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https://hdl.handle.net/2440/91429
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Type: | Journal article |
Title: | Cancer in Australian Aboriginal children: room for improvement |
Author: | Rotte, L. Hansford, J. Kirby, M. Osborn, M. Suppiah, R. Ritchie, P. Tapp, H. Rice, M. Revesz, T. |
Citation: | Journal of Paediatrics and Child Health, 2013; 49(1):27-32 |
Publisher: | Wiley |
Issue Date: | 2013 |
ISSN: | 1034-4810 1440-1754 |
Statement of Responsibility: | Laura Rotte, Jordan Hansford, Maria Kirby, Michael Osborn, Ram Suppiah, Petra Ritchie, Heather Tapp, Michael Rice and Tamas Revesz |
Abstract: | AIM: The study aims to analyse clinical data and outcome in Aboriginal and non-Aboriginal children with cancer. METHODS: This is a retrospective case-note review of biological features, treatment outcome and survival in Aboriginal and non-Aboriginal children with a malignancy who were treated at the Women's and Children's Hospital, a tertiary referral hospital, from January 1997 through March 2011. Two separate analyses were performed: firstly, for each Aboriginal patient comparisons were made with two age, sex and diagnosis-matched control patients; then secondly, results for the Aboriginal group of patients were compared with the whole non-Aboriginal group of patients. RESULTS: In the first analysis, Aboriginal children had a significantly higher 'remoteness index' (6.14 vs. 0.95; P < 0.001) and were less likely to be enrolled on clinical trials. Survival analysis of the Aboriginal patients and their matched controls showed a trend towards inferior overall survival for the Indigenous children (P = 0.066). In the second analysis, Aboriginal children tended to have a higher proportion of leukaemias and lymphomas and had an overrepresentation of acute myeloid leukaemia (AML) (P = 0.009). The mean age among Aboriginal children with AML and lymphoma was lower (AML: 3.5 vs. 8 years, P = 0.065; lymphoma: 7.5 vs. 11.9 years, P = 0.01). A higher proportion of Aboriginal children died (P = 0.004). CONCLUSIONS: Aboriginal children present with a somewhat different pattern of cancer, are less likely to be enrolled on studies and seem to have increased mortality. There is a need for improvement in study enrolment, treatment delivery, care coordination and suitably supported residential facilities. |
Keywords: | cancer; child; ethnicity; outcome |
Rights: | © 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians) |
DOI: | 10.1111/jpc.12026 |
Published version: | http://dx.doi.org/10.1111/jpc.12026 |
Appears in Collections: | Aurora harvest 7 Paediatrics publications |
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