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Title: Do ethnic patients report longer lung cancer intervals than Anglo-Australian patients?: Findings from a prospective, observational cohort study.
Austin Authors: Mazza, Danielle;Lin, Xiaoping;Walter, Fiona M;Young, Jane M;Barnes, David J;Mitchell, Paul L R ;Brijnath, Bianca;Martin, Andrew;O'Byrne, Kenneth J;Emery, Jon D
Affiliation: Department of General Practice and Centre for Cancer Research, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
The Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
Department of General Practice & Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Sydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
Olivia Newton-John Cancer Wellness and Research Centre
Social Gerontology Division, National Ageing Research Institute, Melbourne, Victoria, Australia
NHMRC Clinical Trials Centre, University of Sydney, Sydney, New South Wales, Australia
Princess Alexandra Hospital & Queensland University of Technology, Brisbane, Queensland, Australia
Department of General Practice, Monash University, Melbourne, Victoria, Australia
Issue Date: Nov-2021
Date: 2021-07-26
Publication information: European Journal of Cancer Care 2021; 30(6): e13492
Abstract: Lung cancer patients from ethnic minorities have poorer outcomes than their Caucasian counterparts. We compared lung cancer intervals between culturally and linguistically diverse (CALD) and Anglo-Australian patients to identify ethnic disparities. This was a prospective, observational cohort study comprising a patient survey and reviews of patients' hospital and general practice records. Across three states, 577 (407 Anglo-Australian and 170 CALD) patients were recruited and their hospital records reviewed. The survey was returned by 189 (135 Anglo-Australian and 54 CALD) patients, and a review was completed by general practitioners (GPs) of 99 (76 Anglo-Australian and 23 CALD) patients. Survival and Cox regression analyses were conducted. CALD patients had longer hospital diagnostic interval [median 30 days, 95% confidence interval (CI) 26-34] than Anglo-Australian patients (median 17, 95% CI 14-20), p = 0.005, hazard ratio (HR) = 1.32 (95% CI 1.09-1.60). This difference persisted after relevant factors were taken into consideration, adjusted HR = 1.26 (95% CI 1.03-1.54, p = 0.022). CALD patients also reported longer prehospital intervals; however, these differences were not statistically significant. Target interventions need to be developed to address ethnic disparity in hospital diagnostic interval.
DOI: 10.1111/ecc.13492
ORCID: 0000-0001-6158-7376
Journal: European Journal of Cancer Care
PubMed URL: 34312918
Type: Journal Article
Subjects: cancer pathway
diagnostic intervals
lung cancer
Appears in Collections:Journal articles

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