Differences in survival between Māori and New Zealand Europeans with prostate cancer.

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dc.contributor.author Lao, C en
dc.contributor.author Obertová, Z en
dc.contributor.author Brown, C en
dc.contributor.author Scott, Katrina en
dc.contributor.author Edlin, Richard en
dc.contributor.author Gilling, Peter en
dc.contributor.author Holmes, M en
dc.contributor.author Tyrie, L en
dc.contributor.author Lawrenson, R en
dc.date.accessioned 2018-11-13T03:15:34Z en
dc.date.issued 2016-03 en
dc.identifier.issn 0961-5423 en
dc.identifier.uri http://hdl.handle.net/2292/44178 en
dc.description.abstract This study aims to examine the survival disparity between Māori men and New Zealand (NZ) Europeans diagnosed with prostate cancer. We identified men aged 40+ years in the Midland Cancer Network region registered with prostate cancer in 2007-2010 in the Cancer Registry. Data were extracted from patient notes of all Māori men and a sample of NZ Europeans. The survival disparity between Māori men and Europeans was estimated by the Kaplan-Meier method and Cox proportional-hazards regression models after adjusting for other factors. This study included 535 men with prostate cancer (135 Māori men and 400 Europeans). The 5-year cancer-specific survival was 98.6% for men diagnosed with localised cancer, 88.8% for locally advanced disease and 19.1% for metastatic cancer. The all-cause survival and the cancer-specific survival were both significantly poorer for Māori men than for NZ Europeans (log rank test: P = 0.004, 0.006 respectively). The hazard ratio of cancer-specific survival for Māori men was 2.01 (95% CI: 1.21-3.36) compared with NZ Europeans. Māori men with prostate cancer had poorer all-cause survival and cancer-specific survival than NZ Europeans. Māori men were at risk of having more advanced disease at diagnosis, which explains most of the survival inequity between Māori men and NZ Europeans. en
dc.format.medium Print en
dc.language eng en
dc.relation.ispartofseries European journal of cancer care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Prostatic Neoplasms en
dc.subject Neoplasm Staging en
dc.subject Proportional Hazards Models en
dc.subject Comorbidity en
dc.subject Adult en
dc.subject Aged en
dc.subject Middle Aged en
dc.subject European Continental Ancestry Group en
dc.subject Oceanic Ancestry Group en
dc.subject New Zealand en
dc.subject Male en
dc.subject Health Status Disparities en
dc.subject Kaplan-Meier Estimate en
dc.title Differences in survival between Māori and New Zealand Europeans with prostate cancer. en
dc.type Journal Article en
dc.identifier.doi 10.1111/ecc.12468 en
pubs.issue 2 en
pubs.begin-page 262 en
pubs.volume 25 en
dc.rights.holder Copyright: The author en
dc.identifier.pmid 26918691 en
pubs.end-page 268 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype Journal Article en
pubs.elements-id 524091 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Health Systems en
dc.identifier.eissn 1365-2354 en
pubs.record-created-at-source-date 2016-02-27 en
pubs.dimensions-id 26918691 en


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