Journal article
The burden of cancer in New Zealand: A comparison of incidence and DALY metrics and its relevance for ethnic disparities
R Costilla, M Tobias, T Blakely
Australian and New Zealand Journal of Public Health | WILEY | Published : 2013
Abstract
Aim: Cancer burden measured in disability adjusted life years (DALYs) captures survival and disability impacts of incident cancers. In this paper, we estimate the prospective burden of disease arising from 27 cancer sites diagnosed in 2006, by sex and ethnicity; and determine how its distribution differs from that for incidence rates alone. Methods: Using a prospective approach, Markov and cancer disease models were used to estimate DALYs with inputs of population counts, incidence and excess mortality rates, disability weights, and background mortality. DALYs were discounted at 3.5% per year. Results: The age standardised Māori: non-Māori incidence rate ratios were 1.00 for males and 1.19 f..
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Funding Acknowledgements
The Ministry of Health provided data, and a secondment for TB to undertake some of the work. The Health Research Council of New Zealand funded the Cancer Trends study that acted as one of inputs to model, and provides on-going funding through the Burden of Disease, Epidemiology, Equity and Cost Effectiveness program. RC undertook this work while employed at the Health and Disability Intelligence Unit, New Zealand Ministry of Health. This report is published with the approval of the Deputy Director-General (Policy), New Zealand Ministry of Health. However, views expressed are the authors' own and do not necessarily reflect policy advice of the Ministry.