Rapid increase in endometrial cancer incidence and ethnic differences in New Zealand.

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dc.contributor.author Scott, Oliver en
dc.contributor.author Tin Tin, Sandar en
dc.contributor.author Bigby, Susan M en
dc.contributor.author Elwood, James en
dc.date.accessioned 2019-06-14T01:51:00Z en
dc.date.issued 2019-02 en
dc.identifier.citation Cancer causes & control : CCC 30(2):121-127 Feb 2019 en
dc.identifier.issn 0957-5243 en
dc.identifier.uri http://hdl.handle.net/2292/47027 en
dc.description.abstract PURPOSE:Endometrial cancer accounts for 3.9% of all female cancers globally, and its incidence appears to be increasing in women under 40 years of age. This paper investigated ethnic-specific trends in endometrial cancer across different age groups in New Zealand. METHODS:Women who were diagnosed with endometrial cancer between 1996 and 2012 were identified from the New Zealand Cancer Registry. Annual age-standardized incidence and mortality rates were calculated for each ethnicity (Māori, Pacific, and non-Māori non-Pacific) in four age groups (< 40, 40-49, 50-74, and 75 +). The estimates were adjusted for hysterectomy. Joinpoint regression analysis was used to assess trends over time and annual percentage changes (APCs) were estimated. RESULTS:Between 1996 and 2012, age-standardized incidence rates increased in all women and significantly in the < 40, 40-49, and 50-74 age groups (APC 9.22, 3.56, and 1.65 respectively). Incidence rates were highest in Pacific women and increased most rapidly in those under 50 years of age (APC 9.36). Conversely, age-standardized mortality rates decreased in all women and significantly in the 50-74 and 75 + age groups (APC - 5.25 and - 5.06 respectively), with the highest rate observed in Pacific women. CONCLUSION:Pacific women had the highest incidence of endometrial cancer and the trend was increasing, particularly in young women. This could be attributed, at least in part, to a high and increasing rate of obesity in these women and should be explored in future research. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Cancer causes & control : CCC 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 This is a pre-print of an article published in Cancer causes & control : CCC. The final authenticated version is available online at: https://doi.org/10.1007/s10552-019-1129-1 en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://www.springer.com/gp/open-access/authors-rights/self-archiving-policy/2124 en
dc.subject Humans en
dc.subject Endometrial Neoplasms en
dc.subject Obesity en
dc.subject Registries en
dc.subject Incidence en
dc.subject Adult en
dc.subject Aged en
dc.subject Middle Aged en
dc.subject Population Groups en
dc.subject New Zealand en
dc.subject Female en
dc.subject Young Adult en
dc.title Rapid increase in endometrial cancer incidence and ethnic differences in New Zealand. en
dc.type Journal Article en
dc.identifier.doi 10.1007/s10552-019-1129-1 en
pubs.issue 2 en
pubs.begin-page 121 en
pubs.volume 30 en
dc.rights.holder Copyright: Springer en
pubs.end-page 127 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Journal Article en
pubs.elements-id 761040 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
dc.identifier.eissn 1573-7225 en
pubs.record-created-at-source-date 2019-01-24 en
pubs.dimensions-id 30671687 en

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