;
Flickinger, John C. ;
DeCamp, Malcolm M. ;
Maddox, Debra ;
Rava, Paul ;
Fitzgerald, Thomas J. ;
Graeber, Geoffrey ;
Rassaei, Negar ;
Oliveira, Paulo ;
Ali, Suhail ;
Belani, Chandra ;
Glanzman, Jonathan ;
Wakelee, Heather A. ;
Patel, Manali ;
Baima, Jennifer ;
Zhang, Jianying ;
Walsh, William .
CANCER MEDICINE, 2018, 7 (04) :1211-1220
[29]   The Andersen Model of Total Patient Delay: a systematic review of its application in cancer diagnosis [J].
Walter, Fiona ;
Webster, Andrew ;
Scott, Suzanne ;
Emery, Jon .
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY, 2012, 17 (02) :110-118
[30]   Lung cancer survival and stage at diagnosis in Australia, Canada, Denmark, Norway, Sweden and the UK: a population-based study, 2004-2007 [J].
Walters, Sarah ;
Maringe, Camille ;
Coleman, Michel P. ;
Peake, Michael D. ;
Butler, John ;
Young, Nicholas ;
Bergstrom, Stefan ;
Hanna, Louise ;
Jakobsen, Erik ;
Kolbeck, Karl ;
Sundstrom, Stein ;
Engholm, Gerda ;
Gavin, Anna ;
Gjerstorff, Marianne L. ;
Hatcher, Juanita ;
Johannesen, Tom Borge ;
Linklater, Karen M. ;
McGahan, Colleen E. ;
Steward, John ;
Tracey, Elizabeth ;
Turner, Donna ;
Richards, Michael A. ;
Rachet, Bernard .
THORAX, 2013, 68 (06) :551-564