We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Treatment patterns for cancer in Western Australia: does being Indigenous make a difference?
- Authors
Hall, Sonja E; Bulsara, Caroline E; Bulsara, Max K; Hendrie, Delia; Holman, C D'Arcy J; Leahy, Timothy G; Culbong, Margaret R
- Abstract
Objective: To examine whether hospital patients with cancer who were identified as Indigenous were as likely to receive surgery for the cancer as non‐Indigenous patients. Design, setting and patients: Epidemiological survey of all Western Australian (WA) patients who had a cancer registration in the state‐based WA Record Linkage Project that mentioned cancer of the breast (1982–2000) or cancer of the lung or prostate (1982–2001). Main outcome measures: The likelihoods of receiving breast‐conserving surgery or mastectomy for breast cancer, lung surgery for lung cancer, or radical or non‐radical prostatectomy for prostate cancer were compared between the Indigenous and non‐Indigenous populations using adjusted logistic regression analyses. Results: Indigenous people were less likely to receive surgery for their lung cancer (odds ratio [OR], 0.64; 95% CI, 0.41–0.98). Indigenous men were as likely as non‐Indigenous men to receive non‐radical prostatectomy (OR, 0.69; 95% CI, 0.40–1.17); only one Indigenous man out of 64 received radical prostatectomy. Indigenous women were as likely as non‐Indigenous women to undergo breast‐conserving surgery (OR, 0.86; 95% CI, 0.60–1.21). Conclusions: These results indicate a different pattern of surgical care for Indigenous patients in relation to lung and prostate, but not breast, cancer. Reasons for these disparities, such as treatment choice and barriers to care, require further investigation.
- Publication
Medical Journal of Australia, 2004, Vol 181, Issue 4, p191
- ISSN
0025-729X
- Publication type
Article
- DOI
10.5694/j.1326-5377.2004.tb06234.x