dc.contributor.author |
Sharples, KJ |
en |
dc.contributor.author |
Firth, MJ |
en |
dc.contributor.author |
Hinder, VA |
en |
dc.contributor.author |
Hill, Andrew |
en |
dc.contributor.author |
Jeffery, M |
en |
dc.contributor.author |
Sarfati, D |
en |
dc.contributor.author |
Brown, C |
en |
dc.contributor.author |
Atmore, C |
en |
dc.contributor.author |
Lawrenson, RA |
en |
dc.contributor.author |
Reid, Mary-Jane |
en |
dc.contributor.author |
Derrett, SL |
en |
dc.contributor.author |
Macapagal, J |
en |
dc.contributor.author |
Keating, JP |
en |
dc.contributor.author |
Secker, AH |
en |
dc.contributor.author |
De Groot, C |
en |
dc.contributor.author |
Jackson, CG |
en |
dc.contributor.author |
Findlay, Michael |
en |
dc.date.accessioned |
2019-03-21T01:41:03Z |
en |
dc.date.issued |
2018-06-08 |
en |
dc.identifier.citation |
New Zealand Medical Journal 131(1476):24-39 08 Jun 2018 |
en |
dc.identifier.issn |
0028-8446 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/46236 |
en |
dc.description.abstract |
AIM:To investigate differences in survival after diagnosis with colorectal cancer (CRC) by rurality, ethnicity and deprivation. METHODS:In this retrospective cohort study, clinical records and National Collections data were merged for all patients diagnosed with CRC in New Zealand in 2007-2008. Prioritised ethnicity was classified using New Zealand Cancer Registry data; meshblock of residence at diagnosis was used to determine rurality and socioeconomic deprivation. RESULTS:Of the 4,950 patients included, 1,938 had died of CRC by May 2014. The five-year risks of death from CRC were: Māori 47%; Pacific 59%; non-Māori-non-Pacific (nMnP) 38%. After adjustment for demographic characteristics, comorbidity and disease stage at diagnosis, compared to nMnP the relative risk (RR) for Māori was 1.1 (95%CI: 0.8-1.3) and for Pacific 1.8 (95% CI: 1.4-2.5). We found no differences in risk of death from CRC by rurality, but some differences by deprivation. CONCLUSIONS:Disparity in outcome following diagnosis with CRC exists in New Zealand. Much of this disparity can be explained by stage of disease at diagnosis for Māori, but for Pacific peoples and those in deprived areas other factors may influence outcome. Further analyses of the PIPER data will explore the impact of any differences in management. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
New Zealand Medical Association |
en |
dc.relation.ispartofseries |
New Zealand Medical Journal |
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.rights.uri |
https://www.nzma.org.nz/journal/contribute |
en |
dc.subject |
Humans |
en |
dc.subject |
Adenocarcinoma |
en |
dc.subject |
Colorectal Neoplasms |
en |
dc.subject |
Survival Analysis |
en |
dc.subject |
Retrospective Studies |
en |
dc.subject |
Follow-Up Studies |
en |
dc.subject |
Socioeconomic Factors |
en |
dc.subject |
Adult |
en |
dc.subject |
Aged |
en |
dc.subject |
Aged, 80 and over |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
Oceanic Ancestry Group |
en |
dc.subject |
Rural Health |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Health Status Disparities |
en |
dc.title |
The New Zealand PIPER Project: colorectal cancer survival according to rurality, ethnicity and socioeconomic deprivation-results from a retrospective cohort study |
en |
dc.type |
Journal Article |
en |
pubs.issue |
1476 |
en |
pubs.begin-page |
24 |
en |
pubs.volume |
131 |
en |
dc.rights.holder |
Copyright: NZMA |
en |
pubs.author-url |
https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2018/vol-131-no-1476-8-june-2018/7582 |
en |
pubs.end-page |
39 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
745768 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Medical Sciences |
en |
pubs.org-id |
Oncology |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
South Auckland clinical school |
en |
pubs.org-id |
Te Kupenga Hauora Maori |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Science Research |
en |
pubs.org-id |
Maurice Wilkins Centre (2010-2014) |
en |
dc.identifier.eissn |
1175-8716 |
en |
pubs.record-created-at-source-date |
2019-08-15 |
en |
pubs.dimensions-id |
29879724 |
en |