Journal article

Survival disparities in Australia: an analysis of patterns of care and comorbidities among indigenous and non-indigenous cancer patients

Suzanne P Moore, Adele C Green, Freddie Bray, Gail Garvey, Michael Coory, Jennifer Martin, Patricia C Valery

BMC Cancer | BMC | Published : 2014

Abstract

BACKGROUND: Indigenous Australians have lower overall cancer survival which has not yet been fully explained. To address this knowledge deficit, we investigated the associations between comorbidities, cancer treatment and survival in Indigenous and non-Indigenous people in Queensland, Australia. METHODS: A cohort study of 956 Indigenous and 869 non-Indigenous patients diagnosed with cancer during 1998-2004, frequency-matched on age, sex, remoteness of residence and cancer type, and treated in Queensland public hospitals. Survival after cancer diagnosis, and effect of stage, treatment, and comorbidities on survival were examined using Cox proportional hazard models. RESULTS: Overall Indigenou..

View full abstract

Grants

Awarded by National Health and Medical Research Council (NHMRC) Training Scholarship for Indigenous Australian Health Research


Awarded by NHMRC Project Grant


Awarded by UK Medical Research Council


Awarded by Australian Research Council Future Fellowship


Funding Acknowledgements

S. Moore was supported by a National Health and Medical Research Council (NHMRC) Training Scholarship for Indigenous Australian Health Research (No. 389935) and an International Agency for Research on Cancer-Cancer Council Australia post-doctoral fellowship. The NHMRC Project Grant (No. 1004643) partly funded this project. S Moore and P Valery were also supported by the former Australian Centre for International and Tropical Health, UQ. A Green was partly supported by a Fellowship from the UK Medical Research Council (No. 89912). PC Valery was supported by an Australian Research Council Future Fellowship (No. 100100511). This work was produced as part of the In-Kind activities of the Lowitja Institute incorporating the Cooperative Research Centre for Aboriginal and Torres Strait Islander Health. We thank Dr Isabelle Soerjomataram for her analytical advice. We thank the members of the Indigenous Reference Group established to inform the study investigators about cultural matters and translation of results to the community. The authors declare that they have no competing interests.