Journal article
Comorbidity and cervical cancer survival of Indigenous and non-Indigenous Australian women: A semi-national registry-based cohort study (2003-2012)
A Diaz, PD Baade, PC Valery, LJ Whop, SP Moore, J Cunningham, G Garvey, JML Brotherton, DL O’Connell, K Canfell, D Sarfati, D Roder, E Buckley, JR Condon
Plos One | PUBLIC LIBRARY SCIENCE | Published : 2018
Abstract
Background Little is known about the impact of comorbidity on cervical cancer survival in Australian women, including whether Indigenous women’s higher prevalence of comorbidity contributes to their lower survival compared to non-Indigenous women. Methods Data for cervical cancers diagnosed in 2003–2012 were extracted from six Australian state-based cancer registries and linked to hospital inpatient records to identify comorbidity diagnoses. Five-year cause-specific and all-cause survival probabilities were estimated using the Kaplan-Meier method. Flexible parametric models were used to estimate excess cause-specific mortality by Charlson comorbidity index score (0,1,2+), for Indigenous wome..
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Awarded by National Intelligence Service
Funding Acknowledgements
The National Indigenous Cervical Screening Project (NICSP) was funded by a National Health and Medical Research Council (NHMRC; https://www.nhmrc.gov.au/) Project Grant (#1045591). This project was conducted under the auspice of the Centre of Research Excellence in Discovering Indigenous Strategies to improve Cancer Outcomes via Engagement, Research Translation & Training (DISCOVER-TT CRE) funded by NHMRC (#1041111) & the Strategic Research Partnership to Improve Cancer Control for Indigenous Australians (STREP Ca-CIndA), funded by Cancer Council NSW (#SRP 13-01; https://www.cancercouncil.com.au/) with supplementary funding from Cancer Council WA (https://www.cancerwa.asn.au/). We also acknowledge the ongoing support of the Lowitja Institute (http://www.lowitja.org.au/), Australias National Institute for Aboriginal and Torres Strait Islander Health Research. A Diaz was supported by a National Health and Medical Research Council (NHMRC) Training Scholarship for Indigenous Australian Health Research (#1055587) and a Menzies Enhanced Living Top-up scholarship (www.menzies.edu.au) funded by the DISCOVER-TT CRE. PCV was supported by the NHMRC (Career Development Fellowship #1083090). LJW was supported by a Sidney Myer Health Scholarship (http://myerfoundation.org.au/), Menzies Enhanced Living Top-up Scholarship and a student scholarship funded by the Lowitja Institute. GG was supported by an NHMRC Early Career Fellowship (#1105399). JC was supported by an NHMRC Research Fellowship (#1058244). KC receives salary support from NHMRC (Career Development Fellowship #1082989). The funding agencies had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The views expressed in this publication are those of the authors and do not necessarily reflect the views of the funding agencies.