Colorectal cancer and country of birth in New South Wales, Australia: All-of-population data for prioritising health service delivery and research.

Zhao, GW; Roder, DM; White, S; Lin, E; Challam, S; Little, A; Renzaho, A; Pitts, L; Liauw, W; Currow, D

Colorectal cancer and country of birth in New South Wales, Australia: All-of-population data for prioritising health service delivery and research.

Zhao, GW Roder, DM White, S Lin, E Challam, S Little, A Renzaho, A Pitts, L Liauw, W Currow, D

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Cancer Epidemiology: the international journal of cancer epidemiology, detection and prevention, 2022, 80, pp. 1-9
Issue Date:: 2022-10

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Field	Value	Language
dc.contributor.author	Zhao, GW
dc.contributor.author	Roder, DM
dc.contributor.author	White, S
dc.contributor.author	Lin, E
dc.contributor.author	Challam, S
dc.contributor.author	Little, A
dc.contributor.author	Renzaho, A
dc.contributor.author	Pitts, L
dc.contributor.author	Liauw, W
dc.contributor.author	Currow, D https://orcid.org/0000-0003-1988-1250
dc.date.accessioned	2022-10-06T04:46:39Z
dc.date.available	2022-08-21
dc.date.available	2022-10-06T04:46:39Z
dc.date.issued	2022-10
dc.identifier.citation	Cancer Epidemiology: the international journal of cancer epidemiology, detection and prevention, 2022, 80, pp. 1-9
dc.identifier.issn	1877-7821
dc.identifier.issn	1877-783X
dc.identifier.uri	http://hdl.handle.net/10453/162356
dc.description.abstract	INTRODUCTION: Cancer care and outcomes differ across cultural groups in Australia. Quantifying these differences facilitates prioritisation and targeting of services and research. All-of-population data are needed by health agencies to understand and fulfil their cancer-control responsibilities. Compiling these data can be challenging while maintaining privacy. We have used data linkage to gain population-wide colorectal cancer data on stage (degree of spread), treatment, and survival in New South Wales (NSW), Australia, by country of birth (COB), and consider service implications. METHODS: We studied colon and rectal cancers diagnosed in 2003-2016 and recorded on the NSW Cancer Registry (n = 41,575), plus linked hospital data and data from Australian Medical and Pharmaceutical Benefits payments, other treatment data and death records. Outcomes for 12 COB categories were analysed using multiple logistic and proportional hazards regression, with Australia as the reference category. RESULTS: Compared with Australian born, the adjusted odds ratio for distant spread of colon cancer was higher for people born in Lebanon and the United Kingdom. Treatment was less common for people born in China (surgery), Germany (systemic), Italy (surgery), New Zealand (any treatment) and Vietnam (all treatments), while treatment for rectal cancer was more common for people born in Italy (surgery), United Kingdom (radiotherapy, systemic therapy), and Vietnam (surgery), and less frequent for people born in China (radiotherapy). Adjusted 5-year survival was higher for people born in China, Italy, Vietnam, Greece (colon), Lebanon (colon) and other non-English speaking countries. More advanced stage was negatively related to having surgery and survival. CONCLUSIONS: This study illustrates how linked data can enable comparisons of multiple outcomes for colorectal cancer by country of birth across an entire population. Results disclose "big picture" variations in population characteristics, stage, treatment and survival. This will enable better targeting and prioritisation of services and inform research priorities to address disparities.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Cancer Epidemiology: the international journal of cancer epidemiology, detection and prevention
dc.relation.isbasedon	10.1016/j.canep.2022.102243
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1112 Oncology and Carcinogenesis, 1117 Public Health and Health Services
dc.subject.classification	Oncology & Carcinogenesis
dc.subject.mesh	Australia
dc.subject.mesh	Colorectal Neoplasms
dc.subject.mesh	Health Services
dc.subject.mesh	Humans
dc.subject.mesh	New South Wales
dc.subject.mesh	Australia
dc.subject.mesh	Colorectal Neoplasms
dc.subject.mesh	Health Services
dc.subject.mesh	Humans
dc.subject.mesh	New South Wales
dc.title	Colorectal cancer and country of birth in New South Wales, Australia: All-of-population data for prioritising health service delivery and research.
dc.type	Journal Article
utslib.citation.volume	80
utslib.location.activity	Netherlands
utslib.for	1112 Oncology and Carcinogenesis
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-06T04:46:38Z
pubs.publication-status	Published
pubs.volume	80

Abstract:

INTRODUCTION: Cancer care and outcomes differ across cultural groups in Australia. Quantifying these differences facilitates prioritisation and targeting of services and research. All-of-population data are needed by health agencies to understand and fulfil their cancer-control responsibilities. Compiling these data can be challenging while maintaining privacy. We have used data linkage to gain population-wide colorectal cancer data on stage (degree of spread), treatment, and survival in New South Wales (NSW), Australia, by country of birth (COB), and consider service implications. METHODS: We studied colon and rectal cancers diagnosed in 2003-2016 and recorded on the NSW Cancer Registry (n = 41,575), plus linked hospital data and data from Australian Medical and Pharmaceutical Benefits payments, other treatment data and death records. Outcomes for 12 COB categories were analysed using multiple logistic and proportional hazards regression, with Australia as the reference category. RESULTS: Compared with Australian born, the adjusted odds ratio for distant spread of colon cancer was higher for people born in Lebanon and the United Kingdom. Treatment was less common for people born in China (surgery), Germany (systemic), Italy (surgery), New Zealand (any treatment) and Vietnam (all treatments), while treatment for rectal cancer was more common for people born in Italy (surgery), United Kingdom (radiotherapy, systemic therapy), and Vietnam (surgery), and less frequent for people born in China (radiotherapy). Adjusted 5-year survival was higher for people born in China, Italy, Vietnam, Greece (colon), Lebanon (colon) and other non-English speaking countries. More advanced stage was negatively related to having surgery and survival. CONCLUSIONS: This study illustrates how linked data can enable comparisons of multiple outcomes for colorectal cancer by country of birth across an entire population. Results disclose "big picture" variations in population characteristics, stage, treatment and survival. This will enable better targeting and prioritisation of services and inform research priorities to address disparities.

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http://hdl.handle.net/10453/162356