Journal article
Incidence and management of hepatocellular carcinoma among Māori and non-Māori New Zealanders
J Chamberlain, D Sarfati, R Cunningham, J Koea, J Gurney, T Blakely
Australian and New Zealand Journal of Public Health | WILEY | Published : 2013
Abstract
Objective: To investigate time trends in hepatocellular carcinoma (HCC) incidence disparities, and ethnic differences in risk factors, comorbidity and treatment pathways among HCC patients. Methods: Cohorts of the NZ population (1981-2004) were created and probabilistically linked to cancer registry records to investigate trends in incidence by ethnicity over time. Hospital notes of 97 Māori and 92 non-Māori HCC patients diagnosed between 01/01/2006 and 31/12/2008 in NZ's North Island were reviewed. Results: Liver cancer incidence was higher among Māori for all time periods. Compared with non-Māori, Māori males had nearly five times the rate of liver cancer (pooled RR=4.79, 95% CI 4.14-5.54)..
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Funding Acknowledgements
The notes review component of this study was funded by the Health Research Council of NZ. The Cancer Trends component was funded by the Health Research Council of NZ and the Ministry of Health. The authors thank the Cancer, Comorbidity and Care (C3) research team, particularly Virginia Signal, who collected the notes review data, and James Stanley, who provided biostatistical support. We also thank June Atkinson for data analysis performed as part of the Cancer Trends study.