Incidence, aetiology, and outcomes of cancer in Indigenous peoples in Australia

Joan Cunningham, Alice Rumbold, Xiaohua Zhang, John Condon

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    An assessment of recent data on cancer in Indigenous Australians (Aborigines and Torres Strait Islanders) shows that, although they are less likely to have some types of cancer than other Australians, Indigenous people are significantly more likely to have cancers that have a poor prognosis, but are largely preventable, such as lung and liver cancer. Indigenous people with cancer are diagnosed at a later stage, are less likely to receive adequate treatment, and are more likely to die from their cancers than other Australians. Inadequate identification of Indigenous people in cancer registers precludes reporting for some parts of Australia, but sufficient information is available to identify priorities and inform appropriate remedial action. Health-risk factors, especially smoking, and inadequate health-system performance largely explain the patterns of cancer incidence and mortality in areas with adequate data. Effective tobacco control programmes, improvements across a range of health services, and meaningful Indigenous engagement are all needed to decrease the burden of cancer in Indigenous Australians. � 2008 Elsevier Ltd. All rights reserved.
    Original languageEnglish
    Pages (from-to)585-595
    Number of pages11
    JournalLancet Oncology
    Volume9
    Issue number6
    Publication statusPublished - 2008

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    Incidence
    Neoplasms
    Indigenous Health Services
    Oceanic Ancestry Group
    Health
    Liver Neoplasms
    Tobacco
    Lung Neoplasms
    Smoking
    Mortality
    Therapeutics

    Cite this

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    title = "Incidence, aetiology, and outcomes of cancer in Indigenous peoples in Australia",
    abstract = "An assessment of recent data on cancer in Indigenous Australians (Aborigines and Torres Strait Islanders) shows that, although they are less likely to have some types of cancer than other Australians, Indigenous people are significantly more likely to have cancers that have a poor prognosis, but are largely preventable, such as lung and liver cancer. Indigenous people with cancer are diagnosed at a later stage, are less likely to receive adequate treatment, and are more likely to die from their cancers than other Australians. Inadequate identification of Indigenous people in cancer registers precludes reporting for some parts of Australia, but sufficient information is available to identify priorities and inform appropriate remedial action. Health-risk factors, especially smoking, and inadequate health-system performance largely explain the patterns of cancer incidence and mortality in areas with adequate data. Effective tobacco control programmes, improvements across a range of health services, and meaningful Indigenous engagement are all needed to decrease the burden of cancer in Indigenous Australians. � 2008 Elsevier Ltd. All rights reserved.",
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    Incidence, aetiology, and outcomes of cancer in Indigenous peoples in Australia. / Cunningham, Joan; Rumbold, Alice; Zhang, Xiaohua; Condon, John.

    In: Lancet Oncology, Vol. 9, No. 6, 2008, p. 585-595.

    Research output: Contribution to journalArticleResearchpeer-review

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    AU - Cunningham, Joan

    AU - Rumbold, Alice

    AU - Zhang, Xiaohua

    AU - Condon, John

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